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Arestin antibiotic

What do you think of Arestin placed into the 9-10 mm pockets after SRP. I work in regular dental office. I had a patient with 9-10 mm pockets on 3 surfaces. I know that even with hand scaling after 5 instruments it is very hard to clean these pockets. Do you think Arestin will benefit in these deep pockets? I also asked this question one of the rep from Arestin. The rep did not give me a clear answer, more relying on the studies. Plus she had no previous dental experience. Please help.



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2 Answers

IMHO this patient should be referred to a periodontist. Non-surgical S/RP is not going to resolve that deep of pockets using Arestin or not. I’m not a huge fan of using antibiotics in any form. If using Arestin in a 9-10 mm pocket that still has calculus the pocket will remain. If you wanted you can go ahead and place and then form your own opinion on whether it helped or not. Sometimes experiencing it first hand is the best teacher. Even experienced hygienists cannot adequately S/RP past 6-7mm pockets and I added 7mm by being generous. Your patient needs surgical intervention and if those 9-10mm pockets are only on one wall then surgery will help. 3 walls are needed to bone graft a successful outcome from a surgical perspective.

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Thank you! I agree with your opinion. I am new to the office where I work. So the dentist I work for thought it would be beneficial to place Arestin in that pocket. I don’t agree with that. Definitely, this patient needs to be referred to periodontist.

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