Transposition of tooth #27 with tooth #26

Transposition of tooth #27 with tooth #26.
 #26 is located to the distal of #27

This 53 year old male, a recent immigrant to the USA, had never had his teeth cleaned prior to seeing me. 

He had generalized tooth brush abrasion with minimal areas of decay. 

 He had generalized 5-8mm pockets in the posterior.  I performed four quads of SRP in two separate appointments.  He'll return in a month for re-eval to determine the need of further perio treatment.