Antibiotics for treatment of apical periodontitis, indication or contraindication

Abstract Background Apical periodontitis as an endodontic diagnosis has attracted attention for the close relationship between periodontal nature and that this pathology represents. The appearance of in tissues, but originating from infected canal affected tooth, is caused by passage pulpal infection–inflammation products only apical foramen toward tissues positioned at exit tooth canal. Depending on morphology canal, it can be one inflamed area, or several form a whole, if pulp terminal branches, like “ river delta ,” its exit. Main body abstract study aims to evaluate clinical significance whether treat not with antibiotics periodontitis. This look perspective articles already published literature after processing conclusions all articles, come up current recommendations treatment cases presented periodontium. Results classification occurs depending signs visible radiographs objective subjective complaints patient. Regardless subclassifications periodontitis, cause bacteria symbiosis causing pulpitis, so any bacterial infection there tendency them locally rather than systemic way, long does symptoms such fever, massive swelling area. Short conclusion From analysis collected information, clear trend future lie application antibiotics, irrigation solutions use devices purpose disinfecting pathology. However, no case indicated eliminate mechanochemical cleaning protocol before applying type methodology.