Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chief complaint of generalized gingival bleeding, persistent halitosis, and noticeable tooth mobility. History reveals progressive periodontal attachment loss over several years. Patient reports sensitivity to thermal stimuli and occasional dull ache in the posterior quadrants. No history of acute periodontal abscesses in the last 6 months.
Clinical Examination Findings
Intraoral examination reveals generalized deep periodontal pockets (≥6mm), significant clinical attachment loss (CAL), and generalized gingival recession. Furcation involvement (Class II/III) noted in multi-rooted teeth. Radiographic assessment confirms generalized horizontal and vertical bone loss exceeding 30% of root length. Generalized Grade II/III tooth mobility and heavy subgingival calculus deposits present.
Treatment Protocol
Phase I periodontal therapy initiated: full-mouth scaling and root planing (SRP) under local anesthesia. Prescription of chlorhexidine 0.12% oral rinse twice daily. Referral for periodontal re-evaluation in 6 weeks to assess pocket depth reduction and tissue response. Discussion of potential surgical intervention (flap surgery/bone grafting) pending re-evaluation results.