Breloff J P, Caffesse R G
J Periodontol. 1983 Jun;54(6):368-72. doi: 10.1902/jop.1983.54.6.368.
This study evaluated the effect of applying 3% Achromycin on healing following periodontal surgery. Twelve patients participated, and 15 contralateral sides with similar disease were compared. The parameters assessed included amounts of gingival crevice fluid quantitated with the Periotron, gingival bleeding tendencies, mobility scores and attachment levels. No significant differences in bleeding tendency, mobility or attachment levels were found. Significant changes were noted on amounts of gingival crevicular fluid, however. The amounts of gingival crevicular fluid collected were significantly lower on the side not treated with Achromycin throughout the observation period. Applying 3% Achromycin did not have a beneficial effect on the healing of periodontal wounds. Whether the application of an antibiotic on sutured flaps limited the bacterial contamination of the gingival tissues through a "wicking effect" of the silk suture material, or if this bacterial contamination had any consequence on gingival healing or reattachment of the periodontal tissues adjacent to the tooth, cannot be determined from this study.
本研究评估了应用3%四环素对牙周手术后愈合的影响。12名患者参与研究,对15个患有相似疾病的对侧部位进行了比较。评估的参数包括用牙周测量仪定量的龈沟液量、牙龈出血倾向、松动度评分和附着水平。在出血倾向、松动度或附着水平方面未发现显著差异。然而,龈沟液量有显著变化。在整个观察期内,未用四环素治疗一侧收集的龈沟液量显著更低。应用3%四环素对牙周伤口愈合没有有益作用。本研究无法确定在缝合瓣上应用抗生素是否通过丝线缝合材料的“虹吸效应”限制了牙龈组织的细菌污染,或者这种细菌污染是否对牙龈愈合或牙齿相邻牙周组织的重新附着有任何影响。