Virtual perio-clinic

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

Localised STAGE II GRADE B Periodontitis

Generalised STAGE II GRADE B Periodontitis

Generalised STAGE III GRADE B Periodontitis

Generalised STAGE III GRADE C Periodontitis

#2. How would you describe bone loss in this case?

Generalised horizontal bone loss to the cervical third of the roots

Generalised combined horizontal and vertical bone loss to the middle third of the roots

Generalized horizontal bone loss to the apical third of the roots

Generalized vertical bone loss to the coronal third of the roots

There is no bone loss detected

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

Initial therapy II (subgingival debridement), referral to GP for breathing issues, review, subgingival re-debridement if necessary and maintenance

Education and information on periodontitis and risk factors (mouth breathing, dry mouth), Initial therapy I (oral hygiene instructions (OHI)/supragingival debridement), review, antibiotics if necessary and maintenance

Initial therapy II (subgingival debridement), surgical debridement, review, antibiotics if necessary and OHI

Education and information on periodontitis and risk factors (mouth breathing, dry mouth), Initial therapy I (oral hygiene instructions (OHI)/supragingival debridement), Initial therapy II (subgingival debridement), suggest use of oral mouthrinses to support mechanical plaque control and for prevention of caries, review and maintenance

#4. Which of the patient’s teeth are partially impacted?

18 and 48

38 and 48

18 and 28

28 and 38

#5. What other treatment needs would be important to address in this case?

Lower and upper wisdom teeth should be extracted, lower due to recurrent discomfort and pain which indicates recurrent pericoronitis, upper due to deep impaction and impingement on the maxillary sinuses

Except for periodontal therapy, no other treatment is necessary at this stage

Upper wisdom teeth should be extracted due to deep impaction, orthodontic assessment and alignment of the teeth may be important as well as assessment/treatment of the carious lesion on one of the upper second molars

Lower wisdom teeth should be extracted due to recurrent discomfort and pain which indicates recurrent pericoronitis, orthodontic assessment and alignment of the teeth may be important as well as prevention of caries and assessment/treatment of the carious lesion on one of the upper central incisors

Orthodontic alignment of upper and lower teeth is necessary to create more space for eruption of lower wisdom teeth

Patient

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Dental:

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Periodontal chart principal findings:

Clinical images

OPG

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