Local Delivery of Antibiotics

Various local and systemic drugs have been introduced over the years to serve as an adjunct in the treatment of periodontal disease.

Frequently, Scaling and Root Planing alone are not enough to reduce periodontal pockets. In these instances, local antimicrobials are utilized to kill the deeper bacteria and restore gum health. Forms of local delivery systems include microspheres, gels and fibers, most of which resorb or dissolve after 10 – 14 days. These medications attack plaque bacteria aiding our immune system in reducing periodontal pockets and allowing gums to heal.

One systemic medication includes Periostat (Doxycycline 20mg). This drug helps reduce overactive host enzymes which break down the patient’s own periodontal tissues.