Skip to main content
. 2020 Feb 28;9(2):473–480. doi: 10.4103/jfmpc.jfmpc_1097_19

Table 4.

Recommendations of the various researchers, experts, and professional guidelines for the antibiotics prescribed in pediatric dental practice

Author/Year Periodontal Disease Antibiotic Of Choice
Al-Ghutaimel et al [49](2014) 50 Acute Necrotizing Ulcerative Gingivitis
Aggressive periodontitis
Penicillin or erythromycin (for 5 days)
Flagyl (Metronidazole)- eliminates acute symptoms rapidly
Tetracycline alone or with metronidazole followed by metronidazole in combination with amoxicillin in the presence of tetracycline resistance.
Dar-Odeh et al.[4](2018) Aggressive Periodontitis
Necrotizing Ulcerative Gingivitis
Pericoronitis
Amoxicillin AND
Metronidazole
Patients allergic to penicillin:
 Azithromycin (3 days) OR Metronidazole
 Amoxicillin (3 days)
Penicillin allergic patients:
 Metronidazole (3 days)
 Amoxicillin (3 days)
Penicillin allergic patients:
 Metronidazole (3 days)
AAPD Guidelines[35,36] Localized Aggressive periodontitis and chronic periodontitis
Necrotizing ulcerative gingivitis/periodontitis
Tetracyclines or
Combination of tetracycline and metronidazole.
Metronidazole in combination with amoxicillin has also been utilized
If the patient is febrile- Metronidazole and penicillin.
Muppa et al.[50](2016) Localized Aggressive periodontitis Amoxicillin along with metrogyl for 15 days.
SDCEP
Clinical guidelines[40]
Necrotizing Ulcerative Gingivitis and Pericoronitis Metronidazole: (3-day regimen). or
Amoxicillin