Patient Profile: Patient is a 70-year old White Caucasian male, 5’8” and weighs 200 lbs. He is a retired life insurance salesman.
Chief Complaint: “I am way overdue for my dental check-up.”
Dental History: In previous years he received regular dental care and was on a 6 month recare appointment interval.
Medical History: He reports a history of cigar smoking, hypothyroidism, Parkinson’s disease, frequent bronchitis, GERD and occasional angina. Five years ago he had a basal cell carcinoma removed from under his right eye. His daily medications are: (Simvastatin) Zocor®, (Metoprolol succinate) Toprol®, (Levothyroxine) Synthroid®, (Lisinopril) Zestril®, (Levodopa) Sinemet® and 81 mg aspirin. His blood pressure was recorded at 138/88.
Bleeding Index: 55%
Plaque Free Score: 35%
Social History: Smoked cigars weekly for 20 years and now smokes 1 pack of cigarettes weekly.