Periodontitis
Background
- Inflammatory condition of the supporting tissues of teeth caused by specific microorganisms
- Results in progressive destruction of periodontal ligament and alveolar bone
- Major cause of tooth loss in adults
Clinical Features
- Gingival bleeding and erythema
- Deep periodontal pockets (>3mm)
- Gingival recession
- Tooth mobility
- Halitosis
Differential Diagnosis
Evaluation
- Clinical examination with periodontal probing
- Dental radiographs showing bone loss
Management
Antibiotic Dosing
- Doxycycline 100mg PO daily (as adjunct to scaling and root planing)
Disposition
- Dental/periodontal referral
- Outpatient management