Virtual perio-clinic

Clinical scenario-based questions

CASE 2

Patient

A male patient, DOB 1950 complains on tooth drifting and sensitivity to cold.

 

s

Medical history:

Chronic pain syndrome and Arthritis – taking Panadeine Forte when in pain

m

Family history:

Mother has been wearing complete dentures since she was 45

Social history:

Unemployed, single, smoker – smoking 5-6 cigarettes per day for 40 years, occasionally clenching his teeth

Dental:

Lost two upper molars 16 & 17 and two lower central incisors 31 & 41 due to mobility in 2015. The two lower central incisors have been replaced by the acrylic partial denture in 2016 that the patient is still wearing.

Clinical images

Periodontal chart

OPG

OPG

Virtual perio-clinic quiz

    Results

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    #1. What is full periodontal diagnosis according to the latest classification from 2017?

    #2. Which of the proposed periodontal treatment plans would be most suitable for the case?

    #3. The patient’s gingiva shows diffuse dark brown discolorations. Which of the following conditions may cause such pigmentations?

    #4. The patient is a smoker. Which of the following smoking related lesions may be found on the oral mucosa of smokers?

    #5. Name hand instruments that would be most efficient in debridement of mesio-buccal and mesio-palatal surfaces of 24 in this case?

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