Curettage Treatment on Stage III and IV Periodontitis Patients

  • Nadhia Anindhita Harsas Department of Periodontia, Faculty of Dentistry, Universitas Indonesia
  • Dhia Safira Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Indonesia
  • Hanli Aldilavita Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Indonesia
  • Ingetiarani Yukiko Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Indonesia
  • Mochamad Prabu Alfarikhi Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Indonesia
  • Muhammad Tsany Saadi Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Indonesia
  • Qonita Feria Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Indonesia
  • Rarasih Kiranahayu Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Indonesia
  • Shabrina Muchlisya Profesi Kedokteran Gigi, Fakultas Kedokteran Gigi, Universitas Indonesia, Indonesia
DOI: https://doi.org/10.32793/jida.v4i1.501

Abstract

 
Introduction: Periodontitis is an inflammatory disease of teeth supporting tissue caused by a group of specific microorganism that causes progressive damage to the periodontal ligament and alveolar bone. Periodontal pocket is one of the most important clinical features of periodontal disease. This case report aims to evaluate the results of curettage in periodontitis cases with different stages and grades.
Case reports: This report consists of two cases. The first case is a 41-year-old female patient with a chief complaint of gum bleeding during brushing and tooth mobility. Intraoral examination showed gingival redness and swelling, positive papillary bleeding index (PBI)  in all regions, and an OHI-S score of 3.16 (poor). A probing depth of 4-5 mm was present on the upper right canine and the lower left central incisor. Gingival recession of 1 mm was also present on the upper right canine. Radiographic examination showed horizontal bone defect that reached the cervical third of the root on the upper right canine and the middle third of the root on the lower left central incisor. The second case is a 61-year-old female patient with a chief complaint of tooth hypersensitivity and tooth mobility since three years ago. Intraoral examination showed gingival redness and swelling with positive PBI in all regions. Oral Hygiene Index- Simplified (OHI-S) score was 3.6 (poor). A probing depth of 4-5 mm and gingival recession was present on both lower left incisors. Grade 1 tooth mobility was also present on the lower left central incisor. Radiographic examination showed horizontal bone defect reaching the apical third of the root. Curettage was performed for both cases after a thorough scaling and root planing.
Conclusion: Curettage as a treatment for patients with chronic periodontitis after 4 weeks shows an improvement of patient’s Oral Hygiene Index - Simplified (OHI-S) score and reduced probing depth.

References

Hinrichs JE, Kotsakis G. Classification of diseases and conditions affecting the periodontium. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 12th ed. St. Louis (MO): Elsevier Saunders; 2015. p. 45–67.
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis : Consensus report of workgroup 2 of the 2017 world workshop on the classification of periodontal and peri-implant disease and conditions. J Periodontol. 2018;89 (Suppl.1):S173–S182.
Bosshardt DD. The periodontal pocket : pathogenesis, histopathology and consequences. Periodontol 2000. 2018;76(1):43-50.
Carranza FA, Camargo PM. The periodontal pocket. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 12th ed. St. Louis (MO): Elsevier Saunders; 2015. p. 277–89.
Petersen PE, Ogawa H. Strengthening the prevention of periodontal disease: The WHO approach. J Periodontol. 2005;76(12):2187–93.
Indonesia. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan. Hasil Utama Riset Kesehatan Dasar 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2019. p. 1-200.
Carranza FA, Takei HH. The treatment plan. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 12th ed. St. Louis (MO): Elsevier Saunders; 2015. p. 408–10.
Perry DA, Takei H. Phase I periodontal therapy. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 12th ed. St. Louis (MO): Elsevier Saunders; 2015. p. 480–4.
Carranza FA, Takei HH. Phase II periodontal therapy. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 12th ed. St. Louis (MO): Elsevier Saunders; 2015. p. 552–6.
Takei HH, Carranza FA, Shin K. Gingival surgical techniques. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 12th ed. St. Louis (MO): Elsevier Saunders; 2015. p. 576–8.
American Academy of Periodontology. The American Academy of Periodontology statement regarding gingival curettage. J Periodontol. 2002;73(10):1229-1230.
Smiley CJ, Tracy SL, Abt E, Michalowicz BS, John MT. Systematic review and meta-analysis on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts. J Am Dent Assoc. 2015;146(7):508–24.
Preshaw PM, Taylor JJ. Periodontal pathogenesis. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 11th ed. St. Louis (MO): Elsevier Saunders; 2012. p. 194–216.
Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman K, et al. A new classification scheme for periodontal and peri-implant diseases and conditions – introduction and key changes from the 1999 classification. J Clin Periodontol. 2018;45:S1–8.
Cohen ES. Scaling and root planing. In: Cohen atlas of cosmetic and reconstructive periodontal surgery. 3rd ed. Shelton (CT): People's Medical; 2009. p. 29–38.
Carranza FA, Takei HH. Rationale for periodontal treatment. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Carranza’s clinical periodontology. 12th ed. St. Louis (MO): Elsevier Saunders; 2015. p. 405–7.
Deas DE, Moritz AJ, Sagun Jr. RS, Gruwell SF, Powell CA. Scaling and root planing vs conservative surgery in the treatment of chronic periodontitis. Periodontol 2000. 2016;71(1):128–39.
Bathala S. Gingival curettage. In: Bathla S, editor. Textbook of periodontics. 1st ed. New Delhi: Jaypee Brothers; 2017. p. 493–6.
Prabhu P, Julius A, Elumalai M, Prabhu MN. Wound healing in periodontics. Biosci Biotechnol Res Asia. 2015;11(2):791-796.
Pippi R. Post-surgical clinical monitoring of soft tissue wound healing in periodontal and implant surgery. Int J Med Sci. 2017;14(8):721–8.
Witjaksono W, Abusamah R, Kannan T. Clinical evaluation in periodontitis patient after curettage. Dent J. 2006;39(3):89–137.
Published
2021-04-30
How to Cite
HARSAS, Nadhia Anindhita et al. Curettage Treatment on Stage III and IV Periodontitis Patients. Journal of Indonesian Dental Association, [S.l.], v. 4, n. 1, p. 47-54, apr. 2021. ISSN 2621-6175. Available at: <http://jurnal.pdgi.or.id/index.php/jida/article/view/501>. Date accessed: 19 apr. 2024. doi: https://doi.org/10.32793/jida.v4i1.501.
Citation Formats
Issue
Vol 4 No 1 (2021): April
Section
Case Report
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