Some evidence to support adjunctive amoxicillin and metronidazole for treatment of chronic periodontitis

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Chronic periodontitis affects between 5-20% of the population. Scaling and root planing (SRP) is one of the most effective methods of treatment. The aim of this review was to assess whether  the adjunct of amoxicillin and metronidazole (AMX/MET) to SRP increased its effectiveness compared to SRP alone. The authors searched eight databases and hand-searched a [read the full story…]

Some evidence to support adjunctive amoxicillin and metronidazole for treating patients with aggressive periodontitis

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Most people suffer with inflamed gums for time to time. However, approximately 10% of the population suffer from more severe gum problems (periodontitis) leading to loss of bone supporting the teeth and potentially loss of teeth.  The aim of this review was to assess the effectiveness of combined amoxicillin and metronidazole (AMX/MET) as an adjunctive [read the full story…]

Preoperative antibiotics may decrease dental implant failure

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The aim of this review was to assess whether patients undergoing dental implants who receive peri-operative antibiotics have lower failure rather than those not who do not receive antibiotics. The authors searched medline  for studies in English with test and control groups . Antibiotic use was classified as a single preoperative dose, a single preoperative [read the full story…]

No increase in infective carditis after reducing routine antibiotic prophylaxis

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NICE Guideline 64 does not recommend the routine use of antibiotic prophylaxis in invasive dental procedures to prevent infective carditis.  Their guideline states that patients should only be offered it if the procedure is at a site where there is already a suspected infection. This guidance caused some difficulties for dentists, as reported in the [read the full story…]