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This patient may have excellent
plaque control. These infections are usually associated with large numbers of
spirochetes thus the microscope or BANA test will adequately diagnose these
At the discretion of the doctor this patient should be medicated with antibiotics prior to scaling and root planing procedures to avoid the sequelae of bacteremia and/or tissue invasion during the scaling.
Since bacteremias are thought to be associated with heart disease, strokes, premature delivery, etc. then it is important that the patient be informed of the importance of antibiotic usage to avoid this risk.