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Multiple periodontal abscesses after systemic antibiotic therapy
Author(s) -
Topoll H. H.,
Lange D. E.,
Müller R. F.
Publication year - 1990
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.1990.tb00024.x
Subject(s) - fusobacterium nucleatum , medicine , antibiotics , bacteroides , fusobacterium , periodontal disease , penicillin , gingival and periodontal pocket , antibiotic therapy , dentistry , periodontitis , abscess , debridement (dental) , microbiology and biotechnology , porphyromonas gingivalis , surgery , biology , bacteria , genetics
Multiple periodontal abscesses were reported in medically compromised patients. We examined patients with a non‐contributory medical history referred for the treatment of numerous periodontal abscesses. All patients had taken oral broad spectrum antibiotics 1 to 3 weeks prior to the outburst of the abscesses (8 patients: penicillin, 2 patients: tetracycline). The patients suffered from advanced periodontal disease, 82% of the examined sites showed probing depths > 3 mm, 56% attachment loss > 3 mm. Subgingival plaque samples were analysed from 2 different abscess sites. Bacteroides gingivalis (19/20), Fusobacterium nucleatum (13/20) and Streptococcus intermedius (13/20) were the most prevalent anaerobic microbiota. Strains resistant to the prescribed antibiotic were found in 55% (11/20) of the subgingival plaque samples. It was concluded that in patients with advanced periodontal disease, systemic antibiotic therapy without subgingival debridement may change the composition of the subgingival micro‐biota, thus favouring the outburst of multiple periodontal abscesses.