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Perio Case Presentation

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Keith Duron

on 26 October 2013

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Transcript of Perio Case Presentation

Wilkins, E.M, (2009). Clinical practice of the dental hygienist (10th ed., pp. 221-223). Baltimore: Lippincott Williams and Wilkins.
Thomson, E. M., & Johnson, O. N. (2011). Essentials of dental radiography for dental assistants and hygienists. (9 ed., pp. 314-324). Upper Saddle River, New Jersey: Pearson.
REFERENCES
A full mouth series of radiographs were taken on April 10, 2012. The crown to root ratios and bone levels are based on this. Generalized slight horizontal bone loss was noted. Calculus was present on the distal of tooth numbers 5, 15, 23-26 and on the mesial of tooth numbers 2, 7, 13, 19, 21, 23-26, 29-31. slight vertical bone loss on quadrant four
Crown to Root ratios:
#1. N/A #2. 1:1 #3. 1:1 #4. 1:1 #5. 1:1 #6. 1:2 #7. 1:1
#8. 1:1 #9. 1:1 #10. 1:1 #11. 1:1 #12. 1:1 #13. 1:2 #14. 1:2
#15. 1:1 #16. N/A #17. N/A #18. N/A #19. 1:1 #20. 1:1 #21. 1:1
#22. 1:2 #23. 1:1 #24. 2:1 #25. 2:1 #26. 1:1 #27. 1:2 #28. 1:2
#29. 1:2 #30. 1:1 #31. 1:1 #32. N/A
RADIOGRAPHIC FINDINGS
PERIODONTAL CHARTING
CLINICAL FINDINGS
ASSESSMENT
DENTAL HYGIENE DIAGNOSIS
PLANNING AND IMPLEMENTATION
EVALUATION
REFERENCES
Agenda
What was the outcome?
Periodontal Diagnosis- The periodontal diagnosis for Mr. V is generalized slight to moderate chronic periodontitis. At the initial assessment Mr. V had 7 sites with the clinical attachment level at 4mm which would indicate slight periodontitis. He also had 5 sites with the clinical attachment level between 5 and 7mm which is considered moderate periodontitis.


Dental hygiene diagnosis- Mr. V’s immune response has been activated by the plaque biofilm. This is evidenced by the generalized marginal redness. The goal would be to improve his homecare with proper brushing and flossing techniques and to remove the calculus present.
DENTAL HYGIENE DIAGNOSIS
DENTAL FINDINGS
-Missing Teeth: 1, 16, 17, 18, 32
-Existing Restoration:
#2 O amalgam
#19 Buccal pit amalgam
#31 O amalgam
 
-Decay
#30 present on the occlusal surface
BLOOD PRESSURE:
PULSE:
ASA: I
MEDICAL CONDITIONS: Recurrent aphthous ulcers
LAST DENTAL APPOINTMENT: unknown; had wisdom teeth extracted
LAST DENTAL RADIOGRAPHS: taken years ago and wasn't sure what kind
MEDICAL / DENTAL HISTORY
Patient is a 49 year old white male

Has lived in Florida all of his life

Patient has no chief complaint and just "needed a cleaning" 
ASSESSMENT
Taylor Cribbin
Zefi Malissovas
Keith Duron

Oral Periodontal Case
Patient Motivation
Challenges
Angle the Probe
Gingival Description
Evaluation
WHAT DID I LEARN?
PLANNING AND IMPLEMENTATION
A full mouth series of radiographs were taken on April 10, 2012. The crown to root ratios and bone levels are based on this. Generalized slight horizontal bone loss was noted. Calculus was present on the distal of tooth numbers 5, 15, 23-26 and on the mesial of tooth numbers 2, 7, 13, 19, 21, 23-26, 29-31. slight vertical bone loss on quadrant four

Crown to Root ratios:

#1. N/A #2. 1:1 #3. 1:1 #4. 1:1 #5. 1:1 #6. 1:2 #7. 1:1
#8. 1:1 #9. 1:1 #10. 1:1 #11. 1:1 #12. 1:1 #13. 1:2 #14. 1:2
#15. 1:1 #16. N/A #17. N/A #18. N/A #19. 1:1 #20. 1:1 #21. 1:1
#22. 1:2 #23. 1:1 #24. 2:1 #25. 2:1 #26. 1:1 #27. 1:2 #28. 1:2
#29. 1:2 #30. 1:1 #31. 1:1 #32. N/A
RADIOGRAPHIC FINDINGS
CLINICAL FINDINGS
ASSESSMENT
DENTAL HYGIENE DIAGNOSIS
PLANNING AND IMPLEMENTATION
EVALUATION
REFERENCES
Agenda
Wilkins, E.M, (2009). Clinical practice of the dental hygienist (10th ed., pp. 221-223). Baltimore: Lippincott Williams and Wilkins.

Thomson, E. M., & Johnson, O. N. (2011). Essentials of dental radiography for dental assistants and hygienists. (9 ed., pp. 314-324). Upper Saddle River, New Jersey: Pearson.
REFERENCES
Periodontal Diagnosis- The periodontal diagnosis for Mr. V is generalized slight to moderate chronic periodontitis. At the initial assessment Mr. V had 7 sites with the clinical attachment level at 4mm which would indicate slight periodontitis. He also had 5 sites with the clinical attachment level between 5 and 7mm which is considered moderate periodontitis.


Dental hygiene diagnosis- Mr. V’s immune response has been activated by the plaque biofilm. This is evidenced by the generalized marginal redness. The goal would be to improve his homecare with proper brushing and flossing techniques and to remove the calculus present.
DENTAL HYGIENE DIAGNOSIS
PERIODONTAL CHARTING
BLOOD PRESSURE: 132/ 82 Right Arm

PULSE: 78 Right Arm

ASA: I

MEDICAL CONDITIONS: Recurrent aphthous ulcers

LAST DENTAL APPOINTMENT: unknown; had
wisdom teeth extracted

LAST DENTAL RADIOGRAPHS: taken years ago and wasn't sure what kind
MEDICAL / DENTAL HISTORY
Patient is a 49 year old white male

Has lived in Florida all of his life

Patient has no chief complaint and just "needed a cleaning" 
ASSESSMENT
Taylor Cribbin
Zefi Malissovas
Keith Duron
Oral Periodontal Case
DENTAL FINDINGS
-Missing Teeth: 1, 16, 17, 18, 32
-Existing Restoration:
#2 O amalgam
#19 Buccal pit amalgam
#31 O amalgam
 
-Decay
#30 present on the occlusal surface
Patient Motivation
Challenges
Angle the Probe
Gingival Description
Evaluation
WHAT DID I LEARN?
PLANNING AND IMPLEMENTATION
,
,
,
Initial treatment
4-6 Week Reassessment
Full transcript