PMC8997323_01
Images and radiographs of case 1 (1a: Baseline; 1b, 1c: Intraoral peri-apical radiograph (IOPAR) at baseline; 1d: 3 months; 1e: 6 months; 1f: 9 months; 1g, 1h: IOPAR after 9 months)
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f1
There was probing depth (PD) of 7-8mm in anterior teeth and attachment loss of 5-6mm (Figure 1a). IOPAR (Intra oral peri-apical radiograph) revealed horizontal bone loss (Figure 1b, 1c) and a diagnosis of generalized severe chronic periodontitis was made. FMS (without antiseptics) at four weeks and repeated session at three months (Figure 1d) were performed by an experienced periodontist. At six months (Figure 1e) spontaneous repositioning of upper and lower front teeth was observed. At nine months (Figure 1f) there was complete resolution of periodontal inflammation. IOPAR (Figure 1g,1h) revealed repositioning of teeth with no further bone loss.
PMC8997323_02
Images of Case 2 (2a: Baseline; 2b: 6 months; 2c: 9 months)
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The gingiva was soft and edematous (Figure 2a) with pseudo PD of 4-5 mm. At six months there was a complete resolution of gingival inflammation with the absence of bleeding on probing (Figure 2b). At nine months an increased stability of gingival margins was achieved (Figure 2c).