A female adult patient came with a complaint of pain and bleeding in the lower gums. Scaling was done and full deworming course was prescribed. At the follow-up visit, clinical examination showed that the mucosa was back to complete health. She gave feedback that she no longer has issues of burping, gas, acidity or headaches which she was suffering from since a few years. 

Note: Many patients have puffy and bleeding gingiva despite extensive periodontal surgeries and regular scaling and hygiene practices. These patients usually have bad oral hygiene with complaints related to gastric problems. Oral cavity is truly the gateway to the whole body. Don’t miss even the slightest signs.

The deworming course includes albendazole, nitazoxanide, ivermectin and praziquantel in a sequential manner.