Periodontal treatment for a patient with tuberous sclerosis complex without dental intervention for 43 years

Abstract

: We report the case of a tuberous sclerosis complex (TSC) patient with severe chronic peri-odontitis, in whom we undertook intensive non-surgical periodontal treatment under general anesthesia and continuous supportive periodontal therapy (SPT) under intravenous sedation. The 43-year-old male patient visited our clinic with the chief complaint of tooth movement. He had never received periodontal treatment because of his maladaptation to dental treatment. Periodontal examination revealed gingival inflammation with easy bleeding, deep periodontal pockets with pus discharge, and intense tooth mobility. His severe intellectual disability interfered with his brushing his teeth by himself and also caused him to refuse being assisted for brushing his teeth. We per-formed full-mouth scaling and root planing (SRP) under general anesthesia, in combination with antimi-crobial therapy, and started the patient on SPT under intravenous sedation. These interventions led to a dramatic improvement in the patientʼs periodontal tissue condition and also led to improvements in his daily life, such as his beginning to allow being assisted with toothbrushing and his becoming more ex-pressive. age. these patients have dental they/their often to identify dental clinics accept people are relatively few dental clinics appropriate dental for severely people. We