A Gingivitis Case Study: Periowave

A recent case study using Periowave completed by Dr Robert Fortier, DDS Cert. Perio, Quebec

Patient Profile: 29-year old female, non-smoker, 7 months pregnant. Exhibiting pregnancy gingivitis with full-mouth gingival hyperplasia caused by combination of hormonal changes of pregnancy and anticoagulation therapy. Generalized 4-5 mm pockets with profuse bleeding on probing (Fig 1.1)

Treatment Protocol: Initial Periowave treatment: Full-mouth SRP and PW treatment was performed along with localized gingivectomy to remove gingival hyperplasia. Cessation of anticoagulant therapy at birth.

Second Periowave treatment: 10 months after initial PW treatment following full mouth debridement.

Result: 10 months after initial Periowave treatment: 8 months after birth and 1 month after cessation of breast feeding, restoration of oral health. Some 4-5 mm pockets with no BOP and reduced inflammation (Fig 1.2).

1 month after second Periowave treatment: Only 3 pockets of 4-5 mm on the lingual of teeth 46-47. All other areas healthy with 1-2 mm pockets (Fig 1.3).
Case and photos provided by: Dr Robert Fortier, DDS Cert. Perio, Quebec

A Moderate Periodontitis Case Study: Periowave

A recent case study using Periowave completed by By Catherine Fairfield, RDH, Alberta:

Patient Profile: 69-year old, non-smoker male with generalized chronic periodontitis. Regularly scheduled supportive periodontal therapy (SPT) with unresponsive 7 mm pocket depth with heavy bleeding on probing on mesial of #13 (Fig 1.1).

Treatment Protocol: Initial Periowave treatment: 6 days after SPT due to heavy BOP in 7 mm PD treatment site.

Second Periowave treatment: 5 months after initial PW treatment in 5 mm PD treatment site with moderate BOP at SPT appointment.

Result: 5 months after initial PW treatment: Mesial #13 reduced from 7 mm PD with heavy BOP to 5 mm PD with moderate BOP (Fig 1.2).

4 months after second PW treatment: Mesial #13 further reduced to 3 mm PD with light BOP (Fig 1.3).

Case and photos provided by: By Catherine Fairfield, RDH, Alberta

An Advanced Periodontitis Case Study: Periowave

A recent case study using Periowave completed by Leanne Carlson, RDH & RDT:

Patient Profile: 62-year old male with generalized 6-8 mm probing depths accompanied by bleeding and suppuration.

Treatment protocol: Patient refused periodontal surgery so scaling and root planning with local anaesthetic was provided. Periowave treatments at 6-week intervals were also added to the treatment plan.

Result: At 6 weeks there was a reduction in BOP and at 12 weeks no evidence of bleeding. Pocket depths reduced to 3 mm and 4 mm. Patient was put on a 4-month recall and given Periowave treatment as needed.

Case and photos provided by: Leanne Carlson-Mann, RDH

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