Abstract
An approaching method for a patient diagnosed as having extensive moderate chronic periodontitis, who had difficulty of continuous dental office visit, was studied. According to Oral Health of Health and Welfare Trend Survey Report 1999, 77.0% of patients between 25 to 34 years old group received cavity treatment, which was the top of all dental therapies for the group. On the other hand, periodontal disease therapy covered only 3.7%, and oral examination / coaching covered only 6.8% of the group. For the age group which marked the highest score at“Having experience of therapy cessation /Changed dental office”within the report, it must be important to let them possess accurate understanding of their oral health situation and of the need for therapy, and to make a system easy for them to resume dental therapy even after cessation. This presentation case showed some improvement of gingival fibrosis over two years through maintaining patient motivation for long by effective coaching at initial therapy, and also through periodontal initial therapy around the same time as discontinuation of smoking.
