At a re-evaluation appointment with a client 6 weeks after completion of nonsurgical periodontal therapy, the hygienist notes generalized gingival inflammation and bleeding. Periodontal probing depths remain unchanged. Plaque control is acceptable, although re-instruction is indicated on the lingual of the mandibular molars. What is the MOST probable explanation for these findings?

Question

Quizplus · Accepted Answer

A systemic disease should be suspected as a potential factor in poor response to treatment because the inflammation and bleeding are generalized and do not correspond with deposit location and extent; generalized changes after treatment most frequently indicate systemic disease.

At a Re-Evaluation Appointment with a Client 6 Weeks After