Dr. Solomon is a Professor of Periodontology at ”Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania. She is a Senior Periodontal specialist and a Senior General Stomatology specialist. Her research activity focuses on the molecular aspects of periodontal disease, etiopathogenesis, periodontal medicine, and adjunctive methods of periodontal treatment. She also serves as an Editor and peer-reviewer for SCIE and ESCI journals.
Periodontal disease represents an inflammatory disease of the tissues supporting the maintenance and functionality of the teeth on the dental arches. The main cause of periodontitis consists in periodontal dysbiosis, which will trigger an inflammatory response, progressively leading to periodontal tissue breakdown. Scaling and root planing represent the gold standard in treating periodontal diseases but, as it was already established, these measures are unable to completely eliminate the subgingival bacterial plaque. Therefore, new adjunctive therapies have emerged, involving systemic and local delivery of various antimicrobial products. This chapter aims to provide current knowledge on the local application of different periodontal supplementary therapies. The chapter focuses on local forms of antimicrobials, such as irrigations, gels or controlled release systems but also on laser/LED-assisted periodontal pocket photodynamic antibacterial therapy (PDT), along with various photosensitizers. Moreover, we present data from current guidelines regarding the recommendations for the main locally delivered antimicrobials.
Part of the book: Periodontology