Adult Type Peridontitis

Most common dental disease includes diseases of the gum.

Salient features

  • Swollen gums, bleeding from gums either spontaneously or on eating something hard, difficulty in chewing food, dull pain in the gums, pus discharge from gum on pressing, loosening of teeth, recession of gums.
  • There is slowly progressive destruction of periodontitis, periodontal attachment loss and presence of periodontal pocket.

Treatment

Nonpharmacological

Advise brushing twice daily once after breakfast and once after dinner with super soft tooth brush for atleast 3 minutes and refer to a dentist for oral prophylaxis by thorough scaling and root planing.

Pharmacological

Local Therapy

  1. Rinsing with 0.2% chlorhexidine twice daily
  2. Gel Metronidazole to be massaged on the gums twice daily
  3. Gel Chlorohexidine to be massaged on the gums twice daily

Systemic therapy

In adults Cap Tetracycline 250 mg 4 times a day for 5-7 days. In children very deep pockets: Combination of drugs i.e.,

  1. Cap Ciprofloxacin 500 mg twice daily for 5-7 days
  2. Tab Tinidazole 600 mg twice daily for 5-7 days

Recheck the depth of periodontol pockets, if it persist, refer to a periodontist for further management.

References

  1. Ramford and Ash. Peridontology and periodontitis. In: Modern therapy and practice. 1st Indian Edition, AITBS Publishers 1996, pp 163.
  2. Mitchell D A, Mitcchell L. In: Oxford handbook of clinical dentistry, 2nd edition reprint.1996, pp 212.