Uso da doxiciclina como adjuvante à terapia periodontal não-cirúrgica

Abstract

INTRODUCTION:Inflammatory periodontal disease is characterized by the destruction of protective and supporting periodontal tissues, and its main etiological factor is the dental biofilm. As a rule, the elimination of these pathogens is carried out mechanically, through basic non-surgical therapy, which consists of sub and supragingival scaling and root planing. However, in advanced cases, isolated mechanical therapy may not be sufficient to obtain satisfactory clinical results, which makes complementary chemical treatment necessary. OBJECTIVES: The objective of this study was to carry out a literature review in order to expose the advantages, disadvantages and indications of the systemic and local use of doxycycline as an auxiliary treatment for inflammatory periodontal diseases, also presenting its possible potential for controlling the disease. METHODOLOGY: The present study is a literature review, through a critical approach in relation to the use of doxycycline in periodontics, through an exploratory research. RESULTS: Local administration of 10% doxycycline hyclate gel acts directly on periodontal pockets, ensuring antimicrobial effectiveness for 7 to 14 days. Antimicrobial administration of 100mg, once daily, for 30 days showed significant improvements in dental plaque, inflammation, probing depth and bleeding on probing. CONCLUSIONS: The administration of doxycycline as an antimicrobial, when properly indicated, helps in the treatment of periodontal disease, but does not replace the mechanical part of scaling and root planing.