8. Journal Notes: (Record in detail the treatment provided, oral hygiene education, patient response, complications, improvements, diet recommendations, learning level, short and long term goals, expectations. Ete.) 8-27-15: At this appointment, | reviewed QE medial/dental history, took vitals, and had him pre-rinse. A digital full mouth x-ray was taken to assess bone levels and to check for suspicious areas. I started on paperwork, completing intra/extra oral exam and dental charting with x-rays. I started perio assessment and periodontal charting. Patient experienced serious discomfort during probing and had moderate bleeding. The patient was only able to stay for 2 hours so I was unable to complete the rest of the paperwork. During this visit IMB stated he had no problem being my perio patient and was willing to return for the consecutive visits. He was unaware of the health of his gingiva ‘and what he could do to improve his health. He seemed very sincere about wanting to learn how to take better care of his teeth mainly due to “bad breath” and continuous dry mouth he was experiencing 9-10-13: During this 2 hours appointment, | updated medical/dental history took vitals, and had him pre-rinse. Perio assessment and periodontal charting was completed. Qi GERD &.2s very sensitive to the probe during periodontal charting making it difficult to gel accurate readings. I explained to him he had sensitive to the inflammation and that once the cleaning was completed he should experience less sensitivity. He brushed at the sink, plaque/bleeding score and gingival index was obtained. His gingival index was 1.63 (Pair), His plaque score was 2.3 (Fair) and his bleeding score was 30%. | explained to hhim that his plaque score was quite high and that | was going to teach and demonstrate to hhim learn the proper brushing technique. He was also informed that he has periodontal disease and that the first step to improving his oral care will be to adopt the bass brushing technique. | explained to him that this brushing technique has the bristles are pointed towards the gumline. I encouraged that when brushing he should take time and concentrate on making sure that the bristles are at the gumline especially in the ‘mandibular anterior. Pictures were taken with intra oral camera to show him the areas of 9-23-15: During this 2 hours appointment, | updated medical/dental history took vitals, and had him pre-rinse. He brushed at the sink and plaque/bleeding score was retrieved, His plaque score was 1.5 (Fair) and his bleeding score was 13.9%. The patient was then taken to do formal patient education. The main topic of my first patient education session was plaque and brushing. During the session I covered the patients long term and short terms goals during treatment, The first long-term goal discussed was the patient would choose to reduce plaque score. This long term goal will be achieved by meeting the short term goals of the patient being able to define plaque, the patient will brush twice daily with bass technique 4 days out of the week, and the patient will brush 2 minutes. The second long-term goal discussed was the patient would halt the progression of their periodontitis. This long term goal will be achieved by meeting the short term goals of the patient will be able to define periodontitis, the patient will be able to explain the relationship between plaque and periodontitis, the patient will be to demonstrate C-shape flossing technique, the patient will floss twice a week, and the patient will return for 2