Recall is the Best Time to Remind Patient of Implant
--------------- Sat - Mar 8, 2014 ---------------
S: 54 y/o CF PTC for NPE
with cc "UR t/a", last cleaning unknown, MHR: NSF, NKDA
O: E/O: facial
symmetry, no trismus, I/O: OH: poor, cancer screen: NSF, +calculus, +gingival
erythema/edema/recession, +BOP, 2,15 missing, 2 BWs, 3 PAs Panoramus taken. They
show findings consistent with the above, generalized moderate localized severe
(19) bone loss, # +PARL
A: chronic periodontitis, 19 nonsalvageable
P: SRP
4q, perio maintenance q3m, 19 ext, 2,15,19 implants (Fig.), treatment plan
discussed,
T: Quadrant: UR Xylo 34 mg, Epi 17 mcg LA, routine SRP with Turbo
Piezo Ultrasonic Scaler and hand instruments, moderate heavy supra- sub-gingival
calculus, moderate heavy hemorrhage, gingiva buffy, swollen, perio probing,
prophy angle/paste, flossed, Tooth: 6 inserted Arestin plug after Chlorhexidine
irrigation, OHI and verbal POI given
NV: SRP UL, LR, LL
The patient returned to finish SRP UL, LR, LL 2 days later. She returned for perio maintenance asymptomatic 1 year (03/19/2015). It is the best time to remind her of implant treatment.
Return to Professionals,
Lower Molar Immediate Implant
Dr.
Wu
Xin Wei, DDS, PhD, MS 1st edition 03/29/2015, last revision 03/29/2015