Case Studies

Don’t take our word for it. See the results for yourself!

In 2012, Dr. Wilson was curious about how effective his TLC program was.  He decided to perform a retrospective study in his practice of all of the patients who had completed a full-mouth probing in the year 2011.  He evaluated nearly 35,000 periodontal pockets and compared the results to what they were prior to starting treatment.  Some of the patients were just getting started with treatment, some were about 1/3 of the way through treatment, some were half-way through treatment, some were 2/3 of the way through treatment and some had completed all of their treatment.  On average, the number of bleeding sites had decreased by 79%, the number of suppurating sites had decreased by 94% and the number of periodontal pockets had decreased by 71%.  Typical results are a 90-95% reduction in the number of bleeding sites and an 80-85% reduction of periodontal pockets in 3 to 4 months’ time. 

Listed below is a small, random sample of patients treated with the Perio 101 protocol. There are many more with similar results. All of these results were obtained by hygienists in a general dentist’s office (not a periodontist’s) using the concepts taught in the Perio 101 course. Upon completion of this course, you will be able to achieve similar results in your own practice.

 

CASE STUDY #1 (1571)

A 66-year-old female presented for periodontal treatment on 7-23-08. Prior to that, she hadn’t visited a dentist in over four years. She had 28 teeth present. Of the 168 measurements obtained: 138 were bleeding; 61 were shallow pockets (4-5mm); 14 were deep pockets (6mm and above). She didn’t have any loose teeth, but her deepest measurement was 10mm. There was no suppuration.

One week later, she began treatment (no scalpels and no stitches). She was then re-measured on 11-26-08.

  • The number of bleeding measurements had dropped from 138 to 7.
  • The number of shallow pockets had decreased from 61 to 13.
  • The number of deep pockets had decreased from 14 to 0.
  • The overall total number of periodontal pockets had decreased from 75 to 13 in four months.
  • Her deepest measurement was 10mm originally and now her deepest measurement was 5mm.

This patient continued coming in for regular periodontal maintenance appointments. As of 1-4-11, she had nine bleeding points and six shallow pockets.  In just under 3 years of continued dental care, her value to the dental practice was over $10,000.

 

CASE STUDY #2 (1772)

On 2-3-09, a 65-year-old female patient presented for periodontal treatment. It had been over a year since her last dental appointment. She said that the reason she hadn’t been to the dentist in over a year was because she was informed that her “gum disease” required gum surgery to reduce the pockets. She didn’t like the idea of gum surgery, so she chose to ignore her “disease”. Then she learned about our protocols.

She had a very severe case of periodontitis. We measured her pocketing around each of her 25 teeth. Of the 150 measurements we took: 124 were bleeding; 12 exuded suppuration; 51 were shallow pockets (4-5mm); 35 were deep pockets (6mm and above). Her deepest pocket was 11mm, and three pockets were deeper than 9mm.

On 8-5-09, she returned for a re-evaluation of her periodontal conditions. She was treated like everyone else… no scalpels or stitches. She still had all 25 teeth, so we re-measured the 150 sites.

  • The number of bleeding measurements had decreased from 124 to 22.
  • The number of measurements exuding suppuration had decreased from 12 to 0.
  • The number of shallow pockets had decreased from 51 to 23.
  • The number of deep pockets had decreased from 35 to 0.
  • The overall total number of periodontal pockets had decreased from 96 to 23 in six months.
  • Her deepest measurement was 11mm originally and her deepest measurement was now 5mm.

This patient’s value to the practice during those 6 months was over $5,500.

 

CASE STUDY #3 (1614)

On 8-13-08, a 53-year-old male patient presented for periodontal treatment. The patient stated that he had not had his teeth professionally cleaned in nearly a decade, because he was told that he needed to have gum surgery to treat his “gum disease”.

We measured 150 sites around his 25 teeth. 82 measurements were bleeding; 5 exuded suppuration; 31 were shallow pockets (4-5mm); 46 were deep pockets (6+mm). His deepest measurement was 13mm, and 11 measurements were deeper than 9mm. 3 teeth were also loose, including one with Class IV mobility. He was treated without scalpels or stitches.

On 12-3-09, we re-treated just the tooth with Class IV mobility, as it was still mobile (now it was Class I mobile) and it still had pockets ranging from 4-8mm (as compared to 8-13mm at the first visit). It was still uncertain whether or not the tooth could be saved, but the patient hadn’t given up on it just yet.

