Dr. Aziza Askari’s patient came to her office wanting a new smile. The patient had not kept regular dental appointments in many years and requested treatment necessary to improve his health and to create a new smile. After discussing his health care options for his severely infected gums, he chose full periodontal treatment followed by tooth alignment, implants, veneers and crowns.

On June 8, 2010, mechanical scaling and root planing and laser assisted periodontal therapy were performed to remove subgingival calculus, followed by antibiotic irrigation and a fluoride treatment. Impressions were also taken to fabricate customized prescription trays to place medication below the gum line.

A week later, the patient returned to Dr. Askari’s office for his prescription trays and medication. Hygienist Stacey Nikkila noted substantial improvement in the gingival tissue around the anterior teeth and recorded that bulbous tissue remained in all posterior regions. The patient was instructed to use the custom trays and medication at home for four weeks along with an electronic toothbrush and an antimicrobial rinse. When the patient returned four weeks later on July 26, 2010 for his recall visit, deep and bleeding pockets had decreased from 100% to 1%. The frequency of medication delivery with the customized tray was continued with improved results. While the few remaining deep pockets required additional attention, the patient chose to start alignment of his teeth to further improve his smile. Importantly he continues to care for his periodontal health and maintain regular visit with Dr. Askari for continued success.

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