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periо (1).png A 41 yeаr оld, diаbetic femаle patient, Ms Bareng Lechesa, frоm Brits, who smokes a daily 'joint' of marijuana to combat emotional stress, consults at your surgery with the main complaint: "my gums bleed whenever I eat." Two years previously she was treated for gum disease by one of the final year BDS students at Sefako Makgatho University's Oral Health Centre. Medical history: The patient has had no previous illnesses and operations. List of current medication(s): Metformin 500mg and multivitamin supplements. Allergies: None Habits: The patient neither consumes alcohol nor smoke cigarettes. Extra-oral examination (including "JACCOL") yielded no significant findings. Intra-oral soft tissues (except the gingivae), appeared normal. Details of the periodontal examination are reflected on the hard copy of the patient's charting record provided to you. Radiographic examination: a panoramic taken on the day of this consultation revealed widespread areas of alveolar bone loss on both the upper and lower jaws. The periapical radiograph shown on the slide above depicts the patient's worst affected site in terms of alveolar bone loss. At this site, the distance from the apex of the teeth to the cemento-enamel junction (CEJ) is 21mm, whilst the amount of the alveolar bone present is 11mm at the same site. NB: Please, utilize the radiograph depicted above and the hard copy of the patient's dental chart provided to you to determine the following: The extent and distribution is:
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