Arestin is administered by a healthcare provider usually a dentist or a periodontist, through a scaling and root planing procedure. It should be followed as instructed by the dentist for maximum results. The following is a general guide on how Arestin is applied:
Procedure: Following scaling and root planing, the dentist or periodontist applies Arestin directly to the gums’ pockets. This is usually performed by means of an applicator specific for the procedure.
Application: Arestin’s fine powder is directly placed into the periodontal pockets that exist between the teeth and the gums.
Effect Retention Period: Arestin is planned to dissolve minocycline over a period of days, usually 3–7 days. It dissolves slowly and is gradually absorbed by the body as it fights the bacterial infection.
Post-Procedure Care: After the application of Arestin, the dentist will advise the patient not to touch the treated area with his or her tongue and avoid eating hard or sticky foods and maintain good oral hygiene to support the healing process.
The treatment is typically a one-time application, though patients may need further sessions or follow-up care depending on the severity of their periodontal disease.
Arestin works by delivering minocycline, an antibiotic, directly to the site of infection in the periodontal pocket. The main mechanism of action is through the inhibition of bacterial growth and multiplication causing periodontal disease. Minocycline will bind to the bacterial ribosome, preventing protein synthesis, which stops bacterial growth and proliferation.
The unique formulation of Arestin allows for a slow, controlled release of the antibiotic over several days, which would be helpful in sustaining the effect of the antibiotic inside the periodontal pocket over time. This sustained-release phenomenon maximizes the concentration of minocycline within the infected area, without causing systemic side effects from the medication, primarily being active at the infection site.
Arestin is generally well tolerated, but as with any medication, it can cause side effects, although serious reactions are rare. Common side effects include:
- Gum discomfort or irritation at the site of application
- Temporary changes in taste or a metallic taste
- Nausea or mild gastrointestinal upset
- Allergic reactions (although rare), such as rash or itching
- Mouth sores or mild mouth irritation
- Headaches or dizziness in some individuals
In rare cases, patients may have a more severe allergic reaction, including difficulty breathing or swelling of the face or throat, which should be treated promptly by a medical professional.
Arestin should be used with caution in certain individuals:
Allergic reactions: Patients who are allergic to tetracycline antibiotics or any other ingredients in Arestin should avoid using this treatment.
Pregnancy and breastfeeding: Avoid using Arestin when pregnant unless absolutely necessary; tetracyclines can cause harm to the fetus. It is not recommended during breastfeeding because it passes into breast milk.
Liver or kidney problems: Any patient with severe liver or kidney disease should inform his dentist because Arestin may need to be altered in dose or may simply not be appropriate for use.
Children under 8 years: Since tetracyclines affect the development of teeth, Arestin is not recommended for any child less than 8 years.
The patient should give information to the dentist prior to the treatment with the Arestin about pre-existing medical conditions or any allergies.
Although Arestin is applied locally with very minimal systemic absorption, caution should be exercised as interactions with drugs may arise due to the potential side effects of antibiotics, especially by interfering with the absorption and/or activity of antibiotics, namely:
Other antibiotics. Administering Arestin with other antibiotics together with other antibiotics that share similar mechanisms of action, such as the use of other tetracyclines, increase the risk of adverse effect.
Oral contraceptives: Minocycline may reduce the efficacy of oral contraceptives, leaving patients open to an increased chance of pregnancy. Patients on hormonal contraceptives should take extra precautions with alternative birth control when taking Arestin.
Antacids and iron supplements: Some antacids and iron supplements may interfere with minocycline absorption when administered at the same time and therefore can reduce efficacy of Arestin.
Patients must make their dentist or periodontist aware of all the medications they are taking so that the possibility of interaction is eliminated.
Arestin usually is administered as a once-per-periodontal-pocket dose following scaling and root planing. The required dosage is calculated according to the number of periodontal pockets that need to be treated. Arestin comes in cartridges, but each cartridge contains 1 mg of minocycline. The usual recommended application is 1 cartridge per pocket, but the doctor will decide on the right number of cartridges for your case.
Arestin is a prescription drug, so it can only be applied by a licensed dental or periodontal professional. It is not available over the counter. Patients interested in using Arestin should consult with their dentist or periodontist to determine whether it is an appropriate treatment option for their periodontal condition.
1. What is Arestin?
Arestin is a brand name for minocycline hydrochloride, formulated as a powder for localized delivery to treat periodontal disease by targeting bacteria in the gums.
2. How does Arestin work?
Arestin works by releasing minocycline, an antibiotic, directly into the periodontal pockets, where it helps reduce bacteria and inflammation associated with gum disease.
3. What are the indications for using Arestin?
Arestin is indicated for use as an adjunct to scaling and root planing to treat chronic periodontitis in adults.
4. How is Arestin administered?
Arestin is administered by a dental professional who applies the powder directly into the periodontal pockets during a deep cleaning procedure.
5. Is Arestin safe for everyone?
Arestin is generally safe for adults, but it may not be suitable for individuals who are allergic to tetracyclines or have a history of certain medical conditions. Always consult your healthcare provider for personalized advice.
6. What are the common side effects of Arestin?
Common side effects may include localized discomfort, swelling, or changes in taste. More serious side effects are rare but may require medical attention.
7. How long does Arestin remain effective?
The effects of Arestin can last for several weeks, but it’s crucial to maintain good oral hygiene and follow your dentist’s instructions for the best outcomes.
8. Can Arestin be used during pregnancy?
Arestin is generally not recommended during pregnancy due to potential risks to the fetus. Pregnant individuals should consult their healthcare provider before use.
9. Are there any contraindications for using Arestin?
Individuals with a known hypersensitivity to minocycline or other tetracyclines should not use Arestin. It’s also contraindicated in children under eight years old.
10. Can Arestin be used with other periodontal treatments?
Yes, Arestin can be used in conjunction with other periodontal treatments, such as scaling and root planing, but it’s essential to discuss your treatment plan with your dentist.
11. What is the procedure for applying Arestin?
The dental professional uses a special applicator to introduce the powder into the periodontal pocket after thorough cleaning and debridement of the area.
12. How should I care for my gums after receiving Arestin?
Post-treatment, maintain excellent oral hygiene, avoid hard or chewy foods for a few days, and follow any specific instructions provided by your dentist.
13. Can Arestin prevent periodontal disease?
While Arestin can help treat existing periodontal disease, it is not a preventive treatment. Regular dental check-ups and good oral hygiene are essential for prevention.
14. How is Arestin different from other treatments for gum disease?
Unlike systemic antibiotics which affect the entire body, Arestin delivers medication directly to the site of infection, targeting specific bacteria more effectively.
15. Is a follow-up treatment necessary after Arestin application?
Follow-up appointments are generally recommended to monitor the healing process and the effectiveness of the treatment, as well as to perform routine cleanings.
16. How long should I wait to eat after Arestin treatment?
It is typically advised to wait at least 24 hours before consuming any hard or crunchy foods to allow the medication to settle and avoid irritating the treated area.
17. What should I do if I experience severe side effects after using Arestin?
If you experience severe or unusual side effects, contact your healthcare provider or dentist immediately for guidance.
18. Can Arestin affect my medications?
Arestin may interact with other medications; therefore, it’s important to inform your dentist or healthcare provider about all medicines and supplements you’re taking.
19. How often can Arestin be used?
The frequency of Arestin applications will depend on individual periodontal needs and should be determined by your dentist.
20. Where can I find more information about Arestin?
For more information, consult your dentist, healthcare provider, or visit reputable medical websites that specialize in dental care and periodontal treatments.