Your new patient is a new mother with a 2 month old baby who…

Your new patient is a new mother with a 2 month old baby who just went back to work and is struggling to find time for self-care and isn’t brushing daily. She reports no medical history issues except anxiety, for which she takes a medication. Her vitals today are blood pressure 130/84, pulse 86 and respirations 20. Through the dental history, you determine the has not had a dental appointment in 3 years, is having some issues with sore and bleeding gums and has a 4/10 fear of the dentist. As you complete her assessments and radiographs, you determine that she has generalized bleeding and inflammation with 4-5mm probe depths, but no bone loss. You use the risk assessment rankings and Motivational Interviewing to try to help her establish goals/objectives to improve her oral health. Use this information and the photo below to answer the following questions. QUESTION: What would be the recommended procedure for this patient?  

You are scheduled to complete a periodontal maintenance on y…

You are scheduled to complete a periodontal maintenance on your patient.  They last had complete periodontal charting and head and neck exam at their last appointment 4 months ago.  When assessing your patient with a head and neck exam, you determine that they have a lesion on their lip from an accidental bite and that there are two large nevi on their face that were not noted before. While doing your periodontal assessments you determine that there are scattered 4-6mm probe depths, isolated areas of mobility and both generalized recession and furcation involvement. QUESTION: Which reply about the nevi would be concerning and indicate that a pathology consult would be warranted?