oral problems due to his oral care regime. IMM uses a soft bristle tooth brush with
circular method. Using this method does not efficiently remove the plaque biofilm at
the gumline of the teeth. Not successful removing this plaque biofilm at the gumline on a
consistent basis results in caleulus build up. Calculus is always covered with a thin layer
of biofilm, which can lead to the gingiva moving apically causing more bone loss. Sage
(@BEB only brushes once a day usually in the morning and only flosses sometimes. He
stated he does use a rinse daily every morning but could not recall which brand. His
toothpaste of choice is Crest, SAMI was unaware if his toothpaste or rinse
contained any type Fluoride, [recommended (SRM to adopt the bass brushing
technique where the bristles of the toothbrush are angled towards the gum line to help
remove biofilm. Along with adopting the bass technique he was encouraged to start
brushing twice a day and to start flossing once a day preferably before bed, to help reduce
the amount of bacteria in his mouth. I will recommend that he switch from his current
oral rinse to biotene, Most oral rinses contain alcohol, which can contribute to dry mouth.
new that he has periodontitis but was unclear what this means in terms of
his oral health. Even though (SAM was aware that he has periodontitis 1 would say
that his Dental 1Q is low because he has not taken the extra measures to improve his oral
health, Due to the increasingly foul smell of his breathe SAAAMBestated he is now
ly to learn more on what he could do to stop the odor and to have better teeth overall
He stated now that he knows about the LIT Dental Hygiene Clinic he plans to regular
cleaning appointments due to the affordable price.
3. Oral Examination: (lesions noted, facial form, habits and awareness, consultation)
During the Intra/Extraoral exam there were no positive findings found cn Sz
No oral habits were recorded. He has class I occlusion on all arches, with a 2mm midline
shift to the left. Overjet and overbite both were within nermal limits. No open bites and
ctoss bites were recorded.
4, Periodontal Examination: (color, contour, texture, consistency, ete.)
a, Case Classification 4 Periodontal Case Type 2
b. Gingival Description:
Appointment 1; 8-27-15
I reviewed medical/dental history, took'vitals and had IAIgMEM prerinse with
Listerine. A full mouth xray was taken. His gingival architecture was generalized
scalloped. On tooth #4 and #5 his gingival architecture was localized flat. His gingiva
color was generalized red. The consistency was generalized edematous/spongy. The
gingival margins were rolled on the mandibular anterior facials. The papillae of the
‘gingiva was bulbous on the maxillary and mandibular anterior facials. There was no
suppuration. The surface texture of the papillary, marginal, and attached was
generalized smooth and shiny.
Appointment 2: 9-10-15
T reviewed medical/dental history, took vitals and hod S998 prerinse with