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Case # KD -Kontralt Deleet is a 44 year-old male computer pr…

Case # KD -Kontralt Deleet is a 44 year-old male computer programmer who has not been to the dentist in 6 years. He used to go “about once every year”. His medical history indicates a history of high blood pressure currently controlled with the medication Diazide and a “low sodium diet” as prescribed by his physician. He also reports frequent urination and tobacco use. Kontralt has smoked cigarettes since he was 16 and smokes one pack a day. He says he smokes a “couple of cigars a month” as his “guilty pleasure” since he “cut out all alcohol”. VS are BP 138 / 88, P 74, R 16. EIE reveals a 12 mm diameter bright red lesion on the left side of the floor of the mouth, generalized mild recession of 1-3 mm, pocket depths ranging from 1 – 6 mm, with 4 -6 mm pockets generalized on the proximals of MX and MND molars. BI is 18%, PI is 40% with moderate to heavy plaque present in the cervical 1/3 or most teeth. Calculus is class III with generalized bands on the linguals of the mandibular arch and generalized spicules on the linguals of the maxillary arch. There is moderate to heavy stain on most surfaces. Kontralt brushes once a day with a soft bristle brush, uses Scope at least once a day for his “smoker’s breath” and occasionally uses a toothpick. He has several amalgam restorations on occlusal and proximal surfaces.QUESTION:  After Kontralt has been advised about tobacco use and its effect on his health status and he states he has no interest in stopping, you should: