Patient Profile: Patient is a 75-year old African-American female.
Chief Complaint: "I am here for my check-up and I have been told I have bad breath."
Dental History: The patient has regular dental appointments every 6 months.
Medical History: The patient suffers with depression, arthritis and type 2 diabetes. Her BMI indicates she is obese. She currently takes OTC Aspirin, (Metformin hydrochloride) Glucophage®, (Amlodipine besylate) Norvasc®, (Paroxetine hydrochloride) Paxil®, (Hydrochlorothiazide) Microzide®. Vital signs recorded: Blood Pressure: 139/89; Pulse: 64 BPM.
Gingival Description: Generalized marginal and papillary erythema and edema. Localized cyanotic tissue around the facial of tooth #5.
Bleeding Index: 20%
Plaque Free Score: 35%
Social History: She plays cards with her friends on Wednesday nights.