GuidelinesPrimary Care STG
Periodontitis
ICD-10 codes: K05.2 / K05.3 Description General Measures Medicine Treatment Referral DESCRIPTION Progressive gingivitis to the point where the underlying bone is eroded. It is characterised by loose teeth and is a cause of tooth loss in adults. GENERAL MEASURES Provide advice on improving and maintaining oral hygiene Brush teeth frequently, at least twice daily MEDICINE TREATMENT
Description
General Measures
Medicine Treatment
Referral
DESCRIPTION
- Progressive gingivitis to the point where the underlying bone is eroded. It is characterised by loose teeth and is a cause of tooth loss in adults.
GENERAL MEASURES
- Provide advice on improving and maintaining oral hygiene
- Brush teeth frequently, at least twice daily
MEDICINE TREATMENT
Brush, floss, rinse mouth with water and then rinse with:
- Chlorhexidine 0.2%, 15 mL as a mouthwash, twice daily, for 5 days
- Do not swallow
Note: Do not eat or drink immediately after this
Pain:
Children
- Paracetamol, oral, 10–15 mg/kg/dose 6 hourly when required. See dosing table.
Adults
- Paracetamol, oral, 1 g 4–6 hourly when required
- Maximum dose: 15 mg/kg/dose
- Maximum dose: 4 g in 24 hours
REFERRAL
- All cases for dental treatment
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, Updated for the 2023 Edition