Virtual perio-clinic

Clinical scenario-based questions

CASE 6

Patient

The patient is 67 years old male complaining of gum recession and bleeding on brushing.

 

s

Medical history:

The patient is in good systemic health but smoking 5 cigarettes per day for the last 10 years.

m

Dental history:

The patient is missing all wisdom teeth and 17 was extracted due to deep caries lesion and fracture.

Intraoral exam:

Periodontal chart shows average probing depth (PD) of 6-7mm on majority of his teeth, and attachment loss (CAL) of 5mm. The greatest bone loss of 65% is detected on 16 mesial. Horizontal furcation involvement of class II is evident on mesial of tooth 16 and on lingual of 37. 

Clinical images

OPG

BW

Virtual perio-clinic quiz

    Results

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    #1. What is the most likely diagnosis according to the new classification system for periodontal and peri-implant diseases and conditions (2017)?

    #2. What is correct regarding selection of STAGE in this case?

    #3. What is correct regarding selection of GRADE in this case?

    #4. How would you describe bone defect on 16 mesial?

    #5. What would be the most likely periodontal prognosis for 16?

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