Patient Profile: Patient is a 67-year old White Caucasian male.
Chief Complaint: “ I have a broken tooth and really itchy gums.”
Dental History: The patient had his teeth cleaned 16 months ago and saw his dentist at that time.
Medical History: The patient has type 2 diabetes, hypertension, early dementia, and Parkinson’s disease. He is allergic to penicillin. Medications include: (Lisinopril) Prinivil®, (Glipizide) Glucotrol®, (Carbidopa/Levodopa) Sinemet®, (Escitalopram) Lexapro®. Vital signs recorded: Blood Pressure (RAS): 130/88; Heart Rate: 100 BPM; Respiration: 20 Breaths/Minute.
Bleeding Index: 65%
Gingivitis Index: Moderate inflammation
Plaque Free Score: 365%