Periodontal (Gum) Disease - Medications

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Periodontal (Gum) Disease: Medications
What is it?
Why is it used?
How is it used?
Prescription antimicrobial mouthrinse
A prescription mouthrinse containing an antimicrobial called chlorhexidine
To control bacteria when treating gingivitis and after gum surgery
It’s used like a regular mouthwash
Antiseptic “chip”
A tiny piece of gelatin filled with the medicine chlorhexidine
To control bacteria and reduce the size of periodontal pockets
After root planing, it’s placed in the pockets where the medicine is slowly released over time.
Antibiotic gel
A gel that contains the antibiotic doxycycline
The periodontist puts it in the pockets after scaling and root planing. The antibiotic is released slowly over a period of about seven days.
Antibiotic micro-spheres
Tiny, round particles that contain the antibiotic minocycline
The periodontist puts the microspheres into the pockets after
scaling and root planing. The particles release minocycline slowly over time.
Enzyme suppressant
A low dose of the medication doxycycline that keeps destructive enzymes in check
To hold back the body’s enzyme response — If not controlled, certain enzymes can break down gum tissue
This medication is in pill form. It is used in combination with scaling and root planing.
Source: U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research

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