2025 Volume 75 Issue 3 Pages 156-163
A 45-year-old male patient visited a dental clinic with the chief complaint of buccal gingival pain in areas 34 and 36 in December 2016. Examination revealed a white reticular area in gingiva 34 and 36, which was diagnosed as oral mucosal disease (white lesion-like oral lichen planus) with moderate periodontitis. The mean periodontal pocket depth was 3.16±0.26 mm. The prevalence of periodontal pocket depths ≥ 4 mm was 8%. The rate of bleeding during probing was 36%. The periodontal inflamed surface area (PISA) was 590.3 mm2 at the initial visit. There was no tooth movement. Basic periodontal treatment was initiated. At the second visit, when the pain at 34 and 36 was relieved, health guidance, including brushing using the toothpick method, was given. During periodontal treatment, the dentist also performed tooth brushing using the toothpick method, and prescribed steroid ointment and benzethonium chloride gargle. The patient’s oral mucosal disease was in remission by October 2021. At the final evaluation in October 2022, the mean periodontal pocket depth was 3.08±0.38 mm. The prevalence of periodontal pocket depths ≥ 4 mm was 4%, and rate of bleeding during probing was 0%. PISA had improved to 0 mm2. In this case, oral health management involving professional tooth brushing including the toothpick method and oral health instruction led to remission of the patient’s oral mucosal disease.
