Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery

Background: Antibiotics are known to improve clinical parameters in patients with periodontitis, so they should be capable of enhancing the surgical treatment outcome by improving clinical parameters when given adjunctively following periodontal flap surgery. Methods: Thirty subjects with moderate t...

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Main Authors: Kratika Baldua Porwal, Anand Porwal, N Ravikiran, Sameer Ahmed, Vatsala Singh, Abhishek Singh Tanwar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=7;spage=2347;epage=2353;aulast=Porwal
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author Kratika Baldua Porwal
Anand Porwal
N Ravikiran
Sameer Ahmed
Vatsala Singh
Abhishek Singh Tanwar
author_facet Kratika Baldua Porwal
Anand Porwal
N Ravikiran
Sameer Ahmed
Vatsala Singh
Abhishek Singh Tanwar
author_sort Kratika Baldua Porwal
collection DOAJ
description Background: Antibiotics are known to improve clinical parameters in patients with periodontitis, so they should be capable of enhancing the surgical treatment outcome by improving clinical parameters when given adjunctively following periodontal flap surgery. Methods: Thirty subjects with moderate to severe periodontitis were randomly divided into three groups: Group I: 10 patients without antibiotic prescription after flap surgery, Group II: 10 patients prescribed with metronidazole 400 mg t.i.d. for 14 days, and Group III: 10 patients prescribed with doxycycline 200 mg o.d. as booster dose followed by successive doses of 100 mg o.d. for 21 days. Plaque index (PI), gingival index (GI), pocket probing depth (PPD), and clinical attachment level (CAL) were recorded at baseline, 2 weeks, and 2 months. The mean values and standard deviation values for each parameter were calculated using analysis of variance. Group comparison was done using paired t- and unpaired t-tests. Results: Reduction in PI, GI, PPD, and CAL after 2 weeks and 3 months from baseline in all the three groups was seen; intergroup comparison showed more reduction in PPD and GI and more gain in CAL in Groups II and III after 3 months when compared with Group I. No statistical difference was seen between Groups II and III. Conclusion: Within the limits of this study, it can be concluded that antibiotic administration as an adjunct to conventional flap surgery helps in improving clinical parameters.
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spelling doaj.art-dd334640204641d0871b07c19aa158472022-12-21T18:47:23ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-01872347235310.4103/jfmpc.jfmpc_313_19Comparative evaluation of adjunctive antibiotics given post periodontal flap surgeryKratika Baldua PorwalAnand PorwalN RavikiranSameer AhmedVatsala SinghAbhishek Singh TanwarBackground: Antibiotics are known to improve clinical parameters in patients with periodontitis, so they should be capable of enhancing the surgical treatment outcome by improving clinical parameters when given adjunctively following periodontal flap surgery. Methods: Thirty subjects with moderate to severe periodontitis were randomly divided into three groups: Group I: 10 patients without antibiotic prescription after flap surgery, Group II: 10 patients prescribed with metronidazole 400 mg t.i.d. for 14 days, and Group III: 10 patients prescribed with doxycycline 200 mg o.d. as booster dose followed by successive doses of 100 mg o.d. for 21 days. Plaque index (PI), gingival index (GI), pocket probing depth (PPD), and clinical attachment level (CAL) were recorded at baseline, 2 weeks, and 2 months. The mean values and standard deviation values for each parameter were calculated using analysis of variance. Group comparison was done using paired t- and unpaired t-tests. Results: Reduction in PI, GI, PPD, and CAL after 2 weeks and 3 months from baseline in all the three groups was seen; intergroup comparison showed more reduction in PPD and GI and more gain in CAL in Groups II and III after 3 months when compared with Group I. No statistical difference was seen between Groups II and III. Conclusion: Within the limits of this study, it can be concluded that antibiotic administration as an adjunct to conventional flap surgery helps in improving clinical parameters.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=7;spage=2347;epage=2353;aulast=PorwalAntibacterial agentschronic periodontitisoral surgical proceduresperiodontal attachment loss
spellingShingle Kratika Baldua Porwal
Anand Porwal
N Ravikiran
Sameer Ahmed
Vatsala Singh
Abhishek Singh Tanwar
Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery
Journal of Family Medicine and Primary Care
Antibacterial agents
chronic periodontitis
oral surgical procedures
periodontal attachment loss
title Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery
title_full Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery
title_fullStr Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery
title_full_unstemmed Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery
title_short Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery
title_sort comparative evaluation of adjunctive antibiotics given post periodontal flap surgery
topic Antibacterial agents
chronic periodontitis
oral surgical procedures
periodontal attachment loss
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=7;spage=2347;epage=2353;aulast=Porwal
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