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Microbial identification and antibiotic sensitivity testing, an aid for patients refractory to periodontal therapy
Author(s) -
Fine Daniel H.
Publication year - 1994
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.1994.tb00286.x
Subject(s) - medicine , refractory (planetary science) , scaling and root planing , antibiotics , antibiotic therapy , dentistry , periodontal disease , intensive care medicine , surgery , periodontitis , chronic periodontitis , microbiology and biotechnology , biology , astrobiology
The importance of microbial surveillance is illustrated in 3 clinical cases. Each case demonstrated a continued lack of response to conventional periodontal treatment. Repeated bouts of periodontal abscess formation and bone Joss occurred over a 3‐ to 4‐ year period, despite numerous surgeries supplemented with antibiotics. As a result, patients were termed refractory to treatment and extensive microbiological analysis and sensitivity testing was performed. Following institution of the appropriate antibiotic and conservative therapy consisting of several sessions of scaling and root planing, each of these cases demonstrated a dramatic remission of disease progression. No further breakdown has been seen for a minimum of 21/2, years. While anecdotal in nature, these cases support the usefulness of microbial identification coupled with antibiotic sensitivity as an adjunct to conventional conservative periodontal therapy.