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Periodontal Surgery

Gingivectomy

ADULT DOSE/ROUTE/DURATION	PAEDIATRIC DOSE/ROUTE/DURATION
NO surgical prophylaxis indicated	NO surgical prophylaxis indicated

Replaced flaps, Apically positioned flaps, Osseous surgery (no implants)

ADULT DOSE/ROUTE/DURATION	PAEDIATRIC DOSE/ROUTE/DURATION
Surgical prophylaxis not routinely indicated	Surgical prophylaxis not routinely indicated

Regenerative techniques

- A short course of chlorhexidine post-op is recommended.

- Some experts advocate tetracycline antibiotic use for their anti-inflammatory properties.

ADULT DOSE/ROUTE/DURATION

PAEDIATRIC DOSE/ROUTE/DURATION

amoxicillin 2g PO x 1 dose 1h pre-op +
chlorhexidine mouthwash

amoxicillin 50mg/kg PO x 1 dose 1h pre-op +
chlorhexidine mouthwash

Penicillin/amoxicillin allergy

cefuroxime axetil 500mg PO x 1 dose 1h pre-op +
chlorhexidine mouthwash

Penicillin/amoxicillin allergy

cefuroxime axetil 10mg/kg (max 500mg) PO x 1 dose 1h before +
chlorhexidine mouthwash

clindamycin 300mg PO x 1 dose 1h pre-op +
chlorhexidine mouthwash

clindamycin 20mg/kg PO x 1 dose 1h pre-op +
chlorhexidine mouthwash