Severe periodontitis in an elderly Indigenous woman in remot | Figure 1

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Severe periodontitis in an elderly Indigenous woman in remote Australia where no dental clinic is available most of the year. Gingiva is hyper inflamed, tender, soft and bleeds easily. Subgingival calculus ++++ offensive odour. Pt is aware of gums but not bothered by it. Lesion inside lip is from chewing tobacco daily, put declined biopsy #periodontitis

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