Page 131 - HPP ANTIMICROBIAL GUIDELINE 2018
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Suggested Treatment
Infection/ Condition Comments
Preferred Alternative
st
Chronic gingivitis Systemic antibiotic use not 1 line treatment:
recommended Mechanical and chemical plaque
control
0.2% Aqueous chlorhexidine
Chronic periodontitis Systemic antibiotic use generally not gluconate not be used alone but as
recommended. an adjunct to mechanical
debridement
Can be considered in cases of: (dental scaling/ root planning)
1. Unresponsive to conventional
2. Episodes of acute infection
3. Medically compromised patient
Aggressive periodontitis Amoxicillin 500mg PO q8h Azithromycin 500mg q24h for 3 days Antibiotics are used as an adjunct to
dental scaling and root debridement
PLUS
Metronidazole 400mg PO q8h
Local missed periodontal abscess Systemic antibiotic use not Incision and drainage of abscess
recommended
If patient medically compromised
Metronidazole 400mg PO q8h
HPP AMG Oral/ Dental Infections 60
