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Resolution of Localized Chronic Periodontitis Associated with Longstanding Calculus Deposits

Overview
Journal Case Rep Dent
Publisher Wiley
Specialty Dentistry
Date 2014 May 31
PMID 24876977
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Abstract

This report, which is based on nonstandardized serial radiographs obtained over a period of 15 years, documents a case of localized chronic periodontitis associated with progressive deposition of calculus on the distal aspect of a mandibular second molar. The site was treated by scaling and root planing, followed by a course of adjunctive systemic azithromycin. Treatment yielded favorable reductions in probing depth and clinical inflammation, leaving only few isolated sites with pockets no deeper than 4 mm. Two years after completion of active treatment, there was radiographic evidence of increased bone density distal to the second molar.

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