Case Study 38

Patient Profile: Patient is a 32-year old Latino Hispanic female.

Chief Complaint: “My gums bleed and are itchy.”

Dental History: The patient had her teeth cleaned ten years ago.

Medical History: The patient currently takes no medications. Vital signs recorded: Blood Pressure (RAS): 122/80; Heart Rate: 91 BPM; Respiration: 18 Breaths/Minute.

Extraoral Examination:

  • Assessment reported all within normal limits.

Intraoral Examination

  • Tender, recurrent lesions observed in the hard palate.

Supplemental Information:

  • She reports anxiety about visiting the dental office.

Health Behaviors:

  • She brushes with a soft toothbrush once daily, does not floss, and rinses with a phenol mouthrinse daily.

Bleeding Index: 60%

Plaque Free Score: 35%

PERIODONTAL CHARTING

Periodontal Chart - Case 38

RADIOGRAPHIC IMAGES

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R
Radiographs - Case 38
L

Full Direct Full Direct - Case 38
Maxillary Palatal Maxillary Palatal - Case 38
Mandibular Lingual Mandibular Lingual - Case 38

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. Calculus is radiographically observed on teeth:
  1. The anatomical landmarks on the panoramic radiograph that appear round or ovoid radiolucent areas lateral to the glenoid fossa and condyle are most likely:
  1. Mobility indicates a risk factor for periodontal disease progression and tooth #30 is characteristic for slight mobility which is indicated being greater than normal.
  1. The diminished appearance of teeth #26, #27 on the panoramic radiograph is due to:
  1. The lesions noted on the hard palate are most likely associated with:
  1. This anatomical landmark on the panoramic radiograph is a thin straight radiopaque line superimposed over the maxillary sinus as the:
  1. In order to successfully scale, root plane and debride the LR quadrant, the clinician will need to anesthetize what nerves?
  1. A periapical inflammatory disease resulting from a dental related infection is observed radiographically on tooth #30. The lesion appears radiopaque and is near the root apices. This is most likely:
  1. What best describes the facial interproximal tissues between #25, #26?
  1. The indication for use of nitrous oxide/oxygen sedation for this patient is: