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Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Die Folgen des Klimwandels haben einen direkten Einfluss auf die Primärversorgung in Deutschland: Hitzeschutz insbesondere bei älteren Patienten, die Zunahme von Infektionen und die Verlängerung der Allergiesesaison spielen medizinisch eine bedeutsame Rolle. Aber auch in der Prävention und der Aufklärung der Patienten kommt den Hausärztinnen und -ärzten eine besondere Rolle zu. Direkt aus der Praxis berichtet im Live-Webinar am 13. Mai von 18 bis 19 Uhr unser Experte Dr. med. Robin Maitra.
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Current Oral Health Reports
Erschienen in: Current Oral Health Reports 3/2019

11.07.2019 | Clinical Periodontics (Y Stathopoulou, Section Editor)

Should Antibiotics Be Rationed in Periodontics—if Yes, how?

verfasst von: Andrea Mombelli

Erschienen in: Current Oral Health Reports | Ausgabe 3/2019

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Abstract

Purpose

Based on the latest findings, we evaluate the benefits and risks of systemic antibiotics in periodontal treatment and search for opportunities to reduce their use.

Recent Findings

Thorough mechanical debridement by deep scaling and root planing (SRP) resolves a considerable amount of pathology on its own. Thus, antibiotics are not needed for most cases of periodontitis. Specific indications are the presence of multiple deep pockets, especially in the molar area and rapid rate of progression. There, SRP plus amoxicillin-metronidazole can be an efficacious, minimally invasive, rapid, and inexpensive form of treatment. Considering recent findings on benefits and unwanted effects of antibiotics, we present three scenarios to limit or optimize their use.

Summary

Antibiotics are no alternative for high-quality SRP or oral hygiene. Antibiotics adjunctive to SRP should be weighed on an individual basis against the necessity of further therapy at a later stage.
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Metadaten
Titel
Should Antibiotics Be Rationed in Periodontics—if Yes, how?
verfasst von
Andrea Mombelli
Publikationsdatum
11.07.2019
Verlag
Springer International Publishing
Erschienen in
Current Oral Health Reports / Ausgabe 3/2019
Elektronische ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-019-00225-6

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08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Parodontalbehandlung verbessert Prognose bei Katheterablation

19.04.2024 Vorhofflimmern Nachrichten

Werden Personen mit Vorhofflimmern in der Blanking-Periode nach einer Katheterablation gegen eine bestehende Parodontitis behandelt, verbessert dies die Erfolgsaussichten. Dafür sprechen die Resultate einer prospektiven Untersuchung.

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