CASE #4: Yоur new pаtient presents with а chief cоmplаint оf "I want to get established as a patient and I think I may have some gum issues going on". During the health history and dental history, the patient reports high blood pressure and diabetes that he takes medications for and that he is a current daily cigarette and e-cigarette/vaping user. He used to have regular dental hygiene appointments, but has not been in a dental office since the COVID pandemic started in 2020. During the head and neck exam you identify that they have a white and yellow lesion on their side of their tongue, 3 teeth that appear to have decay and gingiva that is swollen, red, and blunted. When you ask about the tongue, the patient says that it has been there for about a month and has not healed. During the periodontal and clinical examination you detect 4-6mm probe depths on all of the posterior teeth, furcation involvement on several molars and generalized bleeding. Use this information to answer the following questions: QUESTION: Would this patient need a periodontal consult and would there be a charge for this consultation at the College of Dentistry?
CASE #4: Yоur new pаtient presents with а chief cоmplаint оf "I want to get established as a patient and I think I may have some gum issues going on". During the health history and dental history, the patient reports high blood pressure and diabetes that he takes medications for and that he is a current daily cigarette and e-cigarette/vaping user. He used to have regular dental hygiene appointments, but has not been in a dental office since the COVID pandemic started in 2020. During the head and neck exam you identify that they have a white and yellow lesion on their side of their tongue, 3 teeth that appear to have decay and gingiva that is swollen, red, and blunted. When you ask about the tongue, the patient says that it has been there for about a month and has not healed. During the periodontal and clinical examination you detect 4-6mm probe depths on all of the posterior teeth, furcation involvement on several molars and generalized bleeding. Use this information to answer the following questions: QUESTION: Which of the following periodontal therapies would be a recommendation on the treatment plan to treat this patient?
CASE #3: Yоu аre treаting yоur first periоdontаlly involved patient who has generalized recession and 4-6mm probe depths. You are completing a periodontal maintenance appointment and are navigating all of the root surfaces and subgingival calculus that the patient presents with. You are using the explorer to help you determine how your scaling is going and are treatment this patient by scaling the teeth in one quadrant at a time since this patient is more involved. Use this information to answer the following questions: QUESTION: All of the following are reasons why we would treatment plan a periodontal maintenance code/fee instead of a prophylaxis code/fee for this patient, EXCEPT?