Influência da antibioticoterapia no tratamento periodontal não cirúrgico de pacientes diabéticos na redução da indicação de intervenções cirúrgicas periodontais: um estudo piloto

Abstract

The objective of this study was to determine the number of surgical treatments for periodontitis avoided due to the application of antibiotic therapy as an adjunct treatment of this disease in diabetics. After the anamnesis, 8 patients were divided into 2 groups (n = 4): SRP – non-surgical periodontal treatment; SRP-ATB – non-surgical periodontal treatment associated with antibiotic therapy with amoxicillin and metronidazole. Periodontal treatment was carried out in a single session (full-mouth). Clinical assessments were carried out before treatment (baseline), and 30 days after treatment. Regarding the indication for surgical periodontal treatment, it was possible to observe the reduction of 3 surgical periodontal treatments, corresponding to the 3 patients who had pocket reduction ≥7mm in the antibiotic group (SRP+ATB), while no surgical appointments were avoided in the control group (SRP). Regarding the clinical parameters evaluated, both groups showed improvements after treatment: reduction in probing depth (PD), clinical attachment gain (CAL), but there was no reduction in the visible plaque index (VPI) and bleeding on probing. It can be concluded that adjunctive periodontal treatment with amoxicillin and metronidazole has the potential to reduce the costs of periodontal treatment in the single health system by reducing the indications for surgical interventions for the therapeutic management of periodontitis.