Is a topical antibiotic treatment necessary in conjunction to scaling and root planing?

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According to the American Academy of Periodontology, topical antibiotic treatment during your first scaling and root planing treatment is not recommended. However, it may be included in subsequent treatments. Every person has different needs based on their particular situation, so be sure to talk to your dental professional about using these antibiotics as part of your course of treatment; he or she will determine if they are a good fit for you.