Routine Individual and Periodic Dental Care Avoided Local and Possibly Systemic Complications of Periodontal Disease

Amelia L Hofacker*, Brianna D Carlsward, Ella C Duffy, John Dunn, Alexandra Matarazzo, Lona Barton, Olga Bagno, Charles H Hennekens and Sherrie L Crossen

This 83-year-old man with a history of periodontal disease is a lifelong nonsmoker with strong family histories of premature deaths from smoking. Since his initial diagnosis at age 33, he has prioritized routine individual and periodic dental care to avoid local and systemic complications. His routine dental care includes daily manual flossing supplemented with a water flosser, a sulcular brushing technique by use of an electronic sonic toothbrush with fluoride toothpaste, antiseptic mouthwash, and periodic scaling and root planing, with topical antibiotics used as needed. Several years ago, he started using a plaque-identifying toothpaste. Overall, he has experienced reduced probing depths and no further need for topical antibiotics. Today, the patient remains healthy with stable periodontal disease and no history or present signs or symptoms of cardiovascular disease. This case report illustrates that meticulous dental hygiene, including routine self-care and periodic dental care, can prevent the progression of periodontal disease over 49 years and limit systemic complications. 123

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Published on: Sep 30, 2025 Pages: 15-19

Full Text PDF Full Text HTML DOI: 10.17352/2394-8418.000133
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