Case Study 16

Patient Profile: Patient is a 61-year old White Caucasian male. The patient is a retired banker and remains active in the community in several volunteer organizations.

Chief Complaint: The patient has no chief complaint other than palatal irritation due to an ill-fitting maxillary partial denture. Patient is aware that a new partial will need to be fabricated since his visits to the dental school for adjustments have been unsuccessful.

Dental History: The patient has received dental care throughout his life.

Medical History: The patient's blood pressure was recorded at 124/78. He had double by-pass surgery in 1992 and has encountered no complications since. He is currently taking (Metoprolol succinate) Toprol® and (Pravastatin sodium) Pravachol®.; His only allergy is to bee and wasp stings.

Extraoral Examination:

  • Assessment reported all within normal limits.

Supplemental Information:

  • Patient uses a phenol mouthrinse for 60 seconds prior to bedtime and soaks his partial in the same mouthrinse.

Health Behaviors:

  • Patient brushes twice daily.

Bleeding Index:  25%

Plaque Free Score:  50%

Social History: He is an avid hiker and health conscious individual.

PERIODONTAL CHARTING

Case 16

STUDY MODEL

Mandibular Anterior Lingual/Maxillary Palatal Mandibular Anterior Lingual/Maxillary Palatal
Full Direct Full Direct
Right Side Right Side
Left Side Left Side

RADIOGRAPHIC IMAGES

Click to view a larger image:
R
Left1
Left2
left3
upper
lower
right1
right2
right3
L

Intraoral Images

Mandibular Anterior Lingual Mandibular Anterior Lingual
Right Palatal Right Palatal
Left Side Left Side
Right Side Right Side
Palate Palate
Palate Palate

QUESTIONS

Your Faculty has access to the answers in this case study. Please ask them to look in the Faculty Corner for the answers to this case.
  1. Vertical bitewing radiographs were exposed versus horizontal bitewing radiographs based on what justification?
  1. According to the American Academy of Periodontology, the patient's periodontal classification is:
  1. The radiographic error that occurred in the right posterior bitewing demonstrates most likely:
  1. Which of the following statements BEST describes the furcation involvement on tooth #19?
  1. The thin radiolucent line near the apex of the maxillary left canine can BEST be described as:
  1. Based on the patient's initial palatal intraoral image, the dental hygienist should provide the patient with recommendations for his partial denture including all of the following except one.  What is the EXCEPTION?
  1. The radiopacity observed on the mandibular anterior sextant periapical radiographs, superior to the incisal edges is most likely from:
  1. The BEST oral hygiene aid for removing plaque in the mandibular anterior sextant is:
  1. The patient's oral medication, (Metoprolol succinate) Toprol® is prescribed to treat:
  1. The BEST description for the patient's gingiva around the facial of tooth #22 is: