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Antibiotics in periodontal therapy can be used to enhance treatment results.

For years periodontics has recognized that bacteria, their by products and the body's reaction to  all three of these are the causes for periodontal disease.  Systemic (taken by mouth)  and local drug delivery are modalities where antibiotics can be helpful. 

Antibiotic therapy is not indicated in all cases of periodontitis.  They are usually reserved for more aggressive and refractory foms of the disease.  They are considered adjuncts to non - surgical and surgical periodontal treatments and they have risks of allergic and adverse drug reactions.

Commonly used systemic medications are amoxicillin, doxycycline, metronidazole, and tetracycline.

Proprietary local drug delivery systems include older forms such as Atridox,  Actisite and Periochip. The most commonly used today is Arrestin.

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