Systemic
antibiotic treatment has emerged as a powerful adjunct to conventional mechanical
debridement for therapeutic management of the
periodontal diseases. The conceptual basis for treating
periodontal diseases as
infections is particularly attractive in part because of substantial data indicating that these diseases may be associated with specific putative pathogens. Further, discrete groups of patients respond well to systemic
antibiotics and exhibit improvement of clinical parameters, including attachment level and
inflammation. This bacterial-host interaction, which is ever-so-present in
periodontitis, directs us toward utilizing
antimicrobial agents along with the routine mechanical
debridement. This case report presents a case of a female patient with recurrence of the chronic generalized
periodontitis with gingival enlargement, which is treated thrice by referral dentist. A through clinical examination was carried out pre-operatively and treatment was planned with systemic
minocycline in conjunction with the conventional non-surgical approach. There was a significant reduction of pocket depth, gain in attachment with dramatic improvement clinically.