Evaluation of Periodontal Treatments Using Controlled‐Release Tetracycline Fibers: Microbiological Response

作者: Roxanne A. Lowenguth , Ivan Chin , Jack G. Caton , Charles M. Cobb , Connie L. Drisko

DOI: 10.1902/JOP.1995.66.8.700

关键词: Scaling and root planingClinical attachment lossFusobacterium nucleatumCampylobacter rectusPeriodontitisDental plaqueDentistryInternal medicineGastroenterologyEikenella corrodensPrevotella intermediaMedicine

摘要: In a 12-month multi-center study of 116 adult periodontitis subjects, six putative periodontal pathogens were monitored by DNA probe methods in subset 31 subjects. Monitored species included Porphyromonas gingivalis (Pg), Prevotella intermedia (Pi), Fusobacterium nucleatum (Fn), Eikenella corrodens (Ec), Campylobacter rectus (Cr), and Actinobacillus actinomycetemcomitans (Aa) with an average detection limit 1.8 x 10(4) bacterial colony forming units/sample. The microbiological response to four treatments was studied, one treatment each quadrant; scaling root planing (S), tetracycline (TC) fiber (SF), single application TC (F) two serial applications (FF). Generally sites sampled quadrant, however, some quadrants only site selected. These evaluated at baseline; immediately following therapy; post-treatment 1, 3, 6, 12 months. conducted split-mouth design no maintenance therapy over period. At baseline, 70.8% had detectable Fn; 42.9% Pg; 63.5% Pi; 29.7% Ec; 28.3% Cr; 5.5% Aa. No significant differences seen baseline proportions these between centers. Numbers (with the exception Pg) exhibited triphasic temporal response: precipitous initial decrease rise 1- 3-month post-therapy period; spontaneous decline absence 3- period.(ABSTRACT TRUNCATED AT 250 WORDS)

参考文章(77)
Kazakos Gm, Morrison Sl, Cobb Cm, Barker Bf, Killoy Wj, Gingival response to subgingival placement of monolithic tetracycline-impregnated fibers: microscopic observations. International Journal of Periodontics & Restorative Dentistry. ,vol. 13, pp. 150- ,(1993)
L. M. Golub, N. Ramamurthy, T. F. McNamara, B. Gomes, M. Wolff, A. Casino, A. Kapoor, J. Zambon, S. Ciancio, M. Schneir, H. Perry, Tetracyclines inhibit tissue collagenase activity. A new mechanism in the treatment of periodontal disease. Journal of Periodontal Research. ,vol. 19, pp. 651- 655 ,(1984) , 10.1111/J.1600-0765.1984.TB01334.X
Harald Loe, Age Anerud, Hans Boysen, Martyn Smith, The natural history of periodontal disease in man. Study design and baseline data. Journal of Periodontal Research. ,vol. 13, pp. 550- 562 ,(1978) , 10.1111/J.1600-0765.1978.TB00209.X
K Dix, S M Watanabe, S McArdle, D I Lee, C Randolph, B Moncla, D E Schwartz, Species-specific oligodeoxynucleotide probes for the identification of periodontal bacteria. Journal of Clinical Microbiology. ,vol. 28, pp. 319- 323 ,(1990) , 10.1128/JCM.28.2.319-323.1990
Lorne M. Golub, N.S. Ramamurthy, Thomas F. McNamara, Robert A. Greenwald, Barry R. Rifkin, Tetracyclines inhibit connective tissue breakdown: new therapeutic implications for an old family of drugs. Critical Reviews in Oral Biology & Medicine. ,vol. 2, pp. 297- 321 ,(1991) , 10.1177/10454411910020030201
L. M. Golub, J. M. Goodson, H. M. Lee, A. M. Vidal, T. F. McNamara, N. S. Ramamurthy, Tetracyclines Inhibit Tissue Collagenases: Effects of Ingested Low‐Dose and Local Delivery Systems Journal of Periodontology. ,vol. 56, pp. 93- 97 ,(1985) , 10.1902/JOP.1985.56.11S.93
Ulf M. E. Wikesjo, Pamela J. Baker, Lars A. Christlrsson, Robert J. Genco, Raymond M. Lyall, Susanne Hic, Roberta M. Diflorio, Victor P. Terranova, A biochemical approach to periodontal regeneration: tetracycline treatment conditions dentin surfaces. Journal of Periodontal Research. ,vol. 21, pp. 322- 329 ,(1986) , 10.1111/J.1600-0765.1986.TB01466.X
Victor P. Terranova, Louis C. Franzetti, Susanne Hie, Ulf M. E. Wikesjo, Biochemically mediated periodontal regeneration. Journal of Periodontal Research. ,vol. 22, pp. 248- 251 ,(1987) , 10.1111/J.1600-0765.1987.TB01580.X
Stefan Renvert, Maude Wikstrom, Gunnar Dahlen, Jorgen Slots, Jan Egelberg, Effect of root debridement on the elimination of Actinobacillus actinomycetemcomitans and Bacteroides gingivalis from periodontal pockets. Journal of Clinical Periodontology. ,vol. 17, pp. 345- 350 ,(1990) , 10.1111/J.1600-051X.1990.TB00029.X