Virtual perio-clinic

Clinical scenario-based questions

CASE 2

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Patient

A male patient, DOB 1950 complains on tooth drifting and sensitivity to cold.

s

Medical history:

Chronic pain syndrome and Arthritis – taking Panadeine Forte when in pain

m

Family history:

Mother has been wearing complete dentures since she was 45

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Social history:

Unemployed, single, smoker – smoking 5-6 cigarettes per day for 40 years, occasionally clenching his teeth

Dental:

Lost two upper molars 16 & 17 and two lower central incisors 31 & 41 due to mobility in 2015. The two lower central incisors have been replaced by the acrylic partial denture in 2016 that the patient is still wearing.

Virtual perio-clinic

Patient

Medical history:

Family history:

Social history:

Dental:

Clinical images

Periodontal chart

OPG

OPG

Virtual perio-clinic quiz

Results

#1. What is full periodontal diagnosis according to the latest classification from 2017?

#2. Which of the proposed periodontal treatment plans would be most suitable for the case?

#3. The patient’s gingiva shows diffuse dark brown discolorations. Which of the following conditions may cause such pigmentations?

#4. The patient is a smoker. Which of the following smoking related lesions may be found on the oral mucosa of smokers?

#5. Name hand instruments that would be most efficient in debridement of mesio-buccal and mesio-palatal surfaces of 24 in this case?