Background: Patient is a 31 year old female, who presented with the chief complaint "My gums are swollen and painful." The last dental visit with exam was about 6 months ago. The radiographic examination including bitewings revealed horizontal bone loss and heavy amounts of generalized subgingival calculus. The patient's gums were erythematous with probe depths between 5-9 mm. Patient was diagnosed with generalized severe chronic periodontal disease. The additional challenge was that the patie...