As a dental hygienist, one of the most important parameters of care is a thorough evaluation of the patient’s medical history. Just as former surgeon general C. Everett Koop stated, “A person can’t have a good general health without a good oral health”; it is known for there to be a direct correlation between these two factors. A patient’s medical history can identify predisposing conditions that may affect the extent of treatment, need for premedication, need for treatment modification, patient management, and to determine the patient’s response to treatment. Local contributing factors affect plaque retention; additionally, systemic contributing factors affect the progress and severity of the periodontal disease. We had periodontology second semester. We were given a case scenario in which a patient has periodontal disease type III, anemia, post-partum depression, a mother of six-week-old preterm, low birth weight baby girl, and is taking ferrous sulfate and Zoloft. For more information on our treatment plan, please view the attached PDF file.