Periodontal Disease with a Patient Experiencing Vision Impairment

Posted on March 11, 2022March 9, 2022 by Monica Vigon DMD

Challenge: Patient experiencing recent vision impairment presented as Stage III Grade B, active generalized periodontal disease with localized severe periodontal disease in the maxillary anterior area. Background: Age: 36 Sex: M Medical History: Patient reports recent vision impairment with the right eye. Under the care of the ophthalmologist, a diagnosis has not been found. No other systemic diseases or conditions reported. Last Dental Exam: Within 3 years Chi...

Classic Periodontal Disease after COVID with Brenda Sullivan RDH

Posted on January 28, 2022January 21, 2022 by Brenda Sullivan RDH

Challenge: Patients are avoiding routine dental visits due to fear of contracting COVID. This patient had missed several hygiene appointments during the pandemic. Our goal was to re-establish health and increase homecare to help this patient’s general immunity. Background: This case study involves an 84-year-old male with a history of scaling and root planing, who before this assessment was in good periodontal health. His blood pressure was 114/72 and his pulse 83. He has a history of cancer,...

Case Study: Class III Moderate Periodontitis with Halitosis

Posted on November 26, 2021November 22, 2021 by Jamie Griggs RDH

Background: The patient is a 61-year-old male who presented with concerns of halitosis. The home care routine consisted of daily tooth brushing and inconsistent flossing. Following the periodontal assessment, the patient was classified as Class III generalized periodontitis with localized Class IV due to pocket depth measurements, heavy bleeding on probing with inflamed, bulbous, and erythematous tissue. The patient has a history of periodontal therapy and has maintained a 3-month recare int...

Pregnancy & Periodontal Inflammation: Pathogens or Hormones?

Posted on November 19, 2021November 18, 2021 by Gabby Finn RDH

Challenge: Pregnant, periodontal maintenance patient appointed with increasing periodontal measurements over the last two periodontal maintenance appointments. The goal of testing is to establish the cause for the increase of inflammation. Background: My 44-year-old periodontal maintenance patient with a regular recall and excellent home care consisting of electric toothbrushing 2 times per day, nightly flossing, and use of Waterpik™ 2 times per day presented for a maintenance appointment...

How to Share a Case Study

Posted on August 13, 2021August 13, 2021 by Diane Larson RDH, BSDH

An article written by Crowe, Cresswell et al. states a case study is a research approach that is used to generate an in-depth, multi-faceted understanding of a complex issue in its real-life context.1 Periodontal disease fits this definition because it is a complex issue with real-life context. Personally, case study presentations have been a huge benefit in establishing my approach to periodontal therapy. What I learned in school is that the one size fits all approach should work, however I’...

The Co-management of an Esophageal Cancer Survivor

Posted on April 16, 2021May 20, 2021 by Camille Luke RDH MSDH

Background: The patient is a 75-year-old female with a history of esophageal cancer in 2013. The origin of the cancer was determined to be lichen planus. Surgical removal of the lesion occurred, and no reconstructive surgery was needed. However, post-surgery to present date, the patient experiences severe acid reflux and sleeps with her head elevated. She has great home dental care and follows a 3-month periodontal maintenance. During the head and neck exam, no significant findings were disc...

Chronic Anterior Inflammation Finally Resolved

Posted on January 8, 2021May 20, 2021 by Daniela Yanez RDH

Challenge: The patient's main concern was to reduce chronic inflammation around tooth #8 and #9. The patient previously had received treatment at a general dentist and a periodontist without significant improvement. Background: A new female patient, age 28, was last seen by another dentist on 12/5/2018. Her home care consists of brushing twice daily with Tom's of Maine® toothpaste and a Sonicare™ power toothbrush, and Crest® Pro-Health™ rinse with occasional flossing. Her family history i...

Case Study: Class II Periodontitis

Posted on October 23, 2020May 20, 2021 by Sue Baughman RDH

Background: The patient is a 54-year-old female who presented with the chief complaint “My gums bleed when I brush, there are possible cavities and I don’t like the tooth crowding.” Her last dental visit was about 6 years ago. There is a family history of diabetes, cardiovascular disease, stroke and cancer. The home care consisted of manual tooth brushing 1-2 times per day with occasional antibacterial mouth rinse. During the clinical assessment, it was discovered that several amal...

Class II Generalized Periodontitis and Rheumatoid Arthritis Requesting Implant Placement

Posted on December 6, 2019May 20, 2021 by Patricia Lugo DMD

Challenge: To establish periodontal remission by addressing the clinical manifestations of periodontal disease and altering the oral flora in order to lower the incidence of periodontal disease relapse. Bacterial management will eliminate a source of total body inflammation and increase success of implant placement. Background: The patient is a 66 year-old-male with rheumatoid arthritis, taking Lisinopril and is a potential candidate for implant to restore #19. Patient’s daily home care r...

Traditional Periodontal Disease Case Study

Posted on September 20, 2019May 20, 2021 by Brain Davey DDS

Challenge: Patient with extremely limited history of dental care presents seeking dental wellness. Although patient is anxious, she is highly motivated to create a healthier dental foundation. Background: A 33-year-old woman with history of acid reflux, seasonal allergies and anemia is seeking to better her dental care. The patient has limited recollection of any dental care in her life, even childhood. The patient’s home care consists of manual tooth brushing 1-2 times per day with the ...