POST OPERATIVE INSTRUCTIONS AND COMPLICATIONS

Question 1

Frequent recurrent swelling of 12

10mm pocket depth on mesial only

a. Post-operative complication need to be explained prior scaling and RSD on 12 (4)

Answer 1

 Gingival pain, swelling, bleeding last for few days

 Tooth hypersensitivity
 Compromise aesthetics as recession and larger interdental space

 Mobile teeth

Question 2

Frequent recurrent swelling of 12

10mm pocket depth on mesial only

b. After RSD, Patient discovered here is a swelling in 12. Give 2 causes and respective management (4)

Answer 2

• Causes
  
  • Traumatic non-surgical therapy
  • Subgingival calculus left while supragingival gingiva healed
• Management
  
  • Provide patient with NSAIDs and reassure the patient will be well after a couple of days
  • Instrumentate again to remove the subgingival calculus

Question 3

a. After your non-surgical periodontal therapy, your patient complained about increased interdental space in the lower anterior region, sensitivity upon drinking warm water, and pain in gingiva, provide explanations (4)

Answer 3

• Before treatment, there was gingival inflammation which led to the swelling of gums.
• After treatment, the gingiva became less inflamed hence less swelling
  
  • The gingiva between the teeth, interdental papillae, is less swollen hence there is an interdental space between the teeth
  • The decrease in swelling will reveal the cementum of the tooth which will cause sensitivity upon drinking warm water
• Due to instrumentation, the damage of the gingiva is inevitable.

Question 4

b. Management of the above situation (6)

Answer 4

Question 5

Information Given:

72 year-old female
C/O: Pain of upper left molar region. Pain on biting.
HPC: Swollen gum 2 months ago. Spontaneous pain. Visited dentist and subsized 1 month after. DH: The dentist she visited performed “a cut” to relieve her symptoms.
MH: unremakable
I/O: Pain of percussion //Peri showing 25 – 28

a. What are the likely complications after the periodontal therapy that you will warn the patient before your treatment? (4)

Answer 5

 Gingival pain, swelling, bleeding last for few days
 Tooth hypersensitivity
 Compromise aesthetics as recession and larger interdental space

 Mobile teeth