[Subgingival curettage. New concepts of subgingival curettage].
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Scaling and subgingival curettage were performed on the upper and lower front teeth of 25 patients in the age of 25 to 35 years. Peripac was applied to the periodontal tissue of three of the six teeth treated per subject and Histoacryl to the periodontal tissue of the other three teeth. Prior to and three months after the beginning of therapy, pocket depth, sulcus bleeding tooth mobility were determined. It was found that the use of Histoacryl as a dressing material is not a disadvantage as compared to the conventional dressing Peripac as far as therapeutic success in terms of declining pocket depth and SBI is concerned.
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This 14-year longitudinal case study involved the treatment of localized juvenile periodontitis in a male patient commencing at 15 years of age, by scaling and root planing, systemic metronidazole, and subgingival curettage along with supervised maintenance. No other surgery was required. All symptoms disappeared by the end of the active treatment phase, and radiographic evaluation and reduced probing pocket depth measurements showed adequate bone fill to have occurred and be preserved over this period.
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