와타나베이닦기법을 이용한 급진성치주염 환자의 주기적 구강건강관리 증례

Objectives: The purpose of this study was to evaluate the effect of regular oral health care using Watanabe`s tooth brushing method on aggressive periodontitis. Methods: A 14-year-old female visited our clinic with the chief complaint of gingival swelling and teeth mobility in 2008. The present illness on the day of visit was gingivitis with swelling and redness on marginal gingiva, root exposure due to the attachment loss and gingival recession and the degree 3 mobility of #26, 36, 46 with no systemic disease and familial tendency, The panoramic radiograph showed the severe vertical and horizontal alveolar bone loss in the first molars. For the treatment, preventive care including tooth brushing instruction and professional tooth brushing using Watanabe`s method and periodontal treatment using scaling and root planing, plaque control and antibiotics prescription were performed from the July, 2008 to September, 2012. Results: The patient could maintain all of her teeth without extraction except for one molar during the treatment period and symptoms of gingivitis decreased all over the oral region. But dental plaque level was not decreased. Conclusions: The regular oral health care with professional toothbrushing by Watanabe`s method was effective in relieving the gingival inflammation of patients with aggressive periodontitis.