Case Description

A mentally alert 71-year old male presented to the Dental Hygiene Clinic for routine periodontal maintenance procedures.  He appeared to be a reliable historian and reported a history of coronary by-pass surgery and use of nitroglycerine on rare occasions. Daily medications included 10 mg Pravachol^® for high cholesterol and .325 mg aspirin.

No significant findings were noted on the intra- or extra-oral dental examinations.  There was generalized slight marginal plaque and gingival inflammation.  Probing pocket depths ranged from 2 mm to 3 mm with isolated 4 mm pockets in molar interproximal sites.  The maxillary left central incisor exhibited 2 mm of recession, and a 5 mm and 6 mm pocket were detected on the facial and mesial surfaces, respectively (Figure 1).  Most molars had Class I furcation involvement on the facial and radiographs revealed generalized slight bone loss.

Figure 1.

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Citation Number: Vol. 4, No. 3, Page 054