Client with active disease of
the periodontium

No

No

Doxycycline
💲💊🔁🙏⚖

Penicillin
Allergy

Clindamycin🚼💧💩

Arestin 💲💊
Arestin 💊

💲💲

Doxycycline
💲💊🔁🙏⚖🧠

Image provided by Victeezy.com

Amoxicillin 🚼🩸 &
Metronidazole 🚼🩸🧠

🤔Additional Considerations
💲-Expensive option
💲💲-Very expensive option

Clindamycin💧💩

Amoxicillin🩸&
Metronidazole🩸🍸🧠

No

References:
Drug Product Database online query [internet]. Canada: Health Canada 2022 Mar 10 [cited 2022 Oct 25]. Available
from: https://health-products.canada.ca/dpd-bdpp/index-eng.jsp
Bidault P, Chandad F, Grenier D. Systemic Antibiotic Therapy in the Treatment of Periodontitis [internet]. 2007
Aug/Jul [cited 2022 Oct 25]; 73(6): Available from: https://www.cda-adc.ca/jcda/vol-73/issue-6/515.pdf
Arestin [Internet]. ARESTIN + Deep Cleaning: Gum Disease Treatment. Oral pharma; [cited 2022 Oct 25].
Available from: http://www.arestin.com/
Goodfellow C. Chlorhexidine the good, the bad, and the ugly [Internet]. [place unknown]; RDH Mag; 2022 Aug 6
[cited 2022 Oct 25] available from;
https://www.rdhmag.com/patient-care/rinses-pastes/article/14173423/chlorhexidinethe-good-the-bad-and-the-ugly
Todescan S, Nizar Atout R, Managing Patients with Necrotizing Ulcerative Gingivitis: J Can Dent Assoc [internet].
2013 [cited 2022 Oct 25];79:d46. Available from: https://jcda.ca/article/d46
Bablenis Haveles, E. Applied pharmacology for the dental hygienist. 8th ed. St. Louis: Mosby Elsevier; 2020.
Foster D, Milan N: Potential Interaction Between Azithromycin and Warfarin. ACCP Journal [Internet]. 2012 JAN
17 [cited 2022 Oct 25] available from: https://doi.org/10.1592/phco.19.10.902.31551
Position Paper: Systemic Antibiotics in Periodontics, AAP [internet]. 2004 Nov [cited 2022 Oct 25] Available from:
https://doi.org/10.1902/jop.2004.75.11.1553
Wynn R, Meiller F, Crossley H. Lexicomp drug information book for dentistry.27th ed. Maryland: Walters Kluzer;
2018.
Scope of Practice Statement[Internet]. British Columbia:BCCOHP; 2022 Sept 1 [cited 2022 Oct 25]. Available from:
https://oralhealthbc.ca/practice-resources/practice-standards-guidance/hygienist/dental-hygienist-scope/

🚼-Class B Pregnancy medication,
Use with caution

💊-Minimal systemic effects

🔁-Maintenance clients only
🙏-Extraordinary client compliance
🩸-Major Warfarin interaction
💧-Minimal Warfarin interaction

⚖-Host response modulation
❤- Cardiac considerations

🍸- Adverse effects with alcohol
💩- Gastric issues & C.Dif concerns
🧠-antiepileptic interaction

Chlorhexidine
🚼

S.

No

Yes

n,

Contained to 1-2
sextants

Yes

Yes

-Dental hygienists
CANNOT prescribe
any medications.
This table is for
improved
understanding only.
It is NOT a complete
list of possible
interactions.

llo

Yes

Penicillin
Allergy

Pregnant or
Breastfeeding

Yes

Gingiva Only

🔔Disclaimer

i
Dh
J.
l, ts
ba en
to d
is stu
Cr C
E. VC
o, a.
Ye sh
C. ade
B

No

TH
MYST E
PERI ERY OF
ODON
DRUG TAL
S

📚Recommended Reading
Systemic Antibiotic Therapy in the
Treatment of Periodontitis
-https://www.cda-adc.ca/jcda/vol-73/issue-6/515.pdf

Chlorhexidine-the good, the bad, and the
ugly
-https://www.rdhmag.com/patient-care/rinses-pastes/
article/14173423/chlorhexidinethe-good-the-bad-andthe-ugly

Managing Patients with Necrotizing
Ulcerative Gingivitis -https://jcda.ca/article/d46
Position Paper-Systemic Antibiotics in
Periodontics
-https://aap.onlinelibrary.wiley.com/doi/pdf/10.1902/jo
p.2004.75.11.1553

🍁Up to date drug availability in
Canada
-https://health-products.canada.ca/dpd-bdpp
/index-eng.jsp