β-Lactams |
Localized and generalized aggressive periodontitis |
A. actinomycetemcomitans
|
Due to bacterial resistance they should be used in combination with β-lactamase inhibitors |
88
|
Tetracyclines |
Localized aggressive periodontitis |
A. actinomycetemcomitans, P. gingivalis, P. intermedia, E. corrodens, F. nucleatum, and P. micra
|
Adverse effect of metal chelation |
88
|
Macrolides |
Aggressive and chronic periodontitis |
P. gingivalis
|
Not as effective as MTZ + AMX combination therapy |
60
|
Nitroimidazoles |
Localized aggressive periodontitis (when used in combination therapy with other antibiotics) |
Active against most Gram-negative species, including P. gingivalis, F. nucleatum, and P. intermedia
|
Only active against planktonic species of P. gingivalis
|
72, 88
|
Fluoroquinolones |
Chronic periodontitis |
Active against all strains of A. actinomycetemcomitans
|
Active against Gram-negative bacteria, but little activity against anaerobic bacteria |
64
|
Lincosamides |
Chronic periodontitis |
P. gingivalis and P. intermedia
|
A. actinomycetemcomitans displays resistance to lincosamides |
89
|