Clinic Case 1

Demographics

• M.T., 55 year old, caucasian male, Heavy/Type I

Assessment

• Blood pressure 127/85. Pulse 70
• Non-smoker
• No systemic conditions
• No prescription or over the counter medication

Dentition 

• Class I occlusion
• Filling tooth #’s 13, 30
• Abfraction tooth #’s 7, 8, 18, 30
• Attrition tooth #’s 22-27
• Overjet -3mm
• Overbite -30%
• Missing tooth #’s 1, 16, 17, 20, 32
• Primary tooth k present
• No caries present

Periodontal

• Generalized red, festooned, non-resilient papilla with rolled gingival margins
• Generalized heavy bleeding upon probing and 2-3mm probing depths with localized 4mm pockets on lingual distal of #4

Oral Hygiene

• Plaque score 2.1
• Generalized moderate supragingival materia alba with heavy subgingival interproximal calculus deposits
• Review proper flossing technique

Treatment Management

• M.T. was a recall clinic patient that I had the privilege to work with.  Prior to me treating him, he had not been to our clinic in a year.  His reason being he had a busy work schedule.  Upon my clinical findings, I noticed he had xerostomia, to which I recommended Biotene products, attrition, which a referral was given for a night guard and congenitally missing tooth #20 to which primary tooth k was present.
• A full mouth series was recommended and exposed for evaluation of bone levels and primary tooth k.
• Upon viewing FMS, radiographs reveal mild bone loss and primary tooth k appears with intact roots

Clinic Case II

Demographics

• J.V., 26 year old, hispanic male. Medium/Type

• Blood pressure, 120/76. Pulse 78
• Non-smoker
• No systemic conditions
• No prescription or over the counter medication

Oral Pathology

• Extra-oral, within normal limits
• Intra-oral, within normal limits

Dentition

• Class III occlusion
• Missing tooth #’s 5, 12, 21, 28 (Patient had undergone orthodontic treatment)
• No caries present

Periodontal

• Generalized pigmented gingiva with flat, knife-edged, soft papilla
• Generalized moderate bleeding upon probing with 2-3mm probing depths

Oral Hygiene 

• Plaque score 1.4
• Moderate localized subgingival interproximal calculus deposits
• Oral hygiene recommendations, review flossing technique

Treatment Management 

• J.V., had been a recall clinic patient that was a Heavy/Type I prior to me treating him.  My clinical findings indicated his case value improved by going down to a Medium/Type I.  He reported to have been compliant with home care instructions that were given to him by a previous dental hygiene student.
• Bitewing radiographs were recommended and exposed.  Radiographs reveal no evidence of bone loss or caries
• Patient had no previous history of decay to which I placed sealants on tooth #’s 18, 19