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Dental Specialties

Does use of local antibiotic as an adjunct to flap surgery confer benefit?

(Content under development) The following question was submitted by a practising dentist: What is consensus on using local antibiotic with or without flap involvement? Is raising a flap and using antibiotics significantly better than without? JCDA Editorial Consultant Dr. Debora Matthews of Dalhousie University provided this initial response for consideration: When we talk about using antibiotics for our patients we have to think about the risk/benefit ratio. While the risk of systemic side effects is low, other potential risks exist, including increasing bacterial resistance, and the potential for allergic reactions. It is important to ask ourselves if these risks (for ...

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Does deep periodontal pocket disinfection with a soft tissue diode laser work?

(Content under development) The following question was submitted by a practising dentist: What clinical evidence is available for the efficacy of deep periodontal pocket disinfection with a soft tissue diode laser? What protocols are proven and recommended in terms of frequency of treatment? JCDA Editorial Consultant Dr. Debora Matthews of Dalhousie University provided this initial response for consideration:  There are two issues related to this question. The first is, does a soft tissue diode laser disinfect periodontal pockets (pocket disinfection therapy, or PDT)? The more important question, however, is whether diode lasers provide any additional clinical benefit over traditional scaling ...

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