case_images: PMC11807253_01
case_images: Photographs of a patient diagnosed with generalized stage III, grade C periodontitis (Case 1).. Clinical examination showed signs of periodontal inflammation and deep periodontal pockets.
case_images: cureus-0017-00000078531-i01.jpg
case_images: PMC11807253_04_cureus-0017-00000078531-i01.jpg
case_images: FIG1
case_images: Baseline radiographs of a patient with generalized stage III, grade C periodontitis.. Vertical and horizontal bone loss, including bone resorption at the root apex, was observed.
case_images: cureus-0017-00000078531-i02.jpg
case_images: PMC11807253_01_cureus-0017-00000078531-i02.jpg
case_images: FIG2
case_images: Similarly, radiographic examination revealed angular bone resorption on the mesial aspect of tooth #17 (Federation Dentaire Internationale System), the distal aspect of tooth 15, and the distal aspect of tooth 26, with generalized horizontal alveolar bone resorption and bone resorption at the root apex of tooth 11 (Figure 2).
case_images: Photographs after quadrant-wise SRP with multiple appointments over 1-2 weeks of a patient with localized stage III, grade C periodontitis (Case 1).. Despite quadrant-wise SRP over multiple appointments, clinical improvement was limited.. SRP: scaling and root planing
case_images: cureus-0017-00000078531-i03.jpg
case_images: PMC11807253_01_cureus-0017-00000078531-i03.jpg
case_images: FIG3
case_images: A tooth with a hopeless prognosis (#11) and a mandibular third molar (#38) were extracted, and SRP was performed quadrant-wise with multiple appointments spread over 1-2 weeks (Figures 3-4).
case_images: One-year follow-up radiographs after quadrant-wise SRP in a patient with localized stage III, grade C periodontitis (Case 1).. No significant bone regeneration was observed after quadrant-wise SRP.. SRP: scaling and root planing
case_images: cureus-0017-00000078531-i04.jpg
case_images: PMC11807253_01_cureus-0017-00000078531-i04.jpg
case_images: FIG4
case_images: A tooth with a hopeless prognosis (#11) and a mandibular third molar (#38) were extracted, and SRP was performed quadrant-wise with multiple appointments spread over 1-2 weeks (Figures 3-4).
case_images: PMC11807253_02
case_images: Baseline clinical photographs of a patient with generalized stage III, grade C periodontitis (Case 2).. The patient exhibited periodontal inflammation with deep probing pocket depths.
case_images: cureus-0017-00000078531-i05.jpg
case_images: PMC11807253_02_cureus-0017-00000078531-i05.jpg
case_images: FIG5
case_images: During the first visit, we did not detect gingival swelling, bleeding, or pus discharge (Figure 5).
case_images: Clinical radiographs of a patient diagnosed with generalized stage III, grade C periodontitis (Case 2).. Radiographs at baseline show severe bone loss in multiple sites.
case_images: cureus-0017-00000078531-i06.jpg
case_images: PMC11807253_02_cureus-0017-00000078531-i06.jpg
case_images: FIG6
case_images: Figure 6 shows the lamina dura with a blurry appearance due to inflammatory bone destruction, which later became more distinct as shown in Figures 7-8.
case_images: Post-treatment clinical photographs of a patient with generalized stage III, grade C periodontitis (Case 2).. Clinical improvements, including reduced inflammation and improved periodontal condition, were observed after FMD and sitafloxacin.. FMD: full-mouth disinfection
case_images: cureus-0017-00000078531-i07.jpg
case_images: PMC11807253_02_cureus-0017-00000078531-i07.jpg
case_images: FIG7
case_images: Figure 6 shows the lamina dura with a blurry appearance due to inflammatory bone destruction, which later became more distinct as shown in Figures 7-8.
