Periodoncia.Eley.6a.Ed

364 Periodoncia
de los defectos intraóseos. La monitorización bacteriana de esta combinación
de tratamiento (Kornman y Robertson, 1985) demostró que los sitios con
valores elevados de A. actinomycetemcomitans presentaban una mejor respuesta
a la cirugía más tetraciclina que al raspado más tetraciclina. También
se ha observado que la cirugía más tetraciclina puede eliminar completamente
a A. actinomycetemcomitans de la flora subgingival hasta 12 meses
(Mandell y Socransky, 1988). Sin embargo, se ha demostrado (Pavicic et al.,
1994) que esto puede conseguirse durante 2 años con metronidazol y amoxicilina
más raspado y alisado radicular (v. antes). Aún no se han realizado
estudios de estos antibióticos en combinación con la cirugía.
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