Periodontics · Level 2 — Clinical application

'Laser instead of cleaning' — a request to decline

Case library

Patient profile (fictional)

Age

Medical history

Type 2 diabetes, HbA1c 8.4%

Dental history

Generalised periodontitis, heavy plaque and calculus, no previous therapy

Medications

Metformin

Findings

Generalised bleeding on probing, PPD 5–8 mm, supragingival calculus

Procedure / context

None yet; patient requests PBM 'instead of scaling'

[Image placeholder — generalised periodontitis with visible calculus]

Step 1

Evidence: High

What is the primary clinical problem?

Step 2

Evidence: Not recommended

Is PBM indicated as requested?

Step 3

Evidence: High

What is the correct clinical pathway?

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