AL-AZHAR UNIVERSITY- GAZA

FACULTY OF DENTISTRY
PERIODONTOLOGY DEPARTMENT

Clinical
Case
Presentatio
n
:Student Name

Tasneem K Saf
:Course Director

Dr. Rawand S. Abu Nahla

Oral Medicine,
periodontology & oral
Radiology Department

Patients Personal Data

Name:

Abdallah
Age: 23
Sex: Male
Occupation: Student
Address: Gaza
Marital status: single
Patient Attitude : Cooperative

Chief complaint

I have several blocks from dirt covering

most of the teeth And I suffer from bad
odor , and when I brush my teeth It bleeds

History Of Chief complaint

Onset

: 2 years ago
Mode of onset: periodic
Character : the patient start feel the
sharp edges of calculas
Precipitating factor : smoking

Medical History

NAD

Nothing Abnormalitis Detect

Patient statedthat he is
free from any medical
condition .

Family History
NO SIGNIFICANT

Past Medical History

Dental History

Habits and oral hygiene Activites

Patient

very rare brushes his teeth

Doesnt change his toothbrush very
often.
Doesnt floss.
Doesnt visit the dentist .
Smooker

Periodontal Finding
Hygiene

Bad Oral
Hygiene

Gingiva
Red ,
enlarged ,
round edge ,
soft , smooth
( no stippling )
with bleeding
on proping .

Periodontal Finding
Deposite plaque & Calculus

Heavy plaque , moderate

supragingival calculus &
moderate subgingival
calculus

:Diagnosis
moderate gingivitis: gingival tissues have
been affected by the inflammatory process
Periodontits ( moderate )
Moderate Pocket depths or attachment
loss of 4 to 6 mm , Bleeding upon probing ,
Grade I and/or Grade Il furcation invasion
areas , Tooth Mobility of Class I ,
Caris at lower molar .

Treatment Plan
Treatment

Objectives.
Chief Complaint
Oral Hygiene Motivation
To Restore:
Function.
Structure.
Esthetics.

Treatment plan Schedule

Treatment

Site

Supragingival Scaling (U.S)

Supragingival calculus

Subgingival scaling
(Manual)

Subgingival calculus

Refer to : Operative section

Caris at lower molars

:Patient Instruction
1. Brushing your teeth
(at least twice a day or after every meal)
use a soft bristled toothbrush
Brush gums and tongue along with your teeth.
Dont brush too hard because this can cause gingival
(gum) recession.
2. Floss your teeth regularly
Flossing removes plaque from behind your teeth that
brushing misses.
Flossing helps prevent periodontal disease by removing
plaque.

:Patient Instruction
3. Proper diet
4. Other interdental cleaning
Single tufted brushes: one large bristle for
cleaning spaces between teeth . to carry
medicated gel into pockets.
5. Rinsing
Regular rinses with a good mouthwash helps to
keep your mouth clean, fresh and germ free.
6. Regular dental checkups

:Drugs Descrption
Chlorohxidine Mouth Wash 3
times daily for 2 weeks

PHOTOS

BEFORE

AFTER