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Gingival Diseases Dental plaque-induced gingival diseases Non-plaque induced gingival lesions Chronic Periodontitis (Slight: 1-2mm CAL; moderate: 3-4mm CAL; severe: >5mm CAL) Localized Generalized (>30% of sites are involved) Aggressive Periodontitis (Slight: 1-2mm CAL; moderate: 3-4mm CAL; severe: >5mm CAL) Localized Generalized (>30% of sites are involved)
Crystal S. Baik
Recent Studies: -Effective treatment of periodontal infection and reduction of periodontal inflammation are associated with a reduction in the level of glycated hemoglobin -Increased serum triglyceride levels in uncontrolled diabetics have been shown to be related to greater attachment loss and probing depths
-ThereforeControl of periodontal disease should be an important part of the overall management of the diabetic patient
Sources: Carranza and Newman, Clinical Periodontology, 8th ed. Grossi, et al. Treatment of Periodontal Disease in Diabetics Reduces Glycated Hemoglobin. Journal of Periodontology, Vol. 68, No. 8 Chris VanDeven
Graham Smith
What is Periostat?
Doxycycline Hyclate- inhibits collagenase activity and reduces the collagenase activity in gingival crevicular fluid of patients with adult periodontitis Indicated for use as an adjunct to scaling and root planing to promote attachment level gain and to reduce pocket depths Periostat is available as a tablet(20mg) to be taken orally two times a day (about an hour before, or two hours after meals). Should be taken with plenty of fluids. Typical treatments range from 3months to 12months.
www.Periostat.com R.Macnowski
What is Periostat?
Clinical studies have shown that the use of Periostat, along with SC/RP is more effective at regaining attachment level, than treatment with SC/RP alone Periostat is the first and only therapeutic agent designed to modulate the host response and helps to slow the progression of periodontal disease. Periostat should be used when traditional SC/RP treatments alone are ineffective, but before surgery is indicated.
www.Periostat.com R. Macnowski
What is Periostat?
Periostat is not an antibiotic- the low dosages of periostat have no detectable effect on bacteria. Periostat should not be used with children, expecting mothers, nursing mothers, or anyone with a tetracycline hypersensitivity. Periostat may cause hypersensitivity to sunlight No reports of tooth staining May reduce the effect of BCPs
www.periostat.com R.Macnowski