Clinical Parameters and CRP Levels in Generalized Aggressive Periodontitis Patient: A Case Report

Abstract

Aim: Generalized aggressive periodontitis (G-AgP) is the most severe and destructive form of periodontitis.It usually starts under the age of 30 and it is difficult to recover tissue health with sole periodontal treatment. In this case was to evaluate effect of full-mouth ozone treatment on clinical parameters and blood CRP levels in a G-AgP patient.
 Methodology: A 23 year-old male patient was diagnosed as G-AgP.Clinical attachment levels (CAL), plaque index (PI), gingival index (GI), bleeding on probing (BoP) and blood C-reactive protein (CRP) levels were recorded.Full mouth scaling and root planning and ozone application were performed.
 Results: Baseline mean full-mouth PI,GI scores and CAL were 3,2 and 5.2mm respectively. 42% of sites showed a CAL of 4-6mm and 26% showed ≥7mm. 72% of the sites exhibited BOP.15 teeth had CAL ≥6mm. After treatments, PI and GI scores were both 1.0. 19% of sites had 4-6mm and 16% of sites were ≥7mm CAL; 12% exhibited BOP. Six teeth had CAL ≥6mm.Baseline CRP was 9 mg/dL and increased to 34 during treatments and decreased to 2 mg/dL after 4 weeks.
 Conclusion: Within limitations of this case report, it could be suggested that monitoring CRP and subgingival ozone application might be beneficial in treating GAgP.