Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 8  |  Issue : 7  |  Page : 2347--2353

Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery


Kratika Baldua Porwal1, Anand Porwal2, N Ravikiran1, Sameer Ahmed1, Vatsala Singh1, Abhishek Singh Tanwar3 
1 Department of Periodontology, Darshan Dental College and Hospital, Udaipur, Rajasthan, India
2 Department of Prosthodontics and Crown and Bridge, Darshan Dental College and Hospital, Udaipur, Rajasthan, India
3 Department of Oral and Maxillofacial Surgery, Geetanjali Dental College and Research Institute, Udaipur, Rajasthan, India

Correspondence Address:
Dr. Kratika Baldua Porwal
B-116, Mangalam Orchid, New Navratana Complex, Bhuwana, Udaipur, Rajasthan
India

Background: Antibiotics are known to improve clinical parameters in patients with periodontitis, so they should be capable of enhancing the surgical treatment outcome by improving clinical parameters when given adjunctively following periodontal flap surgery. Methods: Thirty subjects with moderate to severe periodontitis were randomly divided into three groups: Group I: 10 patients without antibiotic prescription after flap surgery, Group II: 10 patients prescribed with metronidazole 400 mg t.i.d. for 14 days, and Group III: 10 patients prescribed with doxycycline 200 mg o.d. as booster dose followed by successive doses of 100 mg o.d. for 21 days. Plaque index (PI), gingival index (GI), pocket probing depth (PPD), and clinical attachment level (CAL) were recorded at baseline, 2 weeks, and 2 months. The mean values and standard deviation values for each parameter were calculated using analysis of variance. Group comparison was done using paired t- and unpaired t-tests. Results: Reduction in PI, GI, PPD, and CAL after 2 weeks and 3 months from baseline in all the three groups was seen; intergroup comparison showed more reduction in PPD and GI and more gain in CAL in Groups II and III after 3 months when compared with Group I. No statistical difference was seen between Groups II and III. Conclusion: Within the limits of this study, it can be concluded that antibiotic administration as an adjunct to conventional flap surgery helps in improving clinical parameters.


How to cite this article:
Porwal KB, Porwal A, Ravikiran N, Ahmed S, Singh V, Tanwar AS. Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery.J Family Med Prim Care 2019;8:2347-2353


How to cite this URL:
Porwal KB, Porwal A, Ravikiran N, Ahmed S, Singh V, Tanwar AS. Comparative evaluation of adjunctive antibiotics given post periodontal flap surgery. J Family Med Prim Care [serial online] 2019 [cited 2020 Jan 17 ];8:2347-2353
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=7;spage=2347;epage=2353;aulast=Porwal;type=0