COMPREHENSIVE DENTAL MANAGEMENT IN CHRONIC PERIODONTITIS STAGE II GRADE B WITH HYPERTENSION

Abstract

Background: Periodontitis in hypertensive patients receiving calcium channel blocker (CCB) therapy and with a smoking history can result in a complex clinical condition marked by concurrent pathological tooth mobility and gingival enlargement, necessitating a comprehensive management approach. Purpose: This case report discusses the management of FRC splinting in a chronic periodontitis with tooth mobility and gingivectomy. Case: A 39-year-old woman came to RSGM Soelastri with complaint of dental calculus that had been present for approximately 5 years. The patient reported no pain and had never received treatment. The patient had a history of hypertension, smoking habits, and orthodontic treatment performed by a non-dental professional. Case Management: Following scaling and root planing (SRP), grade 1 tooth mobility was identified in teeth 31, 41, and 42. Evaluation performed two weeks later revealed no signs of improvement, prompting the decision to proceed with splinting using Fiber Reinforced Composite (FRC) on the region of teeth 33 to 43. Three weeks after the splinting procedure, clinical examination demonstrated that mobility in teeth 31, 41, and 42 had been successfully eliminated. Treatment was subsequently continued with gingivectomy as the next phase in the comprehensive periodontal therapy sequence. Conclusion: The combination of these two procedures represents a staged and comprehensive periodontal therapeutic approach, ranging from conservative therapy to surgical intervention.