Non-surgical Management of Periodontal Pocket with Local Drug Delivery in a Patient on Antiplatelet drugs: A Case Report

Abstract

The aim of this study was to evaluate the improvement in periodontal parameters in a patient taking antiplatelet drugs with the help of local drug delivery. A 65-year-old female patient taking Tab Aspirin 75mg+ Tab Clopidogrel 75mg presenting with localized periodontal pockets, contraindicated for surgery, was treated with local drug delivery agent Periodontal AB fibres. Clinical parameters were measured and radiograph was taken at start of the study as they were treated with local drug delivery. Post-procedural visits were scheduled at standard intervals to determine clinical and radiographic changes. Through non-surgical periodontal therapy accompanying local drug delivery, the patient presented with decreased probing pocket depth (PPD) and increased clinical attachment level when comparing the initial and six month follow up data. In the six-month follow-up radiographic examination after non-surgical periodontal therapy, complete healing of the bony defect was observed. Local drug delivery is a viable alternative to periodontal flap surgery for resolution of periodontal pockets for patients on antiplatelet drugs.