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Perioscopy Professionals Blog
Perioscopy Professionals Blog
Wednesday, December 18 2013

This 59 year old patient received twice yearly cleanings by her general practioner and no history of previous periodontal treatment. Her chief complaint was that her bridge (#’s 9-11) “keeps losing gum tissue” and the patient “felt it was ugly”. This was the third bridge that had been placed. A comprehensive periodontal examination revealed periodontal probing depths of 4- 9mm, with associated generalized bleeding on probing. Localized Class I mobility and recession of 1-3 mm was noted throughout the dentition. Radiographic bone loss around the bridge was noted and a diagnosis of generalized AAP case type III-IV (moderate to severe) periodontal disease was made.

The patient was initially recommended full mouth laser surgery (Laser Assisted New Attachment Procedure), implant placement in the edentulous area #10 and crown lengthening, but the patient declined all surgical options. A non-surgical treatment plan of ultrasonic endoscopic debridement was made and the patient was prescribed azithromycin (250mg x 6), 2 to be taken the day of treatment, then 1 per day until gone. Endoscopic debridement with adjunctive non-surgical laser pocket disinfection was completed in 2 visits under local anesthesia. Periodontal maintenance was provided every 3 months to include full mouth periodontal charting, instrumentation and polish. Bridge replacement of #’s 7-9 was coordinated with the referring general dentist

3 years post ultrasonic endoscopic debridement the patient is maintaining a generalized favorable clinical outcome. Periodontal charting reveals overall improvement with generalized decreased probing depths and radiographic bone repair is evident on the bridge abutments #’s 9 and 11.

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Posted by: Suzanne newkirk, RDH AT 09:17 am   |  Permalink   |  0 Comments  |  Email

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Periodontal Endoscopy. Expert "Hands-on" Perioscopy Training and Dental Hygiene Consulting Services. Leading the way in minimally invasive periodontal treatment.

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