Chronic periodontitis: Initial therapy

by Irfan Abas | Aug 23, 2018

Abstract

The use of oxygen for wound healing management have been described extensively in the medical field. In the dental field it is not common to use oxygen products as a supplement to enhance the wound healing process after dental (surgical) treatment. In this article the author describes a case in which a novel product with active oxygen is used as a supplement to existing therapies in periodontitis.

Periodontitis

The treatment of periodontal disease is more complex than gingivitis, so these cases do take a longer healing period. A new patient (female 37, healthy and non-smoker) came in to the office for a general checkup. Her husband suffered from severe chronic periodontitis and had to have full extraction and dentures.

Although the patient had no cavities nor radiolucencies on her x-rays, the color of the gums in the lower incisors seemed off, little greyish and marginally swollen (Fig. 1 & 2). The intra-oral radiograph showed up to 50% boneloss interdental of the two lower central incisors (Fig. 3) and clinically PPD of the lower incisors was up to 7 mm (Fig. 4 & 5).

The treatment was standard initial periodontal therapy which meant the following: root debridement using curettes under local anesthesia (Fig. 6), oral hygiene reinforcement and instruction of the use of interdental brushes (Fig. 7), injecting the oral gel in het sulcus (Fig. 8 & 9). The patient was instructed to brush twice daily with the Blue M® toothpaste, rinse with the mouthwash and the use of the oral gel on the interdental brush twice a day.

The treatment was standard initial periodontal therapy which meant the following: root debridement using curettes under local anesthesia (Fig. 6), oral hygiene reinforcement and instruction of the use of interdental brushes (Fig. 7), injecting the oral gel in het sulcus (Fig. 8 & 9). The patient was instructed to brush twice daily with the Blue M® toothpaste, rinse with the mouthwash and the use of the oral gel on the interdental brush twice a day.