{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:26:46Z","timestamp":1787840806105,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 5","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>This report details the periodontal diagnosis and phase I treatment of an 18-year-old male patient dissatisfied with his teeth. The patient, on 20 mg Isotretinoin for acne, exhibited heavy calculus and plaque, generalized gingival inflammation, carious lesions, remaining roots, an anterior open bite, bilateral cross-bite, and an ectopically erupted tooth (#25). Initial scaling enabled examination, revealing FMPS and FMBS of 100%, PD of 1\u20137 mm, gingival recession of 1\u20132 mm, a maximum CAL of 6 mm, and radiographic bone loss of around 48% of teeth, reaching up to 15% of the root length. Diagnosed with generalized periodontitis (stage II, localized stage III, grade B), treatment involved patient education, scaling, selective root planning, and a long-term maintenance plan. At reevaluation, the patient showed improved oral hygiene, reduced FMPS (33%) and FMBS (11%), fewer pockets, and decreased PD and CAL (deepest CAL now 6 mm). Early periodontal intervention and consistent oral hygiene are critical for subsequent dental treatments.<\/jats:p>","DOI":"10.4103\/jpbs.jpbs_447_24","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T11:06:25Z","timestamp":1738235185000},"page":"S4905-S4910","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Periodontal Diagnosis in a Young Patient with an Unusual Presentation of Dental Calculus"],"prefix":"10.4103","volume":"16","author":[{"given":"Khansa Taha","family":"Ababneh","sequence":"first","affiliation":[{"name":"Department of Preventive Dental Science, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"},{"name":"Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sultan Al","family":"Nafisah","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Science, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"},{"name":"Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manal","family":"Maslamani","sequence":"additional","affiliation":[{"name":"College of Dentistry, Ajman University, UAE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turki","family":"Al Asiri","sequence":"additional","affiliation":[{"name":"Department of Preventive Dental Science, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Saudi Arabia"},{"name":"Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,30]]},"reference":[{"key":"R1-20250130","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1902\/annals.1996.1.1.821","article-title":"Periodontal diseases:Pathogenesis","volume":"1","author":"Offenbacher","year":"1996","journal-title":"Ann Periodontol"},{"issue":"(Suppl 1)","key":"R2-20250130","first-page":"S173","article-title":"Periodontitis:Consensus report of workgroup 2 of the 2017 World Workshop on the classification of periodontal and peri-implant diseases and conditions","volume":"89","author":"Papapanou","year":"2018","journal-title":"J Periodontol"},{"key":"R3-20250130","doi-asserted-by":"crossref","first-page":"17038","DOI":"10.1038\/nrdp.2017.38","article-title":"Periodontal diseases","volume":"3","author":"Kinane","year":"2017","journal-title":"Nat Rev Dis Primers"},{"key":"R4-20250130","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1038\/s41415-022-5266-7","article-title":"Dental calculus-oral health, forensic studies and archaeology:A review","volume":"233","author":"Forshaw","year":"2022","journal-title":"Br Dent J"},{"key":"R5-20250130","doi-asserted-by":"crossref","first-page":"1035324","DOI":"10.3389\/fcimb.2022.1035324","article-title":"Dental calculus:A repository of bioinformation indicating diseases and human evolution","volume":"12","author":"Li","year":"2022","journal-title":"Front Cell Infect Microbiol"},{"key":"R6-20250130","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/j.1600-0757.2010.00382.x","article-title":"Calculus removal and the prevention of its formation","volume":"55","author":"Jepsen","year":"2011","journal-title":"Periodontol 2000"},{"key":"R7-20250130","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1111\/prd.12151","article-title":"Dental calculus:The calcified biofilm and its role in disease development","volume":"76","author":"Akcali","year":"2018","journal-title":"Periodontol 2000"},{"key":"R8-20250130","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1902\/jop.1965.36.2.121","article-title":"Tissue response in the guinea pig to sterile and non-sterile calculus","volume":"36","author":"Allen","year":"1965","journal-title":"J Periodontol"},{"key":"R9-20250130","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3390\/dj10100195","article-title":"Calculus as a risk factor for periodontal disease:Narrative review on treatment indications when the response to scaling and root planing is inadequate","volume":"10","author":"Harrel","year":"2022","journal-title":"Dent J (Basel)"},{"key":"R10-20250130","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1111\/jre.12520","article-title":"Crystalline structure of pulverized dental calculus induces cell death in oral epithelial cells","volume":"53","author":"Ziauddin","year":"2018","journal-title":"J. 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