IADR Abstract Archives

Efficacy of Arestin + SRP in Periodontitis Patients Maintained on Non-surgical Regimen

Objective: Patients who are candidates for periodontal surgery but must be maintained on a more conservative therapy for a variety of reasons may benefit from locally administered antimicrobial agents. The objective of these pilot studies was to evaluate the efficacy of minocycline microspheres (Arestin) and scaling and root planing (SRP) in this group of periodontal patients.

Methods: 20 surgical candidates from 2 periodontal practices receiving SRP only were enrolled in a single blind, 3 month, open label study. Arestin was administered to 140 pockets (8 Pts) in one office and 245 pockets (12 Pts) in the 2nd office, which were ³5mm at baseline (BL). The primary endpoint was mean pocket depth reduction (PDR).

Results: PDR from BL to 3 months was statistically significantly reduced (1.29mm, p=0.0078 and 1.12mm, p=0.0005 Wilcoxon Signed Rank Test). CAL gain was significant (1.00mm, p=0.0078 and 1.06mm, p=0.0005) and BOP reduction was also significant (51% and 78%, McNemar’s Test, p<0.0001). In addition, at one office 71%, 42%, and 9% of sites experienced PDR of ³1mm, ³2mm, and ³3mm, respectively; at the other office, 73% and 38% of sites experienced PDR of ³1mm and ³2mm, respectively.

Conclusion: These studies indicate that the adjunctive use of Arestin plus SRP is effective in reducing pocket depth in candidates for periodontal surgery, but who must be maintained on a non-surgical course of therapy. Supported by a grant from OraPharma, Inc.


Division: IADR/PER General Session
Meeting: 2003 IADR/PER General Session (Goteborg, Sweden)
Location: Goteborg, Sweden
Year: 2003
Final Presentation ID: 2256
Abstract Category|Abstract Category(s): Periodontal Research - Therapy
Authors
  • Doherty, Frances  ( OraPharma, Inc, Warminster, PA, USA )
  • Lessem, Jan  ( OraPharma, Inc, Warminster, PA, USA )
  • Hanlon, Alexandra  ( OraPharma, Inc, Warminster, PA, USA )
  • Minsk, Laura  ( Periodontal Practice, Philadelphia, PA, USA )
  • Rose, Louis F.  ( Periodontal Practice, Philadelphia, PA, USA )
  • Mcdevitt, Michael  ( Periodontal Practice, Atlanta, Atlanta, GA, USA )
  • SESSION INFORMATION
    Poster
    Therapeutic Intervention - Antimicrobials
    06/27/2003