Posts tagged: Bleeding

Periowave™ Case Study- Gingival Inflammation and Pain Due to Oral Lichen Planus

Case Report

This is the case of a 72-year-old Caucasian woman who presented with a complaint of gingival pain on 11 and 21 during eating and brushing. She had no significant medical history (Figure 1.1). She described discomfort from 11, 21 for the previous six months. Incisional biopsies were performed, and immunofluorescence suggested oral lichen planus. Since there is no cure for OLP, attempts were made to treat the symptoms with Lidex® and later tacrolimus, though these measures provided no relief.

PeriowaveTM Treatment and Results

The patient underwent one treatment session with PeriowaveTM. Within one week following PeriowaveTM therapy, the gingival inflammation had resolved (Figure 1.2) and the patient experienced complete relief from the presenting complaint of pain.

Figure 1.1 – Pre-treatment gingival inflammation due to OLP Figure 1.2 – Post-treatment resolution of gingival inflammation

Periowave™ Case Study #2 – Gingival Inflammation and Tooth Loss

This is the case of a 55-year-old Hispanic woman who presented with a complaint of sore gums and tooth loss. The patient was in otherwise good health with no serious medical problems noted or observed.

The dental examination showed the upper arch to consist of teeth 13, 11, 21, and 23. The patient had a poorly fitting maxillary acrylic appliance. The lower arch was intact with no restorative problems. The lower arch had moderate calculus formation, but few signs of clinical inflammation; probing pocket depths were generally 3- 4 mm. Radiographs showed normal bone levels. The maxillary teeth exhibited severe inflammation with engorgement and bleeding.

Periowave™ Treatment and Results

The lower arch responded to routine scaling and root planing.However, because of the severe maxillary inflammation, the PeriowaveTM system was used for one session immediately after scaling. The acrylic partial appliance was relined with a soft liner as a temporary measure. Within 14 days, the upper teeth responded to SRP and adjunctive PeriowaveTM treatment, with a complete resolution of inflammation.

Left: Pre-treatment gingival inflammation. Right: Post-treatment resolution

Left: Pre-treatment gingival inflammation. Right: Post-treatment resolution

Periowave™ Case Study #1 – Generalized Severe Bleeding On Probing

My patient was a 30-year-old Caucasian woman who complained of bleeding gums over the previous 12 months. She described severe bleeding with eating or brushing.

Her medical history revealed no significant findings. She had recently undergone a complete medical examination with extensive laboratory testing with no significant findings. She had tried seeing a naturopathic physician and had tried a non-yeast diet for the control of her gingival bleeding with no improvement. She was on no medications.

The dental examination revealed generalized severe bleeding on probing. Pocket probing depths were in the 4 mm range, except for a 7 mm pocket distofacial #13, and a 5 mm pocket mesiofacial #23. Minimal plaque deposits were found and her home care was good. This patient had a history of regular 6-month scaling and there was minimal calculus. Her last scaling was within one month with no improvement. There was little to no clinical inflammation. Occlusion, tooth position, and mobility patterns were normal. No restorative problems were noted.

Left: Pre-treatment 7mm pocket. Right: Post-treatment 3mm pocket

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