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Patient Case Presentation

Patient Case Presentation. Anna Trask April 7, 2011 DH 115 Seminar . Medical History. Patient has no known allergies to medications and not currently taking any medications. Patient not currently under the care of a physician. Patient smokes half a pack daily for the last 6 years. .

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Patient Case Presentation

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  1. Patient Case Presentation Anna Trask April 7, 2011 DH 115 Seminar

  2. Medical History • Patient has no known allergies to medications and not currently taking any medications. • Patient not currently under the care of a physician. • Patient smokes half a pack daily for the last 6 years.

  3. Dental History • Last dental visit and cleaning are unknown. • Existing Restorations: • Lingual Pit Amalgam and sealant on #14

  4. Periodontal Charting • Generalized 2-4 mm pockets • Localized 5 mm pockets • distal lingual #31 • distal lingual andmesial lingual on #30. • Light Bleeding

  5. Treatment Plan • Patients Main Concern: • Getting a cleaning • Treatment Goals: • Reduce gingival inflammation • Reduce bleeding • Remove deposits • Other Treatment • Tobacco Cessation Counseling • Dental Referral • #1 Occ. • #31 Occ.

  6. Treatment Plan Appointment 1 HHX Review EO/IO Review Probe & Calc Det. UR quad OHI – TB (mod bass) Floss (lingual bar) Scale UR quad Appointment 2 HHX Review EO/IO Review Probe & Cal Det. LR and UR OHI – Stimudents Scale LR Quad Appointment 3 HHX Review EO/IO Review Probe & Cal Det. LL Quad OHI Review Scale LR Quad Polish FM NaFtx

  7. Current Oral Hygiene Practices • Toothbrush: Manual brush 2 x day • Other Aids: mouth rinse, Listerine for fresh breath. • Recommended Oral Hygiene Instructions: • Toothbrush – modified bass method • Dental Floss – daily use and floss threader with the lingual bar. • Stimudents – for daily use • Upon return patient not complainant with OHI recommendations

  8. Risk Assessments • Caries Risk = high • Fracture Risk = moderate • Root Surface Rise = low • Risk of Gum Disease = 3 (moderate) • Disease State = 5 • Localized (22-27) mild periodontitis and begining gum disease.

  9. Before… #24, #25, #26

  10. Before… #26, #27

  11. After… #25, #26, #27

  12. After… #24, #25

  13. Short Term Prognosis • Reduced gingival rolling. • Reduced inflammation due to irritation from plaque • Reduced bulbous papilla • Reduced marginal redness

  14. Long Term Prognosis • Due to noncompliance from patient with the OHI and lack of home care, prognosis for long term is poor. • Without proper homecare deposits will return causing bulbous, red, inflamed tissue to reoccur.

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