Allergic to stone fruit and have seasonal allergies
A 31 year old Asian male presented at NYCCT clinic for a dental cleaning. Patient indicated that he is allergic to stone fruit and has seasonal allergy around spring. ASA 2
Patient is a recare patient, followed up with his previous referral based on probing depth findings of 9-10mm that might have been impacted from the impacted wisdom tooth seen on the exposed PAN and 4HBWs. Patient reported extraction of tooth #17 & #32 was done at the oral surgeon after finding time and due to discomfort.
Patient periodontitis status is Stage III Grade B due to findings of furcation, radiographic bone loss, and probing depths. CAMBRA assessment was taken from patients classifying him as moderate risk of caries. Patient reported consuming coffee every morning and suggestion was recommended to patient after consumption rinse with water and/or chew with xylitol gum and possibly reducing amount of consumptions.
Initial visit: Completed assessment. For oral hygiene instruction, demonstrated C shape flossing technique and emphasis to go around the gingiva margin beside the crown of the tooth. Scaled Q1 with ultrasonic and hand scaled, and for pain management administered Oraqix (2.5% lidocaine and 2.5% prilocaine) for patients comfort.
Second visit: Evaluated Q1 with tissue healing well and lessen inflammation. Re-emphasized OHI the importance and frequency of each technique demonstrated. Demonstrated modified Bass brushing technique. Scaled Q2, Q3, Q4 with ultrasonic and hand scale, and with pain management administered Oraqix, engine polished due to staining from coffee and tea consumptions. Applied 5% NaF fluoride varnish.
Patient wanted to understand why calculus build up quickly for him, as I explained how calculus forms and the importance and frequency of oral home care and visits to hygiene appointment will help. Patient understood and the patient was given post procedural instructions and was advised recur interval set for 3-4 months due to calculus build up and moderate bleeding.
