La terapia periodontal no quirúrgica es la clave para el control y el mantenimiento de la enfermedad periodontal logrando evitar la fase quirúrgica en muchos casos. Paciente de sexo masculino de 46 años de edad con diagnóstico de periodontitis agresiva generalizada se realizó el control mecánico de placa bacteriana, motivación e instrucción de higiene oral, raspado y alisado radicular manual por cuadrantes, clorhexidina al 0.12% en colutorio 15 ml por 30s dos veces al día por siete días; se complementó con terapia antibiótica sistémica clindamicina de 300mg tres veces al día por siete días. Durante un año de seguimiento con tratamiento periodontal de soporte se observó una reducción de los parámetros clínicos como sangrado al sondaje, disminución de la perdida de inserción y estabilidad del nivel óseo. Palabras clave: periodontitis agresiva; desbridamiento periodontal; placa bacteriana AbstrActNon-surgical periodontal therapy is the key to controlling and maintaining achieving periodontal disease avoid surgical phase in many patients with periodontal disease. Male patient 46 years of age diagnosed with generalized aggressive periodontitis mechanical dental plaque control, motivation and oral hygiene instruction, periodontal debridement quadrant, 0.12% chlorhexidine mouthwash 15 ml 30s performed by two times a day for seven days; It was supplemented with systemic antibiotic therapy Clindamycin 300mg three times daily for seven days. During a year of monitoring and treatment of periodontal maintenance reduced clinical parameters such as bleeding on probing, reduced attachment loss and stability of bone level was observed.
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