Periodontitis

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This is the progression of the inflammation of gingival into the deep tissue affecting the periodontal  membrane causing periodontal pockets, introduction of infection and destruction of periodontium. 

Clinical presentation 

• Reddened, swollen gingiva
• Easily  bleeding  gingival  on  gently probing
• Periodontal pocket
• Loose/mobile teeth
• Bad breath from the mouth
• Gingival recession

Investigation

Orthopantomography (OPG) to determine extent of bone loss

Non-pharmacological Treatment 

• Instruct and guide the patients on proper oral hygiene for proper plaque control.  Plaque control by scaling and root planning. 

Pharmacological Treatment 

Mouth wash: Do not swallow 

A: hydrogen peroxide (PO) 3% 6hourly for at least for 5days 

OR 

B: chlorhexidine gluconate (PO) 0.1% 12hourly at least for 5days 

OR 

Use antibiotics only in severe cases 

A: metronidazole (PO) 400mg 8hourly for 8days 

AND EITHER 

A: amoxicillin (PO) 500mg 8hourly for 8 days 

OR 

A: doxycycline (PO) 100mg 12hourly for 10days