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Basic Periodontology

Non-surgical treatment	60 year old female who has developed severe periodontal disease. The probing pocket depths are 5 to 8 mm and roentgenographic examination demonstrate that approximately 50 % of the alveolar bone support has been lost in the upper jaw. The gingiva around the upper teeth is swollen ad show signs severe inflammation. The clinical features does not allow an analysis of the anatomy of the periodontal destruction.
	X-rays of the left teeth in the same patient as the above clinical picture. Approximately 50 % of the alveolar bone support has been lost in the upper left jaw. The distal surface of the canine and and the first premolar have lost 2/3 of the alveolar bone support. At the molars the bone destruction appears to approach the apical part of the roots approximately between the second and third molar. The roentgenographic features do not allow a detailed analysis of the anatomy of the periodontal destruction.
	68 year old female who was treated for periodontal disease by non- surgical treatment six years previously to this picture. The gingival margin has retracted between 3-5 mm and the probing pocket depths are 2- 3 mm. She demonstrates an excellent oral hygiene and the progression of periodontal disease has been arrested. The gingiva is healthy. Evidence of tooth brushing damages can be observed on the incisors.
	A 68 year old female who was treated for periodontal disease by non- surgical treatment 8 years previously. Palatal view of the upper premolar region. The gingival margin has retracted between 3-5 mm. The probing pocket depths are 2-3 mm. The demonstrates an excellent oral hygiene and the progression of periodontal disease has been arrested. The gingiva is healthy. Evidence of tooth brushing damages can be observed in the tooth surfaces along the gingival margin.

This image demonstrate the condition after around 10 years. The anterior crowns have been remade. The patient has a low lipline and the supragingival preparation lines do not disturb her esthetics. She has maintained a high level of supragingival plaque control and there is no further progression of periodontal attachment loss. The toothbrushing damages have increased. She uses a very soft toothbrush and a non-abrasive toothpaste to reduce the damage to the rootsurfaces as much as possible.

Rolf Attstrom Palle Holmstrup and Anders Nattestad

Designed for a screen resolution of 1024*768
First published 1994
Updated 991210

Centre for Oral Health Sciences, Malmo University,
Malmo, Sweden
School of Dentistry, Faculty of Health Sciences, University of Copenhagen,
Copenhagen, Denmark.

Copyright Rolf Attstrom et al Virtual Interactive Periodontology, Council for Renewal of Higher Education, National Agency for Higher Education, Stockholm,Sweden.

Basic Periodontology

Non-surgical treatment