SHOULD ANTIBIOTICS BE USED IN COMPLEX THERAPY OF CHRONIC INFLAMMATORY PERIODONTAL DISEASES

Abstract

The article is devoted to the topical issues of including antibiotics in complex treatment of patients with chronic inflammatory periodontal diseases.

The aim of the work is to give an extensive analysis of the problem of applicability and effectiveness of antibiotics in terms of etiology and pathogenesis of chronic inflammatory periodontal diseases.

The concept of etiology and pathogenesis of chronic generalized periodontitis as a multifactorial systemic disease resulting from imbalance between aggressive factors (periodontal pathogens) and body protection factors, oral cavity and periodontal complex, is discussed. On the basis of modern scientific data, the interaction of the human body and oral microflora in normal pathology has been analyzed. The problem of irrational use of antibiotics in Periodontology has been shown and the mechanisms of development of antibiotic resistance of periodontopathogenic microorganisms have been described.

The modern principles of antibiotic therapy and methods of using antibiotics in treatment of periodontics have been discussed. It is noted that identification of microflora and its sensitivity to antibiotics is necessary in determining periodontal pathogens found in the periodontal pockets.