Treatment for reduced periodontal gingivitis - case report

Abstract

The Periodontitis it’s a multifactorial disease, associated at element local etiologic, the dental biofilm and relative factors to the host. There is, at literature, an association amid the periodontitis and diverse other chronic systemic diseases. The purpose of this work is demonstrating the case report of a 68-year-old female patient, which demonstrates, beyond periodontitis, other systemic diseases, like: diabetes, arterial hypertension, lupus (diagnosed after chemotherapy). In the anamnesis, reported that it had breast cancer three years ago and that take the following medicaments: Calcium, Hydroxychloroquine Sulfate, Losartan and Metformin. Did not know why of loss of teeth absent. To clinical examination, there has: Gingival hyperplasia, bleeding the sounding and supragingival calculus on all faces of the four remaining lower teeth, upper dental prosthesis, linear bone loss and severe insertion loss. Nevertheless, maximum periodontal pocket depth was from 3 mm. However, at evidence the dental biofilm that the 95% of dental faces were flushed (O'leary Index). The diagnosis likely by the 1999 (Scadding et al.) classification would be Chronic Periodontal, may be aggravated by risk factors. But there was a recent change at classification of periodontal diseases (2018) (Caton et al., 2018; Murakami et al., 2018). In accordance with this new precept, the diagnosis would be Reduced Periodontal Gingivitis. The performed treatment covered only the biofilm control, through oral hygiene instruction and rasping supragingival. The patient pointed out that she was motivated and wonder. With the change from brush, inclusion of unituft toothbrush, installation and maintenance of oral hygiene. The conclusion was that, despite disparities between classifications of 1999 and 2018, the treatment remains unchanged