Arestin Quiz

What causes periodontitis?

overgrowth of bacteria from inadequate OH

What are markers or signs of periodontal disease?

deep pocket depths

BOP

gingival inflammation

What can periodontal disease lead to in the oral cavity?

destruction of supporting bone

mobility of teeth

loss of teeth

How many Americans have periodontal disease of some form?

approx 65 million adults

What bacteria are in the red comlex?

P. gingivalis

T. forsythia

T. denticola

associated with Advanced Periodontal Disease

What happens when you have higher numbers of red complex microbes?

severe gum inflammation

deep pocket formation

destruction of supporting bone

What is dental biofilm?

a structured community of microorganisms that exists within an intercellular matrix

Why is it important to decrease the number of harmful bacteria in an infected site?

to stop disease from progressing

What can we do to reduce the majority of harmful bacteria?

Along with completing an SRP, use Arestin

What can a local delivery antibiotic do for an infected area?

reduce bacteria to then reduce pocket depths

What is the powder made up of in Arestin?

1mg minocycline HC microspheres

When should you not use Arestin?

if the pt has a sensitivity to minocycline and tetracycline

women pregnant or nursing

Why is Arestin easy to use?

It can be locally applied to the infection and doesn’t have to be systemically absorbed

The placement is not uncomfortable

It only needs to be placed once and slowly releases the antibiotic into the pockets over time

When would you use Arestin for a patient?

5mm pocket depth or more with BOP

How would you discuss with a patient the reason to have Arestin placed?

Periodontal disease is an active, chronic bacterial infection

Just like any other bacterial infection, you need an antibiotic to cure it

What should you tell a patient about periodontal disease?

It can cause permanent damage if left untreated

It has a link to systemic conditions