Just got a very difficult case just now. A heavy infection in upper right first molar with buccal abscess. The tooth itself has 3' mobility surrounded with a lot of tartars. And based on my x-ray, it has a severe bone loss. No bones at all. I decided to treat this client with minor surgery, open flap, do curretage, bone grafting, suturing, and hopefully in next 2 days, the infection will be gone.
Last time I did this, it was 2 weeks ago, a young lady, but not with this heavy bone loss. And the treatment went very well. It gave a very good result.
For this case, it's quite a tricky and ambigous case. I can't predict the result. This kind of periodontitis can be happen with people with bad oral hygiene. So, better have regular check-up to avoid this kinda thing.
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