Case Study questions 28-30. A 23 year old male patient pres…
Case Study questions 28-30. A 23 year old male patient presents to your office today for the first time. He tells you that it has been “a long time” since he has been to the dentist. He just started a new job and has dental insurance and wants to “take care of his mouth.” His chief complaint is that his gums bleed while he brushes them sometimes, and his teeth are sensitive when he eats sweets. You take a full mouth series of radiographs and perform all assessments including the medical/dental history, oral cancer screening, periodontal probing, periodontal risk assessment, CAMBRA, plaque score, and gingival observations. The patient is on anticonvulsants for seizures with no other medical concerns. Blood pressure is 112/82 and pulse is 65. Findings from assessments: CAMBRA: High risk Plaque Index: 12 PRA: Moderate risk Periodontal charting: Generalized 3-4 mm pockets and BOP in >30% of the mouth. No recession noted. Slight gingival overgrowth throughout. Radiographs: Bone levels are in tact