سؤال بيتكرر كتير ، ايه الادويه اللي بتتوصف لعلاج البوكت ؟! هل في روشته ثابته لأي بوكت ولا في اختلافات ؟!!لازم نتفق ان قبل اي ادوية هتكتبها..لازم تشيل السبب اللي عامل المشكلة دي سواء كنت هتعمل1.scaling and root planing2.correction of over hanging restoration3.occlusion adjustmentفي اختلافات في الادوية اللي هتكتبها لكل حالة على حسب تطورها :*1. لو كانت Gingivitis:------------- هتكتبله مضمضه فقط chlorohexidine "whatever its brand" or betadine .-Used for 5-7 days , three times per day. -Betadine can be diluted up to 1:1, but chlorohexidine preferred to be used its full concentration.*2. لو كانت Chronic periodontitis :------------------------في حالتين ::- لو كان Mild (1-2mm CAL) and moderate ( 3-4mm CAL) chronic periodontitis, need no systemic antibiotic الا في حاله واحده لو كان عنده Systemic Disease ومناعته مش قويةهتكتبله على 3 حاجات:1. Mouth wash 2. locally delivered antibiotic "E-Z cure gel3. ozone gel - لو كان Sever (5 or more CAL )هنكتبله على 3 حاجات:1. mouth wash 2. local delivery antibiotic 3. systemic antibiotic such زي ايه بقى ال Antibiotic اللي نكتبه:1) Augmantine 625 mg 3*1 + flagyl 250 mg 3*1 , both for 8 days.2) Ciprofloxacine 500 mg 2*1 + flagyl 500 mg 2*1, both for 8 days. 3) Tetracycline 500 mg 3*1 for 14 day then after that flagyl 250 mg 3*1 for 8 days "not taken combined , taken serial 4) Azithromycine 500 mg 1*1 for 3 days and then flagyl 250 mg for 8 days " serial not combination ".وبعد ال Line of Ttt هيدخل PerioSurgery*3. لو Aggressive periodontitis :----------------------------- نفس طريقه علاج ال Chronic بس ال prognosis بتاعه مبيكونش كويس اويMouth wash + local drugdelivery + Systemic antibiotics "as mentioned above ".*4. لو Gingival abscess:--------------------A. Incision and drainage must be done first and removal of the irritant causing the abscess .-B. Mouth wash only and review the patient after 48 hours,and if recurrence occurs, you should prescribe systemic antibiotic " as recurrence in that case is not usual , once it occurs, may be due to drop in immune response or underlying systemic disease ".*5. لو Periodontal abscess:-------------------------1. Incision and daring of the abscess and scaling and root planing " any periodontal abscess must be preceded by periodontitis2. Mouth wash +Local delivery antibiotic + Systemic antibiotic.#GreenLineDentistry#

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