An Intraoral Examination of the Gingiva Reveals a Clinical Picture

An intraoral examination of the gingiva reveals a clinical picture of punched-out papillae. The patient complains of pain and a bad taste. The history indicates that the patient's diet is poor, that he has been under stress, and that he has had little rest. What is the best course of action?

A) Perform culture and laboratory studies
B) Apply a therapeutic course, debride the mouth, and recommend hydrogen peroxide oral rinse and systemic antibiotics
C) Immediately refer the patient to a periodontist
D) Perform periodontal therapy, including extensive root planing and stain removal