Virtual perio-clinic

Clinical scenario-based questions

CASE 1

Patient

A male patient, DOB 1995 complains on bleeding on brushing, bad breath and recurrent discomfort and pain associated with posterior sites of the lower jaw.

s

Medical history:

Taking Nurofen while in pain, e.g. headache, suffers from chronic sinusitis

m

Family history:

Nil

Social history:

International student, studying Mathematics, currently year 2. Non-smoker, non-alcoholic. Noticed that usually breathes through his mouth

Dental:

Regular dental visits while back home, however since has started studying does not have time for regular dental check-up. No tooth loss so far.

Initial examination results:

SBI >50%, API>70%,

PSR

433
434

 

Periodontal chart principal findings:

All present teeth affected

Greatest PD = 7mm

BOP + on majority of sites

GR – nil

Gingival margin – 4-5mm coronal to the CEJ due to swelling

No clinically detectable furcation involvement

 

Clinical images

OPG

BW

Virtual perio-clinic quiz

    Results

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    Don`t give up, try again!

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

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

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

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

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

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