Question 27 · LDEK · Treatment of periodontal diseases

A 45-year-old, generally healthy, smoking male has been referred to the periodontist. Clinical examination revealed chronic periodontitis and periodontal abscess in tooth 36 with PD=10 mm. What is the most appropriate treatment in this case?

  1. A. prescription of clindamycin 300 mg every 6 hours for 5 days.
  2. B. medical counseling for smoking.
  3. C. rinsing of the pocket of tooth 36 with 10% solution of metronidazole and supragingival scaling of the mandibular teeth.
  4. D. drainage of the abscess, rinsing with physiological saline, subgingival scaling in tooth 36.
  5. E. extraction of tooth 36 under block anesthesia.
Hint

In an acute periodontal abscess in a healthy patient, local measures come first; systemic antibiotics are kept for systemic involvement.

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