No abstract

Background: Periodontal disease and peri-implantitis/perimucositis are a host inflammatory response to the biofilm in the gingival sulcus or periodontal pocket. Some patients with a propensity for gum disease may not respond to mechanical treatments like scaling / root planing and surgery as the treatments leave the bacteria that caused the disease in the gingival tissue, on the surface of the roots of the tooth or implant. Mechanical treatments may foster biofilm regeneration, introduce the bacteria, toxins and host inflammatory products into the systemic circulation resulting in an increased incidence of bacteremia. This three part study demonstrates effective biofilm control using a direct medication delivery method by three different practitioners for three different patients.