Impact of nonsurgical and antibiotics treatment on periodontitis

Background: Periodontitis is one of the most prevalent chronic inflammatory noncommunicable and multifactorial diseases. Objectives: The present study was aimed to detect the effect of systemic antibiotics as disjunctive to nonsurgical treatment of generalized periodontitis (grade I and grade II) on...

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Main Authors: Azhar Abdullah Imran, Zeyad Nazar M Al-Talib, Fatima Al-Rubea Malik
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Medical Journal of Babylon
Subjects:
Online Access:http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2023;volume=20;issue=3;spage=486;epage=490;aulast=Imran
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author Azhar Abdullah Imran
Zeyad Nazar M Al-Talib
Fatima Al-Rubea Malik
author_facet Azhar Abdullah Imran
Zeyad Nazar M Al-Talib
Fatima Al-Rubea Malik
author_sort Azhar Abdullah Imran
collection DOAJ
description Background: Periodontitis is one of the most prevalent chronic inflammatory noncommunicable and multifactorial diseases. Objectives: The present study was aimed to detect the effect of systemic antibiotics as disjunctive to nonsurgical treatment of generalized periodontitis (grade I and grade II) on the bacterial count and clinical periodontal parameters. Materials and Methods: Subgingival plaque samples were collected from 40 patients with generalized periodontitis, 20 patients were treated with scaling and root planning only, and 20 patients were treated with a combination of ciprofloxacin 500 mg and metronidazole 500 mg with scaling and root planning. Moreover, 20 samples were collected from healthy patients as a control group. Specific periodontal pathogen genes for Tannerella forsythia (BspA, CIpB genes) were identified using real time polymerase reaction (RT-PCR). Results: In this study, 120 samples were detected for the presence of T. forsythia by RT-PCR technique, and the specific ClpB, and BspA primers’ genes were used for the amplification of a fragment of these genes for the identification of T. forsythia. The results showed that the presence of ClpB and BspA in all (100%). BspA and ClpB showed a decrease but non-significant differences before and after treatment, whereas the periodontal parameter, probing pocket depth, plaque score, and bleeding on probing showed a significant decrease after treatment except clinical attachment lose showing a non-significant difference. Conclusion: Clinical treatment (scaling and root planning) is often helpful in the treatment of generalized periodontal disease (grade I and grade II) without the need for antimicrobial therapy as soon as possible.
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spelling doaj.art-772aa5bc9e26433ba4f041bb93fe22ef2023-10-30T11:05:10ZengWolters Kluwer Medknow PublicationsMedical Journal of Babylon1812-156X2312-67602023-01-0120348649010.4103/MJBL.MJBL_99_23Impact of nonsurgical and antibiotics treatment on periodontitisAzhar Abdullah ImranZeyad Nazar M Al-TalibFatima Al-Rubea MalikBackground: Periodontitis is one of the most prevalent chronic inflammatory noncommunicable and multifactorial diseases. Objectives: The present study was aimed to detect the effect of systemic antibiotics as disjunctive to nonsurgical treatment of generalized periodontitis (grade I and grade II) on the bacterial count and clinical periodontal parameters. Materials and Methods: Subgingival plaque samples were collected from 40 patients with generalized periodontitis, 20 patients were treated with scaling and root planning only, and 20 patients were treated with a combination of ciprofloxacin 500 mg and metronidazole 500 mg with scaling and root planning. Moreover, 20 samples were collected from healthy patients as a control group. Specific periodontal pathogen genes for Tannerella forsythia (BspA, CIpB genes) were identified using real time polymerase reaction (RT-PCR). Results: In this study, 120 samples were detected for the presence of T. forsythia by RT-PCR technique, and the specific ClpB, and BspA primers’ genes were used for the amplification of a fragment of these genes for the identification of T. forsythia. The results showed that the presence of ClpB and BspA in all (100%). BspA and ClpB showed a decrease but non-significant differences before and after treatment, whereas the periodontal parameter, probing pocket depth, plaque score, and bleeding on probing showed a significant decrease after treatment except clinical attachment lose showing a non-significant difference. Conclusion: Clinical treatment (scaling and root planning) is often helpful in the treatment of generalized periodontal disease (grade I and grade II) without the need for antimicrobial therapy as soon as possible.http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2023;volume=20;issue=3;spage=486;epage=490;aulast=Imranantibioticnonsurgical treatmentperiodontitisrt-pcrtannerella forsythia
spellingShingle Azhar Abdullah Imran
Zeyad Nazar M Al-Talib
Fatima Al-Rubea Malik
Impact of nonsurgical and antibiotics treatment on periodontitis
Medical Journal of Babylon
antibiotic
nonsurgical treatment
periodontitis
rt-pcr
tannerella forsythia
title Impact of nonsurgical and antibiotics treatment on periodontitis
title_full Impact of nonsurgical and antibiotics treatment on periodontitis
title_fullStr Impact of nonsurgical and antibiotics treatment on periodontitis
title_full_unstemmed Impact of nonsurgical and antibiotics treatment on periodontitis
title_short Impact of nonsurgical and antibiotics treatment on periodontitis
title_sort impact of nonsurgical and antibiotics treatment on periodontitis
topic antibiotic
nonsurgical treatment
periodontitis
rt-pcr
tannerella forsythia
url http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2023;volume=20;issue=3;spage=486;epage=490;aulast=Imran
work_keys_str_mv AT azharabdullahimran impactofnonsurgicalandantibioticstreatmentonperiodontitis
AT zeyadnazarmaltalib impactofnonsurgicalandantibioticstreatmentonperiodontitis
AT fatimaalrubeamalik impactofnonsurgicalandantibioticstreatmentonperiodontitis