1. This document presents a case study of a 58-year-old male patient who came to the dental department complaining of difficulty chewing for the past 4 months and wanting to replace his missing teeth. 2. On examination, the patient was found to have moderate gingivitis, established destructive periodontal disease, and class 1 and 2 gingival recession. Laboratory tests were normal. 3. The provisional and final diagnoses were chronic generalized periodontitis. The treatment plan involved three phases of nonsurgical periodontal treatment followed by a surgical phase and long-term maintenance.

2. CASE PRESENTATION:
Implant prosthesis irw 12-
22
Guided By:
Dr Surabhi Joshi
Dr. Santosh Kumar
Prof. & H.O.D.
Dr Shreya gajjar
Presented By:
Dr. Rutu Dabhi
M.D.S. Part III

3. PERSONAL HISTORY:
•Name:hiteshbhai patel
•Age: 58yrs.
• Sex: Male
•Occupation: Retired
•Address:Kirtidham
society, adalaj
•O.P.D. No: 28404/21

4. CHIEF COMPLAINT:
Patient has a chief complains of difficulty in chewing since last 4
months.
HISTORY OF PRESENT ILLNESS:
Pt. came to the department of peridontics with the complain
of difficulty in chewing and wants to replace his missing
teeth.

5. • Prosthesis irw 15,16
PAST DENTAL
HISTORY:
• No relevant medical history.
MEDICAL HISTORY
• No significant family history
FAMILY HISTORY
• Vaccinated with 1st and 2nd dose
COVID HISTORY

6. PERSONAL HISTORY:
DIET:
Pt. consumes Vegetarian diet
ORAL HABITS: Pt. brushes teeth with soft
toothbrush and non medicated toothpaste in a
horizontal fashion once in a day and tongue
cleaning regularly.

8. ON EXAMINATION:
EXTRA ORAL:
•Facial symmetry:
Bilaterally symmetrical
•Lymph nodes :Non
tender and non palpable
•TMJ : on inspection
normal mouth opening,
no abnormal jaw
movements or deviation
seen
•On palpation no
tenderness or clicking or
crepitus felt
INTRA ORAL
•Lips- Competent, No
abnormality detected
•No abnormality detected
•Mucosa- No abnormality
detected
•Palate- No abnormality
detected
•Floor of mouth- No
abnormality detected
•Tongue-
• Tonsils- No abnormality
detected
•Any other- No
abnormality detected

9. Inference: fair
•Oral hygiene index simplified
•OHI-S = D.I + C.I
•OHI-S = 1.49
Inference: Moderate GINGIVITIS
•Gingival Index:-
•(Loe & Sillness)
•1.3
Inference: established destructive
periodontal disease
Russel’s Periodontal Index
•Score: 3.28

10. Gingival Recession :
Class 1 gingival recession irw,13,23
Class ii gingival recession irw 31,41
Frenal attachment: Maxillary:
mucosal
Mandibular: Mucosal
Width of attached gingiva:
Maxillary: adequate
Mandibular: adequate
Vestibular depth :
Maxillary: Adequate
Mandibular : Adequate
MUCOGINGIVAL STATUS:

11. HARD TISSUE EXAMINATION:
Number of teeth present : 27
Number of teeth missing: -05
Restored tooth: -2
Type of occlusion: Angle’s Class I malocclusion

12. PROVISIONAL DIAGNOSIS:
Chronic Generalized periodontitis

13. • LAB DIAGNOSIS:
WBC count- 7800 cc mm
Hemoglobin- 12.6 mg%
Bleeding time- 1 min 40 seconds
Clotting time- 3 min 58 seconds
Blood glucose level- 86 mg/dl

14. FINAL DIAGNOSIS:
Chronic Generalised periodontitis
Generalised periodontits Stage 1 grade A

15. TREATMENT PLAN:
Phase I
Maintenance
phase
Phase II
Maintenance
phase
Phase III
Maintenance
phase

16. Surgical
phase

31. Thank you