Virtual perio-clinic

Clinical scenario-based questions

CASE 6

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Patient

Patient is 64 years old male.

Medical history:

The patient has Diabetes mellitus (type II) since 1989 controlled with Metformin. His latest HbA1c < 7%

He has also had high blood pressure for 10 years now – used various types of medications to control blood pressure, but last year his GP prescribed him Sevikar 40/10^TM.

He is not allergic, not smoking or drinking alcohol

Chief complains:

Noticed that his gums are swollen, very sensitive and bleeding on brushing. The symptoms started a few months ago.

He had visited his general dentist, who recommended using Listerine Zero mouthwash twice a day for a month.

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Family history:

No similar issues reported in family

Virtual perio-clinic

Patient

Medical history:

Chief complains:

Family history:

Clinical images

OPG

Clinical image

Virtual perio-clinic quiz

Results

#1. How deep are pockets (PD) as measured with CP-15 periodontal probes (1) & (2)?

#2. What is the most likely diagnosis in this case according to 2017 classification system?

#3. What would be the most likely differential diagnosis of the condition shown in the image?

#4. What sort of medication can have adverse effects associated with gingiva?

#5. How long does it take to develop gingival condition as the one shown in image?