Periodontology

Question 1

Some 47 year old woman
PC:Upper immediate denture lost for 11 21 is mobile
DH: Brushing with fluoridated toothpaste, Using floss 2-3 times week
11/21 involved in trauma leading them to be root filled and crowned.
MH: Breast cancer starting IV Zolendronic
E/O and I/O- NAD BPE 112/122
Class 2 incisal relationship
Class 1 molar relationship
Canine guidance
NWS interference on 46 lingual cusp when left excursion of mandible
Patient has had a cycle of non-surgical periodontal treatment
SH: Drinking 1X75cl of wine an evening. Has 3 children.Is unemployed.

Q) What is the provisional diagnosis for periodontium and what further investigations are required for a definitive diagnosis? (3m)

Answer 1

BPE is 112/122 = Gingivitis
Patient has had a cycle of non-surgical periodontal treatment
Trauma – mobile teeth
ID brushing 2-3 times a week
Cancer – weakened immune system

PI/GI required for Gingivitis diagnosis
Radiographs to assess bone levels, periodontal status

Localised periodontitis – Stage I – Grade A – currently stable – Cancer, alcohol

Question 2

Patient is drinking 7 times a week, 75cl 12% of red wine. Work out the units and show your workings? (3m) You can work out how many units there are in any drink by multiplying the total volume of a drink (in ml) by its ABV (measured as a percentage) and dividing the result by 1,000.

Answer 2

0.12 x 75 = 9 units x 7 times a week = 63 units

Question 3

What are the government guidelines for drinking alcohol? (2-3m)

Answer 3

• Maximum recommended number of units per week is 14 units for male and females
• Recommended not to binge drink all units at once,
• To spread drinking over 3 or more days if you regularly drink if you drink as much as 14 units/week
• If you want to cut down try having several drink free days each week