摘要: SaaeetakU ovom se Elanku ocjenjuje vrijednost sustavne protumikrobne te-rapije bolesti parodonta. Poznavati tip parodontne infekcije moaee bitivaaeno u izboru terapije. Protumikrobno lijeEenje trebaprilagoditi razlikama osjetljivosti na antibiotike pojedinih parodontnihpatogena.U literaturi je opisano mnogo razliEitih vrsta antibiotske terapije πtooteaeava odluku o antibiotika kliniEkoj praksi. Vrijednost su-stavne upotrebe zaustavljanju progresije parodontnihbolesti ispitana mnogobrojnim studijama. Glavni kandidati za an-tibiotsku terapiju jesu pacijenti kojima konvencionalnom mehaniEkomterapijom nije zaustavljeno napredovanje bolesti. Opravdana upo-treba i bolesnika s lokaliziranim agresivnim parodontitisom ili drugimrano razvijenim oblicima bolesti, te pacijenata sa sustavskim bolestimakoje utjeEu parodontitis. Dokazano da kao dodatak uobiEajenojterapiji poboljπati ishod lijeEenja. Ozbiljne nuspojave koje sasobom donosi sustavna uporaba antibiotika, πto su razvoj rezi-stencije, porast oportunistiEkih mikroorganizama, ne opravdavajurutinsku uporabu lijeEenju kroniEnih, sporoprogredirajuEihoblika parodontnih bolesti.KljuEne rijeEi:parodontitis, protumikrobna terapija, antibiotici,subgingivni patogeni.
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