- Right D Radiographs E Left R Maxillary Arch Lingual View Mandibular Arch Clinical Photographs Right Side Facial Vie 1 (36.69 KiB) Viewed 24 times
- Right D Radiographs E Left R Maxillary Arch Lingual View Mandibular Arch Clinical Photographs Right Side Facial Vie 2 (36.69 KiB) Viewed 24 times
- Right D Radiographs E Left R Maxillary Arch Lingual View Mandibular Arch Clinical Photographs Right Side Facial Vie 3 (46.67 KiB) Viewed 24 times
- Right D Radiographs E Left R Maxillary Arch Lingual View Mandibular Arch Clinical Photographs Right Side Facial Vie 4 (85.52 KiB) Viewed 24 times
- Right D Radiographs E Left R Maxillary Arch Lingual View Mandibular Arch Clinical Photographs Right Side Facial Vie 5 (86.73 KiB) Viewed 24 times
R Maxillary Arch, Lingual View. Mandibular Arch. CLINICAL PHOTOGRAPHS Right Side, Facial View AA Anterior Teeth, Facial View Left Side, Facial View
1 3 1 + + + + + 336 867 646 241 342 558 756 535 322 423 AHHA 2 ✓ ✓ Right 32 1 ✓ ✓ 4 4 5 ✓ ✓ ✓ e ✓ ✓ 3 7 + + + + + + + + + + + + + + + + 233 665 676 212 222 444 222 223 323 222 222 223 312 555 558 410 555 654 545 323 333 555 333 334 434 333 333 334 423 424 437 633 L + 151 242 222 323 31 30 29 28 27 26 8 14 1 + + + + + + + + 111 111 233 232 234 313 425 447 544 313 313 324 323 325 424 425 446 655 H-H-A 9 10 25 3 S 24 23 22 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ V 3 12 13 18 17 1 + + + + + + + + + + + + + + + + 336 444 433 333 222 222 222 221 122 331 121 232 244 443 534 434 547 555 544 434 323 323 323 322 223 422 222 333 345 544 545 655 MAHAAAAAA AAAHHH Periodontal Chart. ✓ ✓ ✓ ✓ 21 HHIII PIONE + + + + + + + + + + + + + + + + 344 444 432 222 222 222 232 222 232 222 222 232 232 233 435 423 555 525 523 323 323 323 333 323 333 323 323 323 323 324 526 533 15 16 ✓ 20 19 Left ✓ ✓✓Supragingival Calculus ✓ ✓ ✓ Subgingival Calculus 4 PSR Code B ✓ ✓ ✓ 4 Maxilla Mobility (I, II, I Attachment Level (CEJ to BP) Bleeding/Purulence (+) Probing Depth (FGM to BP) Facial Palatal Attachment Level (CEJ to BP) Bleeding/Purulence (+) Probing Depth (raM to BP) Plaque 683 Mandible Mobility (1, 11, 111) Bleeding/Purulence (+) Attachment Level (CEJ to BP) Probing Depth (FGM to BP) Lingual Facial Bleeding/Purulence (+) Attachment Level (CEJ to BP) Probing Depth (FGM to BP) Plaque Supragingival Calculus Subgingival Calculus PSR Code
Patient Case: Mr. Wayne Patient Profile Mr. Wayne is a 62-year-old retired executive. He has become very interested in getting his oral health up to par. During his initial visit, Mr. Wayne explains that he has always had spaces between his front teeth and is not really worried about that. He tells you that his major concern is that he has been told he has periodontal disease, and he doesn't want to lose his teeth. Patient Health History On the day of his first visit to your dental office Mr. Wayne's, blood pressure is 142/90 mm Hg and his pulse is 66 bpm. A review of Mr. Wayne's health history reveals that he is supposed to be taking two medications: losartan/HTCZ tablets and low-dose aspirin, but he readily admits that he frequently "forgets" to take his medications. Mr. Wayne also states that he smoked cigarettes prior to the age of 40, but that he quit smoking during his early 40s. Decision-Making Questions: 1. What should Mr. Wayne be told about the spaces between his anterior teeth? 2. What factors in Mr. Wayne's health history will be critical for the dental team to consider during treatment? 3. What signs of inflammation are evident in Mr. Wayne's clinical photographs? 4. What etiologic risk factors for gingival and periodontal diseases are evident in Mr. Wayne's clinical evaluation? 5. Does Mr. Wayne's periodontal evaluation indicate that he has attachment loss on some of his teeth? How did you arrive at your conclusion? 6. What etiologic risk factors for gingival and periodontal diseases are evident in Mr. Wayne's radiographs? 7. On Mr. Wayne's radiographs what specific findings indicate that the alveolar bone level is normal or abnormal? 8. How should you characterize Mr. Wayne's periodontal condition? Do you think that he has gingivitis, periodontitis, neither or both? What clinical or radiographic findings did you use to reach your conclusion? 9. Develop a step-by-step plan for nonsurgical periodontal therapy for Mr. Wayne. 10. What information should your team give Mr. Wayne about his periodontal condition? 11. What should Mr. Wayne be told about the possible need for periodontal surgery later in his treatment? 12. What should Mr. Wayne be told about the need for continuing treatment such as periodontal maintenance? 13. Mr. Wayne has a temporary restoration in a lower molar tooth. What should be told about this restoration?