To evaluate the role of antibiotics following periodontal flap surgery

Abstract

Periodontitis is a multifactorial disease occurring as a result of complex interrelationship between infectious agents and host factors. Moderate to severe cases of chronic periodontitis may warrant periodontal surgical procedures. As postoperative infection can have a significant effect on the surgical outcome. In the study, an attempt has been planned to evaluate the role of antibiotics in periodontal flap surgeries in reducing postsurgical infections. 40 Patients (male and female) aged 25-50 yrs with moderate to severe chronic periodontitis were selected from the Department of Periodontics and Oral Implantology at Desh Bhagat Dental College and Hospital, Mandi Gobindgarh. Therapeutic group (20 patients) - Amoxicillin 250 mg + metronidazole 200 mg for 5 days after surgery. Control group (20 patients) - No antibiotics given postoperatively. Analgesics and antiseptic mouthwash were prescribed for both the group. Patients were evaluated for pain (measured on visual analog scale [VAS]), Modified gingival index, Wound healing index, Swelling, fever, ulceration, delayed wound healing were recorded on the 7 th day of suture removal. Visual analog scale [VAS] recorded in control group was 2.90 and in Therapeutic group was 2.10. Mean modified gingival index score recorded in control group was 0.92 and in Therapeutic group was 0.66.