score was .33 (Good) and his bleeding score was 5.6%. During this appointment the
maxillary right fine scale was completed. Maxillary left was ultrasonic and fine
scaled. During this appointment I started to notice the healing of the mandibular arch
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 papilla of the gingiva was bulbous on the
maxillary anterior facials. There was no suppuration. The surface texture of the
papillary, marginal, and attached was generalized smooth and shiny
Appointment 7: 10-28-15
reviewed medical/dental history, took vitals and had SEEN prerinse with
Listerine. He brushed at the sink and plaque/bleeding score was retrieved. His plaque
score was .17 (Good) and his bleeding score was .6%. Post periodontal charting was
completed along with plaque frve and fluoride. His gingival architecture was
generalized scalloped. On tooth #4 and #5 his gingival architecture was localized flat
His gingiva color was localized red maxillary arch. The consistency was generalized
cedematous/spongy on the maxillary arch. The papilla of the gingiva was bulbous on
the maxillary facials. The mandibular arch had consistency, margins, and papillae all
WNL.
c.Plaque Index: Appt.l n/a Appt. 22.3 (Fair) Appt.3 1.5 (Fair) Appt. 4.83,
(Good)
Appt. 5.50 (Good) Appt. 6 33 (Good) Appt. 7.17 (Good)
d. Gingival Index: Initial 1.63 (Fair) Final .88 (Good)
€.Bleeding Index: Appt. 1 n/a Appt. 2 30% Appt. 3 13.9% Appt. 4 11.1%
Appt. 5 5.6% Appt. 6 5.6% Appt. 7.6%
1. Evaluation of Indices:
1. Initial: On his initial visit QB was classified has having slight chronic
periodontitis, His plaque score on his second visit was 2.3 (Fair) with a bleeding
score of 30%, Plaque and calculus are big contributing factor to the inflammation
of the gingiva and the pathogenesis of periodontitis. The mandibular anterior and
posterior teeth had the most calculus build up. After root debridement and fine
scaling along with patient education these areas should be fully healed with
reduction of inflammation by the end of treatment. AAI initial gingival
index was 1,63 (Pair). He had moderate inflammation and bleeding upon
probing.
2. Pinal: On his final evaluation on 10/28/15, he showed great improvement in his
indices. The plaque score during his last visit was .17 (good). His progression
‘was clinically noticed during this appointment. All supra and subgingival
calculus was removed and generalized inflammation had been reduced in the
mandibular arch, His final bleeding score was 7.6%, a big reduction from the