Testing & Treatment When the Timing is Right

The Challenge:

A patient of record since 2014, single dad and full-time factory plant worker came in for a routine dental.

The Background:

• Age: 33 years old
• Sex: Male
• Medical History: Asthma, high blood pressure, patient has history of smoking, on and off up to a pack per day.
• Last Dental Exam: 2020
• Home Care: Brush, floss, rinse, shower flossing device
• Clinical Assessment: Dental history shows high caries risk, and adult periodontitis. The patient shows current clinical evidence of uncontrolled periodontal disease, not responsive to traditional therapy (cleaning and homecare).
• Medical Assessment: Current medications are Rosuvastatin, Lamictal^®, Lisinopril and Oxybutynin.

Additional Information: In 2014, a recommendation for testing was declined because he did not feel he could afford it at that time. Today the timing was right.

The Solution:

• Date of MyPerioPath^® (Pre-Therapy) Test: 01/14/2021
• Dental/Periodontal Therapy: Scaling and root planing (SRP) with anesthetic, piezo removal of hard, soft and bacterial deposits, manual hand scaling and air polishing.
• Systemic Antibiotic Used: Amoxicillin and Metronidazole
• Home Care: Continue existing protocol.
• Other Notes: Recommendation is 3 month follow up care appointment.
• Date of MyPerioProgress^® (Post-Therapy) test: 07/21/2021

The Result:

This patient had an excellent response to SRP and antibiotic therapy with a bacteria load decrease of 65%. Patient is more consistent with a good oral care routine and cleaning his mouth more often.

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