Abstract
Abstract Periodontal disease afflicts much of humankind, even when the patient seeks professional care and exercise homecare recommended by the dental profession. The accepted guidelines of the dental profession are scaling and root
Highlights
Periodontal disease remains a plaque on humankind as it has not been successfully managed, despite years of research and multiple methods of treatments
The direct medication method follows the guidelines of chronic wound care by first fabricating a custom formed medical device to deliver doctor selected medications to the periodontal pocket to control the etiology of disease before wound debridement
Research has shown that treating the bacteria prior to wound debridement reduces the likelihood of systemic bacteremia
Summary
Periodontal disease remains a plaque on humankind as it has not been successfully managed, despite years of research and multiple methods of treatments. Following etiology control and debriding the wound, the method manages the microenvironment of the periodontal pocket so only a decreased number of less-virulent bacteria predominate the gingival sulcus so the patient can remain disease free long-term and prevent the reoccurrence of infection. The initial phase of acute wounds is an inflammatory phase that involves neutrophils recruitment in response to platelet and other cascading activating signals This proceeds through a coagulation phase where monocyte transformation occurs with the concomitant formation of granulation tissue, which occurs through fibroblast activation in the proliferative phase with the restoration of vascular and neurologic components. Restoring the tissue integrity often involves the extracellular matrix undergoingphysiologic changes as a scar is formed [2]
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