Stomatológ 2021, 31(2):24-29 | DOI: 10.69658/sto.2021.018

Treatment of generalized aggressive periodontitis in a patient with multiple systemic risk factors

Barbora Stenchláková1, Tomáš Siebert1,2,*
1 Klinika stomatológie a maxilofaciálnej chirurgie UNM a JLF UK Martin
2 Dentálne Centrum, s. r. o., Jána Hollého 5/8479, Trnava, Slovensko

This study aims to point out the importance of diagnosis and treatment of periodontitis according to the latest methods in a patient with rheumatoid arthritis (RA), obesity, and diabetes mellitus. After a thorough history, clinical examination of the periodontal tissue, and X-ray examination, a diagnosis of aggressive periodontitis was established. An individual treatment plan was developed for the patient according to current scientific knowledge in evidence-based medicine. Immediately after subgingival treatment, the patient was indicated for systemic antibiotic therapy consisting of amoxicillin in combination with metronidazole as the gold standard of antibiotic therapy in the treatment of periodontitis. During the re-evaluation, we observed a decrease in probing depth, clinical attachment gain, and a decrease in bleeding on probing (BOP). After completing the active periodontal treatment, there were only three sites with a depth of 5 mm requiring increased attention, all of them with a negative BOP result.

Keywords: aggressive periodontitis, periodontal pocket, deep scaling and root planing, systemic antibiotic treatment, recall

Published: December 15, 2021  Show citation

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Stenchláková B, Siebert T. Treatment of generalized aggressive periodontitis in a patient with multiple systemic risk factors. Stomatológ. 2021;31(2):24-29. doi: 10.69658/sto.2021.018.
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