“Causal Therapy for Periodontitis: The Adjuvant Role of Local Antibiotics in Optimizing Therapeutic Outcomes”

Associate Professor Ioana Veja, MD

Causal therapy for periodontitis is based on controlling infection through subgingival scaling and root planing and reducing periodontal biofilm. According to the EFP S3 guidelines, this is essential for controlling inflammation and stabilizing the disease; however, results may be limited in deep pockets, hard-to-reach areas, or in patients with increased susceptibility.

The objective is to evaluate the benefits of slow-release local antibiotics as an adjunct to non-surgical periodontal therapy. Local administration allows for increased antimicrobial concentrations within the periodontal pocket, with reduced systemic exposure. The literature indicates additional benefits through reduced probing depth and local inflammation, particularly in deep or recurrent pockets.

Local antibiotics do not replace mechanical debridement, but they can optimize the results of causal therapy in selected cases when integrated into a personalized, evidence-based treatment plan.