Skip to content

Arestin Therapy

Treating Adult Gum Disease

Periodontal disease, if left untreated, is a progressive condition that often leads to severe inflammation and tooth loss. Antibiotic treatments can be used in combination with scaling and root planning, curettage, surgery or as a stand-alone treatment in an effort to reduce bacteria before and/or after many common periodontal procedures.

Antibiotic treatments can be found in several different types, including oral forms and topical gels, which are applied directly into the gum pockets. Research indicates that for acute periodontal infection, refractory periodontal disease, prepubertal periodontal disease and juvenile periodontal disease, antibiotic treatments have been incredibly effective.

Antibiotics can be prescribed at a low dose for longer-term use, or as a short-term medication to deter bacteria from re-colonizing.

Arestin Therapy May Be Your Best Course

At CarolinasDentist, we understand that you or someone in your family may need specialized care. Sometimes, advanced treatments are simply the best course of action to take. As your family’s oral health provider, we make sure we have every need covered. This is why we provide Arestin therapy treatment for patients with adult periodontitis (gum disease).

This is a Minocycline antibiotic that comes in mini capsules which are administered into the gums after scaling and root planing. The advantage of the direct delivery of antibiotics to the surfaces of the gums is that the whole body is not affected. Topical gels and direct delivery methods tend to be preferred over their oral counterparts and are extremely effective when used after scaling and root planing procedures.

Noticeable periodontal improvements are typically noticed after systemic or oral antibiotic treatment. Our dentist will incorporate and recommend the necessary antibiotic treatments as necessary for the healing of your periodontal condition.

We also recommend these at-home treatments to help prevent advanced gum disease:

  • Fluoride toothpaste with the American Dental Association seal
  • Toothbrush with soft bristles (firmer bristles can wear away enamel and damage gums)
  • Electric toothbrush (particularly people with mobility issues may find this easier to use)
  • Dental floss holders (plastic devices that hold a short length of floss)
  • Interdental brushes (these brushes are designed to clean between your teeth in areas where a toothbrush can’t reach)

Don’t put off treatment; the goal is to keep the bacterial infection from progressing and return to healthy gums. Reach out to the CarolinasDentist office near you to discuss if Arestin is the treatment you need to treat your gums.

At CarolinasDentist, our compassionate, highly skilled dentists are dedicated to making sure you enjoy excellent oral health and a return to healthy gums. No matter what you need or what office near you that you visit, you’ll be in good hands. Reach out to us today to begin your journey to your best oral health!

Frequently Asked Questions

Yes, gum disease can spread if left untreated. It begins with localized inflammation in the gums and can progress to the surrounding tissues, including the bone and ligaments that support the teeth. Additionally, bacteria from gum disease can enter the bloodstream, potentially impacting overall health by increasing the risk of conditions like heart disease or diabetes. Early treatment and good oral hygiene can prevent its spread.

Yes, you can brush your teeth after receiving Arestin, but avoid brushing near the treated area for 12 hours. This precaution helps ensure the antibiotic stays in place and delivers its full benefits. Flossing and using interdental cleaners should also be avoided for 10 days near the application site to prevent dislodging the medication.

Arestin is applied as a fine powder that adheres to the gum tissue, so it is unlikely to fall out under normal circumstances. However, improper brushing, flossing, or eating hard or sticky foods too soon after application may dislodge it. To ensure it remains effective, follow our post-treatment guidelines closely and attend any scheduled follow-up visits.

Arestin can be used multiple times, depending on the severity of gum disease and your response to treatment. Our team may recommend repeat applications during scaling and root planing procedures or periodontal maintenance visits if necessary. The frequency of use is tailored to your individual oral health needs, as part of a comprehensive plan to manage gum disease and maintain healthy gums over time.

You may also be a good candidate for Perio Protect®, a non-invasive periodontal treatment that helps manage gum disease using custom-made prescription trays and a targeted antibacterial gel. These trays are designed to fit comfortably over your teeth and deliver medication deep below the gumline, reaching areas that brushing, flossing, and even professional cleanings may miss. Worn for just a few minutes each day at home, the trays allow the medication to penetrate periodontal pockets and reduce harmful bacteria over time.

Google Reviews

I can not express how much I truly enjoy going here. I see Dr.Carol and you know this office is a trusted place soon as you walk in. I love seeing how clean and neat everything is. I have noticed small things that they do even for their front desk staff. I never wait long to get called back nor do I ever have any issues getting someone to answer my call. When I walk through the office to my exam room I notice that the lines are clean and everything seems very well maintained. Dr. Carol did alot of work on my teeth to restore them and I can not express how well of a job he did. I have seen other providers there when he was not in and even they did amazing. I felt safe and I love that the staff is there because they want too. One of the assistants told me she wants to change the bad views on dentistry and that reflects in the whole office. For me to go out of my way to write a review like this just says how amazing of an office this place is. Only thing I wish is that I saw you guys more than every 6months lol. Oh and yall need to step up the treasure chest game.

Cupcake Cupcakes Avatar
Cupcake Cupcakes
4/22/2026

Excellent customer service, doctors are pleasant, professional. Front desk and hygienist are nice and friendly. The practice is very welcoming, a breath of fresh air. My 6 year old and myself highly recommend!!!

michelle mack Avatar
michelle mack
6/08/2026

My experience at my appointment was extraordinary; the clinic is modern, very clean, and organized. Dr. David was very professional and gentle; Leo, the assistant, was very friendly; and Diana was excellent and kind—she explained everything to me regarding the treatment suggested by the doctor. The prices are affordable, with payment plans available. I recommend them 100%. I am satisfied with my choice of dentist.

Rebeca Yallonardo Avatar
Rebeca Yallonardo
6/09/2026

Schedule an Appointment for Today or Tomorrow!

Back To Top