A case report of a patient with few systemic diseases treated with non-surgical periodontal therapies

Abstract

Periodontal treatment is a frequently performed treatment in dental practice. However, use of invasive procedures entails the risk of bacteremia. Patients with a history of cardiovascular surgery with bacteremia are at an increased risk of developing endocarditis. Therefore, management of oral hygiene is indispensable to prevent the development of infective endocarditis.

We report a clinical case of severe periodontitis in a patient with a history of valve replacement surgery who received non-surgical periodontal treatment. The patient, who was 67 years old at the first visit, presented with the chief complaint of mobility of the lower anterior teeth. We diagnosed chronic periodontitis, and planned to treat the periodontal disease after consulting the department of internal medicine. The patient did not have much experience in dental treatment and had a phobia for dental treatment. We needed to improve his oral environment. However, he had paralysis of the dominant hand, which made brushing difficult. During periodontal basic treatment, professional care was provided two to three times a week. As a result, plaque control record could be maintained within the 20% range, and periodontal surgery was unnecessary without any need for recourse to periodontal surgery. It is worth noting that maintenance of a good course is possible even in patients receiving periodic non-surgical treatment, and while preventing in abeyance complicating health problems.