Arestin is a locally applied antibiotic used to treat gum disease. It contains minocycline, a time-released antibiotic delivered as small microspheres placed directly into the gum pockets around affected teeth. Arestin works by targeting the bacteria responsible for periodontal infection, reducing inflammation and helping the gums heal. At Licata Dental, it's often used in combination with scaling and root planing as part of a comprehensive gum disease treatment plan.
Arestin is placed directly into the gum pockets after a deep cleaning (scaling and root planing). The tiny microspheres release the antibiotic over 14 to 21 days, continuously targeting bacteria at the site of infection. Because the medication works locally where it's needed most, Arestin is more effective than oral antibiotics for treating gum disease and avoids the side effects that come with systemic antibiotic use.
Arestin may be recommended for patients with moderate to advanced gum disease, particularly those with gum pockets deeper than 5 millimeters. During your exam, Dr. Faye Licata, DMD will evaluate the depth of your gum pockets and the health of your gum tissue to determine whether Arestin is right for you. It's often used for patients who haven't responded fully to scaling and root planing alone.
No, Arestin placement is virtually painless. The microspheres are applied directly into the gum pockets with a small applicator, and most patients feel no discomfort during the procedure. Because Arestin is usually applied during or after scaling and root planing, any mild sensitivity you experience is typically from the deep cleaning itself — not from Arestin.
After Arestin is placed, avoid brushing or flossing the treated area for 12 hours and avoid eating hard, crunchy, or sticky foods for 7 to 10 days. Continue gentle oral hygiene everywhere else, and skip dental floss or toothpicks around the treated teeth for 10 days. Most patients experience no significant discomfort and can return to normal activities immediately.
Clinical studies have shown that Arestin, when used alongside scaling and root planing, is significantly more effective than scaling and root planing alone at reducing gum pocket depth and improving gum health. Results vary by patient, but most see meaningful improvement in gum health within a few weeks. Maintaining good oral hygiene and attending regular periodontal maintenance visits is essential for long-term results.
Some patients receive Arestin as a one-time adjunct to scaling and root planing and never need it again — especially if they follow good oral hygiene and attend regular periodontal maintenance visits. Others with advanced or recurring gum disease may benefit from additional Arestin treatments over time. Dr. Licata will recommend an ongoing care plan based on your individual response and gum health.
