Adult - Chronic Periodontitis

- Therapeutic response may be adversely affected by:

1. Underlying systemic conditions (e.g. diabetes mellitus, Crohn’s disease etc.)
2. Reduced host defenses (eg. HIV, blood dyscrasias, medication +/or radiation therapy induced, etc.)
3. Smoking (increases the risk of poor response to treatment 5 fold).

First line therapy

• Personal plaque/calculus control and professional debridement essential
• Antibiotics not recommended