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Root Planing with Anti Microbial Therapy

 
Initial Presentation
Minimal Supragingival Plaque
This is a 15 year old girl who had aggressive periodontal infections and painful, bleeding gums and spaces developing between teeth. Very little plaque was present above the gumline, but cultures performed under the gumline detected bacteria within periodontal pockets and tissues.
Multiple sessions of scaling and root planing/curettage, in conjunction, with two courses of antibiotics lasting 6 - 9 months. Nearly complete repair was able to be achieved through this "basic" treatment without surgery due to early detection and appropriate treatment.
Note resolution of inflamation, bleeding upon probing & probing and especially closing of spaces between teeth.