Please enable JavaScript.
Coggle requires JavaScript to display documents.
Periodontal abscess (Cluster 2)(Section 1), No intro req - Coggle Diagram
Periodontal abscess (Cluster 2)(Section 1)
Already given :smiley:
Mrs. Amy Highlands, 55 yr old lady (regular attendee)
c/o
sore tooth on uppr R) side.
On examination -
11- grade 2 mobility + vital
:red_flag:
X ray given
-
horizontal bone loss
around 4,5 and 6 +
bone arnd 11 - severely lost.
tooth 11 -
6mm probing depth
(mesially)
rest of the mouth
4-5 mm
:red_flag:
Pt fit & healthy,
smokes 25 ciggs/day:red_flag:
Pain hx (SOCRATES)
:pen:
Tell me more abt it?
When did it start?
Onset?
Pain on biting?
Associated symptoms?
Pain scale?
Perio hx
:pen:
(we alrdy knw it is wobbly bt s/t tooth is bit extruded or gap in the middle)
Ask if it ws like this before the swelling appeared ? or aftr the swelling?
:red_flag:
if the tooth is sticking out like this prior to the swelling --> may b continuous trauma on this tooth lead to swelling + more bone loss.
Gap - safe place for food to be trapped
if aftr - swelling is pushing the tooth down or separate.
Sensitivity?
Funny taste? bleeding gums?
Gum boil?
Dental hx
:pen:
Previous tt?
(regular attendee?
regulr scale & clean?)
Oral hygiene regimen? Interdental aids?
Medical hx
:pen:
Fit and healthy?
Medications, allergies?
Last BSL tested?
Family hx :pen:
Gum disease? early tooth loss?
Diabetes?
Social hx
:pen:
Smoking already given? reconfirm?
Alcohol?
Investigations
:question:
Palpate gums (to check fr any swelling?
OPG (to get bigger picture - bone levels)
Tap and see?
Organise blood tests with GP
No intro req