Direct antibiotic delivery in dentistry is a localized therapeutic approach in which antibiotics are applied directly to a specific site of oral infection, rather than being administered systemically. This method allows high concentrations of the medication at the target area while minimizing systemic exposure and potential side effects.
Clinical Objectives Include:
- Management of localized periodontal infections: Treating periodontal pockets or abscesses resistant to conventional mechanical therapy.
- Adjunctive therapy: Enhancing the outcomes of scaling, root planing, or surgical interventions.
- Reduction of systemic antibiotic use: Limiting the risk of antibiotic resistance and systemic side effects.
Procedure Overview
- Thorough cleaning of the affected site (e.g., scaling and root planing for periodontal pockets).
- Application of a biocompatible antibiotic formulation (gel, fiber, or microspheres) directly into the infected area.
- Periodic monitoring and, if necessary, reapplication based on clinical response.
Objective
To achieve targeted antimicrobial activity, reduce local bacterial load, and promote healing while minimizing systemic exposure.