Case Study of a Patient with Periodontal Disease

2078 Words5 Pages

Introduction: A 39 years old male adult attended for a regular 6 monthly dental check up and routine scaling. The patient reports to suffer from anxiety, he is a teacher, a non-smoker, non-drinker and a regular dental attender. On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with excellent oral hygiene at this appointment which was a reflection of his commitment to good oral hygiene; tooth-brushing twice daily and dental flossing once daily. This was further supported by the patients plaque scores at 5% and bleeding scores at 4% with only minimal supra gingival calculus on lower anterior teeth. There was no erythema or oedema present on the gingival tissues. Furthermore an extra oral examination revealed no abnormalities. His BPE was 111/121 and he had no restorations and was given a ‘Low Caries Risk’ status. However, on the a recent visit dated 23/12/13 the patient’s gingival condition had deteriorated, presenting with an increased plaque scores of 34% and bleeding scores to 63%. Intra oral examination also showed generalised oedema and erythema throughout in the mouth in response to this increase in plaque bacteria. The presence of supra-gingival calculus on lower anterior teeth and both sites of upper buccal molars and the patients BPE now reads 212 /121, putting the patients caries risk at a ‘High’ status. The patient still suffers from anxiety and has been taking the Selective serotonin re-uptake inhibitor - Fluoxetine 20mg (BNF 2014: 251-254) once daily since his last visit and the patient reports very low motivation due to a recent separation a... ... middle of paper ... ... Oral Dis. 2006; 12:1–21. [PubMed] Field EA, Allan RB. Review article: oral ulceration--aetiopathogenesis, clinical diagnosis and management in the gastrointestinal clinic. Aliment Pharmacol Ther. 2003;18:949–62. [PubMed] Crispian Scully, Handbook of Oral disease, diagnosis and management, Martin Dunitz 1999 NHS Direct website patient leaflet - Mouth Ulcer, www.cks.nhs.uk/patient [17/05/14] Stedman's Medical Dictionary (2006)- http://www.medilexicon.com/medicaldictionary.php?t=95403 Medical-Dictionary http://www.medicaldictionaryweb.com/Ulcer-definition/ British National Formulary; British Medical Association.2014 (or www.bnf.org) NHS Scotland (2012) Oral Health and Nutrition Guidance for Professionals Scotland [10/05/14] British Society of Periodontology. Young Practitioners Guide to Periodontology.2012. Available at: www.bsperio.org.uk

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