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2017 ; 12
(6
): e0179592
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
One year results of a randomized controlled clinical study evaluating the effects
of non-surgical periodontal therapy of chronic periodontitis in conjunction with
three or seven days systemic administration of amoxicillin/metronidazole
#MMPMID28662049
Cosgarea R
; Heumann C
; Juncar R
; Tristiu R
; Lascu L
; Salvi GE
; Arweiler NB
; Sculean A
PLoS One
2017[]; 12
(6
): e0179592
PMID28662049
show ga
BACKGROUND: To evaluate the clinical outcomes 12 months after systemic
administration of amoxicillin (AMX) and metronidazole (MET) adjunctive to
subgingival debridement (SD) in patients with severe chronic periodontitis
(sChP). MATERIAL AND METHODS: 102 patients with sChP were treated randomly as
follows: SD within 2 consecutive days and placebo for 7 days (group A),
SD+AMX+MET (both 500mg x3 times daily TID) for 3 days (group B), SD+AMX+MET (both
500mg x 3 TID) for 7 days (group C). At baseline, at 3-, 6-, and 12-months
post-treatment probing pocket depth (PD), clinical attachment level (CAL),
furcation involvement, bleeding on probing (BOP), full-mouth plaque score (FMPS)
were determined. The reduction in the number of sites with PD?6mm was defined as
main outcome variable. RESULTS: 75 patients completed the study. At 12 months,
all three treatment groups showed statistically significant improvements
(p<0.001) of mean PD, CAL, BOP and number of sites with PD?6mm compared to
baseline. Mean residual PD were statistically significantly lower and CAL gain
statistically significantly greater in the two antibiotic groups as compared to
placebo. While PD reductions (p = 0.012) and CAL gain (p = 0.017) were
statistically significantly higher in group C compared to group A, only the 3-day
AB group showed statistically significantly fewer sites with PD?6mm at 12 m (p =
0.003). The reduction in the number of sites with PD?6 mm (primary outcome)
showed no statistical significant differences between the 3 treatment groups.
However, in both antibiotic groups significantly more patients compared to the
placebo group reached a low risk for disease progression at 12 months (?4 sites
with PD?5mm). CONCLUSION: At 12 months, both adjunctive antibiotic protocols
resulted in statistically significantly greater clinical improvements compared to
placebo.
|Adult
[MESH]
|Amoxicillin/administration & dosage/*therapeutic use
[MESH]
|Chronic Disease
[MESH]
|Drug Therapy, Combination
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Male
[MESH]
|Metronidazole/administration & dosage/*therapeutic use
[MESH]