He returned for an evaluation on 1-6-10, and all teeth were re-probed with the exception of the one tooth that was re-treated the previous month. His readings were as follows:

  • The number of bleeding measurements had decreased from 82 to 2.
  • The number of measurements exuding suppuration had decreased from 5 to 0.
  • The number of shallow pockets had decreased from 31 to 5.
  • The number of deep pockets had decreased from 46 to 0.
  • The number of measurements that were deeper than 9mm had decreased from 11 to 0.
  • The overall total number of periodontal pockets had decreased from 77 to 5 in fifteen months.
  • Whereas the deepest pocket was originally 13mm, now the deepest measurement was 5mm
  • Of the three teeth that were originally mobile, we saved two but eventually (7 years later) had to extract the one that had presented with Class IV mobility.

This patient’s value to the practice over the course of 2 years was over $12,500.

 

CASE STUDY #4 (1720)

On 12-4-08, a 50-year-old male patient presented with a very severe case of periodontitis. With only 23 teeth remaining, we recorded 138 measurements. All 138 measurements bled, 3 exuded suppuration (though it’s possible that the visualization of suppuration was missed due to the profuse bleeding), 19 of the 23 teeth were loose, 24 measurements were 4-5mm, 100 measurements were 6mm and above, 22 measurements were deeper than 9mm. 12mm was the deepest measurement, and of the 19 teeth that exhibited mobility – 9 were Class l mobile, 3 were Class ll mobile and 7 were Class lll mobile. He was treated with our protocols… no scalpels, no stitches.

He returned on 1-8-10 for a re-evaluation. His improvements 13 months after treatment are as follows:

  • The number of measurements that were bleeding had decreased from 138 to 35.
  • The number of measurements that exuded suppuration had decreased from 3 to 0.
  • The number of shallow pockets had increased from 24 to 32. (Yes, he had more shallow pockets than previously, but…)
  • The number of deep pockets had decreased from 100 to 2. (Deep pockets were now shallow pockets.)
  • The number of measurements that were deeper than 9mm had decreased from 22 to 0.
  • The overall total number of periodontal pockets had decreased from 124 to 34 in thirteen months.
  • Whereas his deepest measurement was originally 12mm, now his deepest measurement was 6mm.
    • Whereas he originally had 19 mobile teeth, he now had 4. (One Class ll and three Class l.)
  • He did not lose any teeth, nor do we expect him to lose any.

This patient also had lots of restorative needs, so his value to the practice over the course of 2 1/2 years was over $16,000.

 

CASE STUDY #5 (1994)

On 7-3-09, a 39-year-old male patient presented with generalized moderate to severe periodontitis. His sister, a dental hygienist, informed him that there was nothing that could be done to save his teeth, and he would need to have them all removed and wear dentures for the rest of his life. He had 28 teeth present, so we measured 168 sites. 133 sites bled, 6 exuded suppuration, 89 sites measured 4-5mm, 42 sites measured 6mm and above. His deepest measurement was 8mm and 10 teeth exhibited mobility ranging from Class I to Class III. Periodontal treatment began on 7-21-09… no scalpels, no stitches.

On 1-12-10, the patient returned for periodontal maintenance appointment and re-evaluation of his progress. The improvements were as follows:

  • The number of measurements that were bleeding had decreased from 133 to 20.
  • The number of measurements that exuded suppuration had decreased from 6 to 0.
  • The number of shallow pockets had decreased from 89 to 35.
  • The number of deep pockets had decreased from 42 to 0.
  • The overall total number of periodontal pockets had decreased from 131 to 35 in less than six months.
  • Whereas his deepest pocket was originally 8mm, now his deepest pocket was 5mm.
  • The 10 teeth that were originally mobile now numbered 3 (two Class I and one Class II).

Over the course of 13 months this patient’s value to the practice was over $6000.

 

CASE STUDY #6 (0990)

On 11-1-07, a 50-year-old male presented stating that he’d had scaling and root planing performed in 2006, and had been going back every 3 to 4 months for periodontal maintenance appointments. He was frustrated because his condition wasn’t improving, and he felt that it was actually getting worse. His periodontal status was charted and his condition was as follows: 32 teeth were present, so 192 sites were recorded. 88 sites bled. There was no suppuration or mobility. There were 121 measurements recorded at 4-5mm, and 13 measurements recorded at 6+mm. His deepest measurement was 6mm. Periodontal therapy was begun on 1-16-08… no scalpels, no stitches.

He returned for a periodontal maintenance appointment on 1-20-10. His improvements were as follows:

  • The number of bleeding measurements had decreased from 88 to 13.
  • The number of shallow pockets had decreased from 121 to 4.
  • The number of deep pockets had decreased from 13 to 0.
  • The overall total number of periodontal pockets had decreased from 134 to 4 in twenty four months.
  • His deepest measurement was originally 6mm, and was now 4mm.

Over the course of 2 years, this patient’s value to the practice was almost $6,000.

Contact
Dr. Gordon Wilson
Monday - Friday: 8AM - 5PM
18325 North Allied Way, Suite 115 Phoenix, AZ 85054

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