Periodontitis with Stage III, Grade C. Case report

Abstract

Periodontal disease affects patients’ health compromising the shape, function and aesthetics of the entire stomatognathic system, leading to significant deterioration in the quality of life of the patient. Using the actual classification, we will evaluate the stages of disease of the periodontium depending on the severity, complexity of treatment and degrees according to the level of risk that the patient may present with. This clinical case proposes a comprehensive treatment of a 58-year-old male patient with periodontitis accompanied by the new classification of periodontal diseases to make an adequate diagnosis, based on updated scientific evidence. Both clinical and radiological assessments were performed as well as measurements of the depth of periodontal pockets using the WHO periodontal probe. These were recorded in the periodontogram to determine the pathology and staging of disease (Stage III, Grade C according to World Workshop), also taking into account the patient’s tobacco and coffee addiction. The treatment plan consists of different phases: Systemic phase, hygienic phase, corrective phase and maintenance phase. The amount of cigarettes the patient consumed per day affected the treatment, despite the advice about the harmful effects of smoking. However, the depths of periodontal pockets were reduced and the patient’s oral hygiene improved.