Methotrexate and Gum Disease

Methotrexate and Gum Disease   I have a patient, in her late 50’s, of long duration who had a deep cleaning for significant periodontal disease, not bad enough to require periodontal surgery. She returned for her 3 month periodontal maintenance having looked awesome for her last 4-5 visits, and suddenly she had bleeding 5-7 mm.…