Concluded Case

Necessary to go for flap surgery?

What are the findings?

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Concluded answer
Generalised bone loss. Vertical bone loss in all the quadrants incisors and molars alongwith furcation involvement. Lower anteriors suggests pathological migration. Perioendo lesion wrt 16 22 32 46 Check for pocket depth. Check for mobility. P/d: aggressive periodontitis T/t: extraction wrt grade mobile teeth. Scaling and root planing on multiple visits. High chances of requirement of Full mouth flap surgery. Start amoxicillin 500mg tds 7days Metrogyl 400mg tds 7 days Doxycycline 100mg bd on first day followed by 100mg od for 7 days And chlorhexidine mouthwash
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Generalised bone loss. Vertical bone loss in all the quadrants incisors and molars alongwith furcation involvement. Lower anteriors suggests pathological migration. Perioendo lesion wrt 16 22 32 46 Check for pocket depth. Check for mobility. P/d: aggressive periodontitis T/t: extraction wrt grade mobile teeth. Scaling and root planing on multiple visits. High chances of requirement of Full mouth flap surgery. Start amoxicillin 500mg tds 7days Metrogyl 400mg tds 7 days Doxycycline 100mg bd on first day followed by 100mg od for 7 days And chlorhexidine mouthwash
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P/D-Chronic generalised periodontitis. Generalised horizontal bone loss. Angular bone loss wrt 36-38,46-48;16,17. Grade II furcation involvement wrt 36,37,46.Periapical radiolucency wrt 22.Adv Scaling root planing, periodic OHI reinforcement, habit counselling if any, adv cap Aug 625 mg Tid, tab metrogyl 400 mg Tid, tab zerodol sp sos, CHx mouth wash, Thermoseal RA toothpaste,sensoform gumpaint, tongue scraping. Re-evalute after 6 weeks open flap debridement indicated based on pt oral hygiene maitainance, associated medical condition if any, residual PPD, mobility, gingival recession. Most likely 36-38,46-48;16,17 indicated for open flap debridement and bone graft if consists of contained defects. Adv iopa wet 22 Intentional Rct / extraction wrt 22 based on mobility and vitality test.
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