right, and fine seale was completed. Lollicaine and .2mL. of cetacaine was applied to the ‘maxillary left. Ultrasonic was completed and fine seale was started. went back over the spots indicated by the instructor but was unable to get them check due to time running ‘out. Patient was informed to continue his at home oral care like he was coming back next week but he wouldn't come back until 10-28-15 for polishing, fluoride and periodontal charting. His learning level was action. 10-28-15: During this 2 hours appointment, I updated medical/dental history took vitals, and had him pre-rinse. He brushed at the sink and his final plaque/bleeding score was retrieved. His plaque score was .17 (Good) and his bleeding score was 6%. He had great improvement in his plaque score and | told him that he was doing a great job and to continue focusing on keeping those bristles toward the gumline when brushing, Intra oral pictures were taken to show the patient the improvement in his gingival tissue. Two posterior retakes were taken, Post-periodontal charting was completed and a spot check ‘on the maxillary left was completed. After completing post-periodontal charting, 1 was able to determine the he had some healing especially in the mandibular arch in term of periodontal pocket depths. I gathered his final gingival index of .88 (Good). Plaque free and fluoride trays was completed. | explained to him that fluoride is an aid in helping remineralize his teeth. I told him remineralization plays a part in keeping his teeth strong, to help fight against the risk of caries. Instructions were given not to eat or drink anything for 30 minutes to allow for the maximum uptake of the fluoride. 1 reminded him that if he is going to use mouth rinse to choose a brand that does not contain alcohol which can continue to dry out his oral cavity. Patient was praised for decreasing his plaque score by more than 2 points and to continue working at perfecting the techniques learned throughout care. Patient was informed that his recall would be in 4 months but if he starts to feel any discomfort or pain to contact the clinic. Patient seemed enthusiastic about returning in the spring to show that he had kept up with his oral care, The patient's gingival statement stated that he had localized slight periodontitis with slight bleeding. At the end of treatment there were no referrals to DDS. His payment had already been collected on 8-27-15. 9, Prognosis: (Based on attitude, age, number of teeth, systemic background, malocclusion, tooth morphology, periodontal examination, recare availability) periodontitis is localized to the mandibular anterior, if he continues improving his at home oral care after treatment and continues his recalls to the clinic 1 feel his prognosis ts (ait, MMR 0.26 year old male with no serious medical issues oF ‘medications being taken. For the majority of his visits his vitals were all with in normal limits. His last dental cleaning was in 2014. When screened in the clinic he stated he felt he,nceded a deep cleaning due to the bad breath he was experiencing. After comparing first evaluation of his periodontal charting with his initial periodontal charting there was improvement seen in all pocket depths and the gingival tissue showed less inflammation. In the mandibular anterior the patient has some torsoverted teeth that ‘may make hard for the patient to remove plaque however I stressed to the patient throughout treatment that this area is where the disease is localized and in order to save the integrity of these teeth he has to pay close attention to these areas when brushing and