In his mandibular anterior #23 and #24 is torsoverted to the right, #26 is positioned
lingually, and #27 is torsoverted to the right. Having malposition teeth make it easier for
plaque to accumulate. I ig he will reduce the amount of plaque
ome: floss
in these tight places and reduce the risk of more attachment loss happening in this area.
6. Treatment Plan: (Include assessment of patient needs and education plan)
App't 1 (4hrs):
During this appointment, | will update medical/dental history, and take vitals. | will them
review and make sure patient appointment practice, statement of release and HIPAA
forms are all signed by the patient and have RMA pre-rinse. Then I will get the
instructor to sign off on paperwork. I will take x-rays. Then | will complete
Intra/Extraoral exam, petio assessment, dental charting, and start periodontal chartin
App't 2 (2hrs):
During this appointment, I will update medical/dental history, and take vitals. | will have
prerinse then I will complete periodontal charting and have it checked by
instructor, | will take intra oral pictures of CAM entition. I will take gingival
index, plaque score and bleeding score. | will do chair side patient education on brushing
and plaque,
App't 3 hrs):
During this appointment, | will update medical/dental history, take vitals, and have Mj
BB previnse. | will take any x-ray retakes designated by the instruetor. I will have the
Patient brush atthe sink and the use diselosing solution o get plaque store. | will use
indicator teeth to obtain bleeding score. I will have our 1* patient educa
plaque and brushing. I will go over STG and LG that I think will benefit
will do modifications if necessary. After showing (JMNM on the typodont how to
brush using the bass technique I will have him demonstrate at the sink in front of the
ior. vil en 2k JBM of plague and how atts he evil
discuss with him how plaque is a sticky biofilm that builds up on the teeth from the
bacteria in the mouth, If appropriate brushing, flossing and rinsing is not maintained then
plaque will hardened to form calculus. | will then take him back to the chair ultrasonic
LR and get it checked. Then I will fine scale the quadrant and get it checked.
App't 4(2hr):
During this appointment, I will update medical/dental history, take vitals, and have IB
GMM Previnse, [vill have the patent brush tthe sink andthe use disclosing solution to
get plaque score. I will use indicator teeth to obtain bleeding score. I will have our 2"
patient education session on periodontitis and flossing I wil go over the STG and LTG.
then ask BIN to define periodontitis wil then explain to him that periodontitis
an infection of the gingiva that causes loss of attachment and it is irreversible. | also will
explain that periodontitis ean be halted but if Tet untreated it can lead to tooth loss. Iwill
further educate him on how to control periodontitis by frequent dental visits, brushing
twice a day, and flossing daily. will demonstrate onthe ypodont how to effectively
floss all four quadrants of the mouth using the C-shape technique. I will discuss with >