Periodontitis

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Description

This is usually caused by gram negative anaerobes which are also prominent in active disease.

Signs and Symptoms

Teeth involved are usually mobile and painful.

Treatment

• 2 % chlorhexidine gluconate mouthwash (if available) bd
• Doxycycline 100mg orally bd for 5 days OR
• Oral Amoxicillin 500mg PO 8 hourly for 5 days OR
• Phenoxy methyl penicillin (child 5mg/kg) up to 500mg orally 6-hourly for 5 days PLUS
• Metronidazole 400mg orally TDS for 5 days (in moderately severe cases).
• Use Erythromycin (Child: 10 mg/kg up to) 500 mg orally, qid for 5 days in place of penicillin in penicillin allergy
• Pocket dental treatment for localised pus formation