Question

In: Anatomy and Physiology

Patient aged 45, complaines on pain in the gums, increasing their bleeding, the emergence mobility of...

Patient aged 45, complaines on pain in the gums, increasing their bleeding, the emergence mobility of individual Reported symptoms appeared 3-4 days ago. An objective examination revealed a clear brightly flushed, acutely swollen gums, painful at palpation. The roots of exposed, periodontal pocket depth of 4-6 mm with purulent exudate and sub- and teeth, bad breath. teeth overgingival calculus diagnosed. 17.16, 25 26, 27, 36, 32, 31, 41, 42 teeth are mobile of II-III stage. Panoramic x-rays - diffusive osteoporosis, interdental partitions to ½ of their height. Write the correct diagnosis and antimicrobial , anti-inflammatory  therapy.

Solutions

Expert Solution

Patient's complaint is

  • Pain on gums
  • Increasing bleeding from gums.
  • Mobility of teeth.

Objective examination findings

  • Swollen and painful gums
  • Exposed roots,
  • Periodontal pocket depth of 4-6 mm with purulent exudate ,
  • Bad breath.
  • Calculus diagnosed in multiple teeth.
  • Mobility with II-III stage.

All the above suggested that the patient is suffering from chronic periodontitis with acute infection gums.

Diagnosis: Chronic periodontitis with acute infection on the gingiva(gingivitis).

Treatment:

Antimicrobial therapy:

Oral bacteria are susceptible to many antibiotics, a combination of drugs may be necessary to eliminate all causative pathogens from some periodontal pockets. They include,

1,Tetracycline- 250 mg, 4 times daily.

2.Doxycycline-100mg two times on the first day followed with 100mg once daily for 21 days.

3.Metronidazole 400 mg tid for 7 days.

4. Amoxycillin 500 mg tid for 5-7 days alone or in combination with Metronidazole.

5 Amoxycillin and Clavulanic acid,625 mg alone or combination with metronidazole.

6.Ciprofloxacin.500mg bid for 5-7 days.

7.Tinidazole in combination with ciprofloxacin.

Anti-inflammatory Therapy.

NSAIDs are useful in reducing pain on the gums

Common anti-inflammatory include Ibuprofen, Diclofenac sodium, Aceclofenac, Indomethacin.


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