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This treatment regimen consists of supragingival prophylaxis (dental polishing) combined with a three-day course of oral azithromycin (500 mg daily). It was investigated by the Universidad de Antioquia in a randomized clinical trial (NCT01271231) as an adjunctive therapy for patients with diabetes mellitus and chronic periodontitis. Azithromycin, a macrolide antibiotic, is utilized for its broad-spectrum antimicrobial activity against periodontal pathogens and its potential anti-inflammatory properties. The prophylaxis component involves the mechanical removal of supragingival plaque and stains using rubber cups and prophylaxis paste. The primary objective of this specific combination in the trial was to evaluate its impact on glycemic control (HbA1c levels) and clinical periodontal parameters compared to standard mechanical therapies like scaling and root planing.
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