Question

Patient Male 33 years old, complaines on pain in the gums, increasing of their bleeding, mobility of individual teeth, bad breath. Reported symptoms appeared 3 days ago. An objective examination revealed a clear bright flushed, acutely swollen gums. Cervical teeth areaare bare, periodontal pocket depth of 3-4mm with sero-purulent purulent of and exudate and accumulation over and subgingival calculus. 16, 25, 26, 36, 35, 31, 41 teeth are mobile of I - II stage, panoramic x-rays - diffusivee osteoporosis, interdental partitions to 1/3 of their height. Write the correct diagnosis and local therapy.

Answer 1

Chief complaints : pain in the gums, increasing of their bleeding, mobility of individual teeth, bad breath starting 3 days ago.
Objective examination: clear bright flushed, acutely swollen gums, periodontal pockets, bare cervical teeth, mobile teeth.
Xray reveals diffuse osteoarthritis, nterdental partitions to 1/3 of their height

These finds suggest that the patient is having a gum infection affecting the periodontum known as periodontitis.
Treatment for periodontitis is :

1. brush twice daily and maintain oral hygiene

2. Gumline cleaning through root surface instrumentation.
3. use of mouthwash and gels containing chlorhexidine, minocycline and enzyme suppresants such as doxycycline is prescribed.