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Alveolar bone: structure and remodeling

Dental Anatomy, Embryology and Oral Histology · Dental (BDS)

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A 25-year-old patient presents with localized gum recession and deep pocketing (6mm) between the lower molars. Diagnosis: Periodontitis with localized alveolar bone loss. 1. Perform a full-mouth periodontal charting using a UNC-15 probe to measure attachment loss. 2. Take periapical radiographs to confirm the loss of the 'lamina dura' (the white line representing the alveolar bone proper). 3. Perform scaling and root planing using Gracey curettes (#5/6 for anterior, #11/12 for mesial posterior) to remove subgingival calculus. 4. Prescribe Doxycycline 100mg daily for 7 days to manage infection. Outcome: After 3 months, re-evaluate; the alveolar bone stabilizes, and pocket depth decreases as the tissue heals against the hard bone surface.

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