Self-performed subgingival irrigation--a case report

Self-performed subgingival irrigation with 0.2% chlorhexidine is a simple method of treating isolated, deep periodontal pockets which do not respond favorably to conventional treatment techniques. Subgingival irrigation is most efficient in the anterior region, where it can be easily performed, and the results (resolution of inflammatory signs and pocket reduction) can be achieved within a short period of time (2-4 weeks). A case is presented whereby a non-surgical treatment of a patient with advanced adult type periodontal disease was used. After completion of active therapy, clinical and radiographic follow-up were maintained for three years. The need to depend on the patients's skill and cooperation may, however, limit the use of this technique.