Resumen

OLATE M, Sergio  y  SOTO A, Marcelo. Local antimicrobial in periodontics: Literature review. Acta odontol. venez [online]. 2007, vol.45, n.3, pp.459-466. ISSN 0001-6365.

ABSTRACT An increasing interest in the antimicrobial treatment as attached to the periodontal therapy has arisen later 1970 due to the association of certain bacterial kinds frequently found in periodontal processes. The objective of this review is to identify the state of the local antimicrobial and his use in the treatment of  periodontitis. The information used for this review is in international publications from 1985 to the date, with the use of medline and pubmed as sources of compilation. A great number of studies has demonstrated that the use of  local antimicrobial in the periodontal therapy would improve the clinical and microbiological results front to a traditional therapy. The use of antimicrobial local therapy has been evaluated in different types of studies, being applied with different protocols. In all the cases it has demonstrated  resolution of the periodontitis though of some protocols of managing and it has improved significantly. We must indicate that this therapy must be implemented in cases that need and not for all the patients. So that, the use of the antimicrobial therapy in patients with periodontitis, diferent criteria must be evaluated like the formation of antimicrobial resistance, the number of sites affected by the disease, the depth of the periodontal sack, the time needed and the cost of use. Finally, we can indicate that the best form for the use of antimicrobial places is like an enclosure to the conventional therapy of scaling and root planning

Palabras clave : Antibiotics; Antiseptics; Local Antimicrobial; Adjunt Therapy.