Existing gum disease can be treated if it is not too advanced. Where pockets have formed the roots of teeth can be cleaned and smoothed to allow the gum to reattach and the swelling to subside. This is called scaling and root planing. In deeper pockets it may be useful to reduce the bacteria using antibiotics. In advanced disease, surgery to reshape the gum and bone can help to stabilise teeth and prevent them falling out. Surgery can also make it easier to remove plaque and tartar from these sites.
What is Dentomycin?
Dentomycin was launched in 1993 and has been successfully used in more than 1.3 million patients world wide. It is a gel that contains an antibiotic (minocycline) which is active against the bacteria that cause periodontitis.
Why is Dentomycin a gel?
This allows the antibiotic to be applied directly into the pockets where bacteria are growing. This means effective concentrations at the disease site and low concentrations in the bloodstream to reduce the risk of side effects.
When is Dentomycin treatment recommended?
Dentomycin is used when gum tissue has detached from the teeth to form obvious pockets. These sites are more likely to get worse than shallower sites. Your dentist or hygienist can check for pockets using a special probe, which is placed between the gum and tooth.
What does Dentomycin treatment involve?
Dentomycin is usually applied after scaling and root planing. Your dentist or hygienist will apply Dentomycin to all affected sites, every two weeks for a total of three to four visits. You shouldn’t brush, floss, eat or drink for at least two hours after Dentomycin treatment.
What effect does Dentomycin treatment have?
Clinical studies have shown that Dentomycin treatment reduces the bacteria that cause periodontitis and reduces the depth of treated pockets. These changes indicate an improvement in gum health.
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Are there any side effects?
Because it is applied direct to the site, and not swallowed, Dentomycin is a good way to treat gum disease. Fewer side effects have been reported than taking antibiotic tablets. Irritation and gum swelling can occur. If you experience these after Dentomycin treatment inform your dentist or hygienist before your next appointment. In very rare cases, patients have reported Limited diarrhoea or an upset stomach. Very rarely, some patients develop an allergic reaction to antibiotics. If you develop a severe headache, rash or itching, shortness of breath or swelling of the tongue following Dentomycin or other antibiotic treatment, contact your doctor or dentist immediately.
Is Dentomycin suitable for all patients?
Provided the gum disease is sufficiently advanced, there are few patients who would not be suitable for Dentomycin treatment. Dentomycin should not be used in:
- patients who are allergic to tetracycline antibiotics
- patients with complete kidney failure
- children under 12 years.
In addition, since Dentomycin has not been tested on certain patient groups it is unlikely that your dentist would want to treat:
- pregnant or breastfeeding women
- patients taking anticoagulants
(eg. Warfarin)
- children over 12 years.
However, there may be occasions when Dentomycin is considered the most appropriate treatment. You should discuss this fully with your dentist prior to starting treatment. It is important that you tell your dentist if you are pregnant, trying for a baby, or if you are breastfeeding. If you have any additional questions about gum disease and it’s treatment you should ask your dentist or hygienist.
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