case_images: Post-treatment radiographs of a patient with generalized stage III, grade C periodontitis (Case 2).. Bone regeneration in vertical defects was observed after FMD and sitafloxacin therapy.. FMD: full-mouth disinfection
case_images: cureus-0017-00000078531-i08.jpg
case_images: PMC11807253_02_cureus-0017-00000078531-i08.jpg
case_images: FIG8
case_images: Figure 6 shows the lamina dura with a blurry appearance due to inflammatory bone destruction, which later became more distinct as shown in Figures 7-8.
case_images: PMC11807253_03
case_images: Baseline clinical photographs of a patient with generalized stage III, grade C periodontitis (Case 3).. Periodontal inflammation and deep probing pocket depths were observed in multiple sites.
case_images: cureus-0017-00000078531-i09.jpg
case_images: PMC11807253_03_cureus-0017-00000078531-i09.jpg
case_images: FIG9
case_images: Baseline radiographs of a patient with generalized stage III, grade C periodontitis (Case 3).. Severe alveolar bone resorption was noted, particularly in the posterior regions.
case_images: cureus-0017-00000078531-i10.jpg
case_images: PMC11807253_03_cureus-0017-00000078531-i10.jpg
case_images: FIG10
case_images: Post-treatment clinical photographs of a patient with generalized stage III, grade C periodontitis (Case 3).. Significant clinical improvements were observed, including reduced inflammation and shallower probing depths.
case_images: cureus-0017-00000078531-i11.jpg
case_images: PMC11807253_03_cureus-0017-00000078531-i11.jpg
case_images: FIG11
case_images: Post-treatment radiographs of a patient with generalized stage III, grade C periodontitis (Case 3).. Bone regeneration was evident in the vertical defects on radiographs taken after the completion of FMD and a one-week course of sitafloxacin.. FMD: full-mouth disinfection
case_images: cureus-0017-00000078531-i12.jpg
case_images: PMC11807253_03_cureus-0017-00000078531-i12.jpg
case_images: FIG12
case_images: Furthermore, radiographic bone fill was observed at the disease sites after FMD and sitafloxacin treatment (Figure 12).
case_images: PMC11807253_04
case_images: Photographs of a patient diagnosed with generalized stage III, grade C periodontitis (Case 1).. Clinical examination showed signs of periodontal inflammation and deep periodontal pockets.
case_images: cureus-0017-00000078531-i01.jpg
case_images: PMC11807253_04_cureus-0017-00000078531-i01.jpg
case_images: FIG1
case_images: Baseline clinical photographs of a patient with generalized stage IV, grade C periodontitis (Case 4).. Severe periodontal destruction, mobility, and deep pockets were noted throughout the dentition.
case_images: cureus-0017-00000078531-i13.jpg
case_images: PMC11807253_04_cureus-0017-00000078531-i13.jpg
case_images: FIG13
case_images: A diagnosis of generalized stage IV, grade C periodontitis was established after a thorough examination of her clinical oral health, which included dental photographs, radiographs, and qPCR for the presence of red complex bacteria (Figures 13-14).
case_images: Baseline radiographs of a patient with generalized stage IV, grade C periodontitis (Case 4).. Extensive horizontal and vertical bone loss was observed, with furcation involvement in molars.
case_images: cureus-0017-00000078531-i14.jpg
case_images: PMC11807253_04_cureus-0017-00000078531-i14.jpg
case_images: FIG14
case_images: A diagnosis of generalized stage IV, grade C periodontitis was established after a thorough examination of her clinical oral health, which included dental photographs, radiographs, and qPCR for the presence of red complex bacteria (Figures 13-14).
case_images: Post-treatment clinical photographs of a patient with generalized stage IV, grade C periodontitis (Case 4).. Following FMD and sitafloxacin therapy, clinical improvements were observed, including reduced inflammation and increased soft tissue stability.. FMD: full-mouth disinfection
case_images: cureus-0017-00000078531-i15.jpg
case_images: PMC11807253_04_cureus-0017-00000078531-i15.jpg
case_images: FIG15