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Summary

In 28 adult severe periodontitis patients who did not respond to conventional periodontal therapy, full mouth clinical parameters including probing pocket depth, relative attachment level, bleeding on probing and suppuration after probing, visible plaque index and modified gingival index were recorded at the baseline and 14 months after treatment. Based on clinical and bacteriological diagnosis, a combination of systemic amoxicillin 500 mg × 3 and metronidazole 200 mg × 2 was prescribed for 7 days.

In combination with non-surgical treatment, systemic antibiotic therapy, significantly improved median values of probing pocket depth, bleeding on probing, suppuration index, visible plaque index and modified gingival index except relative attachment level. Despite the improvement of clinical parameters in general, both bleeding on probing and suppuration index had significantly lower reduction in smokers than in non-smokers.

Key words: periodontitis, non-surgical and systemic antibiotic treatment, smoking.

Received: 28 09 2006

Accepted for publishing: 27 12 2006

¹Department of Stomatology, Medical Faculty, University of Tartu

²Department of Clinical Microbiology, United Laboratories of Tartu University Clinics

Ene-Renate Pahkla¹ – MD, dentist, lecturer

Taive Koppel¹ – MD, dentist, lecturer

Paul Naaber² – MD, PhD, Head of Department of Microbiology of United Laboratories of Tartu University Clinics

Mare Saag¹ – MD, PhD, professor; Head of the Department of Stomatology

Krista Loivukene² – MD, PhD, clinical microbiologist

Address correspondence to Ene-Renate Pahkla, University of Tartu, Faculty of Medicine, Department of Stomatology, 6 Raekoja plats, 51003, Estonia

E-mail: enerp@hot.ee



	Baltic Dental and Maxillofacial Journal

December, 2006, Vol. 8, No. 4 CONTENTS SCIENTIFIC ARTICLES Impaction of the central maxillary incisor associated with supernumerary teeth: Initial position and spontaneous eruption timing 103-107 Is dental treatment experience related to dental anxiety? A cross-sectional study in Lithuanian adolescents 108-115 The efficacy of non-surgical and systemic antibiotic treatment on smoking and non-smoking periodontitis patients 116-121 Apical periodontitis in root filled teeth associated with the quality of root fillings 122-126 © 2006 Stomatologija		Stomatologija 2006; 8 (4): 116-121 179 KB The efficacy of non-surgical and systemic antibiotic treatment on smoking and non-smoking periodontitis patients Ene-Renate Pahkla, Taive Koppel, Paul Naaber, Mare Saag, Krista Loivukene Summary In 28 adult severe periodontitis patients who did not respond to conventional periodontal therapy, full mouth clinical parameters including probing pocket depth, relative attachment level, bleeding on probing and suppuration after probing, visible plaque index and modified gingival index were recorded at the baseline and 14 months after treatment. Based on clinical and bacteriological diagnosis, a combination of systemic amoxicillin 500 mg × 3 and metronidazole 200 mg × 2 was prescribed for 7 days. In combination with non-surgical treatment, systemic antibiotic therapy, significantly improved median values of probing pocket depth, bleeding on probing, suppuration index, visible plaque index and modified gingival index except relative attachment level. Despite the improvement of clinical parameters in general, both bleeding on probing and suppuration index had significantly lower reduction in smokers than in non-smokers. Key words: periodontitis, non-surgical and systemic antibiotic treatment, smoking. Received: 28 09 2006 Accepted for publishing: 27 12 2006 ¹Department of Stomatology, Medical Faculty, University of Tartu ²Department of Clinical Microbiology, United Laboratories of Tartu University Clinics Ene-Renate Pahkla¹ – MD, dentist, lecturer Taive Koppel¹ – MD, dentist, lecturer Paul Naaber² – MD, PhD, Head of Department of Microbiology of United Laboratories of Tartu University Clinics Mare Saag¹ – MD, PhD, professor; Head of the Department of Stomatology Krista Loivukene² – MD, PhD, clinical microbiologist Address correspondence to Ene-Renate Pahkla, University of Tartu, Faculty of Medicine, Department of Stomatology, 6 Raekoja plats, 51003, Estonia E-mail: enerp@hot.ee