Are the antibiotics primary treatment methods for periodontal diseases?

Nowadays it is accepted that bacteria play an important role in the ethiology of periodontal diseases. It is known that many bacteria types lodge on the surface of the tooth inside a biofilm and that this structure which is defined as bacteria plaque is closely related to periodontal diseases. There are at least around 500 morphological and biochemically different bacteria groups or types that have been colonized in periodontal tissue. Periodontal diseases are generally related to specific bacterial pathogens. Although not seen frequently periodontal diseases necessitate systemic antimicrobial treatment. The diversity of oral flora, prevent the correct definition of the specific etiologic agent in many types of these diseases. However many of the periodontal diseases are formed by poly-microbial bacteria. Antibiotics that are usually started empirically and the application of periodontal treatment together with antibiotics, is seen as the most suitable method in decreasing periodontal diseases. With the correct usage of antibiotics in periodontal diseases, costs, resistance, and side effects related to antibiotic usage can be decreased. The aim of this study is to examine the indications and efficiencies of antibiotic usage during periodontal treatment and to determine the antibiotics that are necessary to be used specific to periodontal diseases.