HATİCE BALCI YÜCE, FATMA UÇAN YARKAÇ, FEYZA TULU
International Dental Research - 2018;8(1):39-44
Aim: Generalised aggressive periodontitis (G-AGP) is the most severe and destructive form of periodontitis. It usually starts at the age of 30 years, and it is difficult to recover tissue health through periodontal treatment alone. This investigation was conducted to evaluate the effect of full-mouth ozone treatment on clinical parameters and blood C-reactive protein (CRP) levels in a patient with G-AGP. Methodology: A 23-year-old male patient was diagnosed with G-AGP. Clinical attachment level (CAL), plaque index (PI), gingival index (GI), bleeding on probing (BoP) and blood CRP levels were recorded. Full-mouth scaling and root planing and ozone application were performed. Results: Baseline mean full-mouth PI, GI scores and CAL were 3.0, 2.0 and 5.2 mm, respectively. About 42% of the sites showed a CAL of 46 mm, while 26% of the sites showed a CAL of ≥7 mm. BoP was detected in 72% of the sites. Fifteen teeth had a CAL of ≥6 mm. After treatment, both the PI and the GI scores were 1.0, the CAL was 46 mm in 19% of the sites and ≥7 mm in 16% of the sites and BoP was observed in 12% of the sites. Six teeth had a CAL of ≥6 mm. Baseline CRP level was 9 mg/L and increased to 34 mg/L during the treatment and then decreased to 2 mg/L after 4 weeks. Conclusions: Within the limitations of this case report, it could be suggested that monitoring CRP levels and subgingival ozone application might be beneficial in treating G-AGP.
