The patient is a 37-year-old male with a complex medical history, including hypertension, anxiety, past alcohol withdrawal-induced seizures, and current tobacco use. He is allergic to penicillin and takes multiple medications, including Trazodone, Fluoxetine, Gabapentin, and Clonidine, primarily for anxiety. His last dental cleaning was over eight years ago, and he presented with generalized inflammation, xerostomia, nicotine stomatitis, plaque accumulation, and heavy subgingival and supragingival calculus. Radiographic findings revealed 15–33% bone loss, leading to a diagnosis of localized Stage II, Grade B periodontitis. Treatment included full-mouth scaling over two visits, patient education, introduction of proper hygiene techniques, and fluoride application. A three-month recare interval was established to manage his periodontal condition and minimize disease progression.
