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Antibiotics or irrigation with anti-microbials (chemical agents or mouth rinses) may be recommended to help control the growth of bacteria that create toxins and cause periodontitis. In some cases, we may recommend placing an antibiotic in the periodontal pockets in conjunction with scaling and root planing. This may be done to control infection and to encourage normal healing.
When deep pockets between teeth and gums are present, it is difficult for your doctor to thoroughly remove plaque and tartar. Patients can seldom, if ever, keep these pockets clean and free of plaque. Consequently, surgery may be needed to restore periodontal health.
Advances in understanding the etiology and pathogenesis of periodontitis have led to increasingly effective pharmacological interventions. In order to accomplish this, local application of pharmacological agents must fulfill 3 criteria: the medication must reach the intended site of action, remain at an adequate concentration, and last for a sufficient duration of time.