PERIODONTITIS TREATMENT PROTOCOL OVERVIEW PROFESSIONAL VERSION
Conforms with the guidelines of the Board of Trustees of the American Academy of Periodontology as outlined in the position paper: Systemic antibiotics in Periodontics Journal of Periodontology, November 2004, 1553-1565; Primary author: J. Slots.
3 or 4 weeks prior to treatment:
Upon diagnosis of aggressive periodontitis, a periodontal culture is taken and samples sent to an oral pathology lab for analysis.
Patient begins taking the antibiotics as indicated in the lab report. Oral hygiene brushing and flossing instructions with emphasis on the next 8 days. Patient is instructed to use an oral irrigator with a bleach solution (1 tsp. bleach per 1 cup warm water) or a grapefruit seed extract solution – GSE (15 drops per 1 cup warm water) daily for 8 days, after first brushing and flossing.
Day 1 or 2:
Gross scale full mouth and 2 quadrants of rootplaning followed by a subgingival irrigation of 10% povidone iodine allowing a 5‑minute contact time.
Day 4 or 5:
2 quadrants rootplaning and subgingival irrigation with 10% povidone iodine.
Six weeks later:
Post operative periodontal evaluation and irrigation with 10% povidone iodine. Patient is placed on a 3 or 4‑month hygiene recall. Oral hygiene home care is reviewed. Patient is instructed to use oral irrigator with bleach solution 2 X week or a GSE solution daily.