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. 2021 Feb 26;12(5):666–704. doi: 10.1039/d0md00424c

Classes of antibacterial agents with the various oral diseases they treat, oral bacteria they target, and their disadvantages.

Classes of antibiotics Diseases targeted Oral bacteria against which antibiotics are active Associated problems Ref.
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