Case Study #4: You are at a community outreach event screeni…

Case Study #4: You are at a community outreach event screening special needs patients for periodontal disease. As you complete the probing on on your first patient who has Down Syndrome, you discover the the probe advances into the first black block of the WHO/PSR probe and beyond on several teeth. You get a 6mm probe depth on the mesial of #3, 4-5mm probe depths on the mandibular anterior and on at least one molar in each sextant. You see and feel calculus in every quadrant. QUESTION: What would the summary of the periodontal condition be when presenting your findings to your faculty at the event?

CASE STUDY #3: You are seeing a patient for a  4 month perio…

CASE STUDY #3: You are seeing a patient for a  4 month periodontal maintenance appointment.  She had full periodontal charting 10 months ago and bitewing radiographs taken then.  She reports that she was diagnosed with diabetes and she’s having a hard time managing it so far.  When you look in the mouth to begin your charting, you see that there has been some gingival changes and that her probe depths are deeper than at her last appointment.  You also take some photos and show the patient the changes that you are seeing. Use this information to answer the next 5 questions.  QUESTION: How would you chart the recession on the teeth that are covered with calculus?

You are performing a periodontal screening on a new patient…

You are performing a periodontal screening on a new patient using the PSR scoring. Here are the scores that you determined for this patient. Use this information to answer the next 5 questions. 2 1 4 3 2 3* QUESTION: Which probe are you using for this screening?

CASE STUDY #3: You are seeing a patient for a  4 month perio…

CASE STUDY #3: You are seeing a patient for a  4 month periodontal maintenance appointment.  She had full periodontal charting 10 months ago and bitewing radiographs taken then.  She reports that she was diagnosed with diabetes and she’s having a hard time managing it so far.  When you look in the mouth to begin your charting, you see that there has been some gingival changes and that her probe depths are deeper than at her last appointment.  You also take some photos and show the patient the changes that you are seeing. Use this information to answer the next 5 questions.  QUESTION: On the photo of her smile, you discuss that the tissue is no longer pointed in between the teeth and is now straight across on the maxillary and swollen and bulging on the mandibular.  What dental terminology describes the contours of the papilla that you are seeing?