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As recently as 2013, the treatment consisted of delivering feces from a healthy person into the gut of the sick patient via a tube or enema.
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This resulting intestinal infection, which has also been documented after antibiotic therapy for routine dental work, 2is so difficult to treat that fecal transplants may be needed to re-establish a healthy bacterial balance. These conditions usually resolve when the antibiotic therapy ends, but in more serious cases the drugs wipe out healthy bacteria in the gut, and can create conditions for Clostridium difficile to proliferate. Many patients are wary of the side effects of systemic antibiotics including diarrhea, abdominal cramping, nausea, vomiting, and fever. The CDC estimates that nearly half of antibiotics currently prescribed are not needed and urges antibiotic stewardship: using antibiotics only when they are needed to treat disease, choosing the right antibiotics, and administering them in the right way in every case. In the United States, at least two million people are infected with antibiotic resistant bacteria each year and 23,000 of these patients die from the infections.
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The rise in bacterial resistance to antibiotics now poses serious health threats. Classified in the United States as an oral debriding agent and an oral wound cleanser, peroxide is an effective antimicrobial for chronic oral wounds inducing periodontal disease.Īccording to the Centers for Disease Control and Prevention, antibiotic-resistant infections outside of hospital settings were rare until recently. Hydrogen peroxide has a long and safe track record in dentistry and has been used in tray delivery for more than 10 years to treat periodontal disease. An alternative antimicrobial to be used between office visits is a 1.7% hydrogen peroxide gel delivered into periodontal pockets with a sealed prescription tray. Many dentists have raised concerns about antibiotic long-term efficacy. Some patients want to avoid antibiotics and their side effects altogether. One concern lies in the rise of bacteria resistant to antibiotics, complicating treatment and posing general health risks. Antibiotics used for the treatment of periodontal disease have come under increasing scrutiny in recent years.