Individual Prophy Cycle

A 51-year old diabetic patient presents with good oral health at a prevention session. Her blood sugar levels are stable at HbA1c = 6.2%, and thus her condition is thought to be sufficiently managed with the antidiabetic drug metformin. The patient has no existing restorations or early oral disease. Using the dental results, it is possible to determine gingivitis in spite of an otherwise stable condition. more

The direct relationship between intraoral and general health, as well as the bidirectional influence that they may have on one another, is well-known (1,2). It is absolutely essential to consider both factors when planning preventive intraoral measures and treatment in the dental practice. The primary objective is the maintenance of patient health and quality of life from both dental and medical perspectives. more

In the medical history, the 55-year-old patient states that he has no systemic disease and is not taking any medication. The patient’s lifestyle is similarly unremarkable. The patient has a few tooth restorations and two implants (2nd and 4th quadrants). On the basis of current findings, gingivitis is identified in an otherwise stable periodontal condition on the reduced periodontium (stage III, grade A). more

A 52-year-old patient presents at a preventive care session. The patient has no systemic disease and is not taking any medication. He has had various dental treatments and also has two active carious lesions. In addition, the patient has four implants (2nd, 3rd and 4th quadrants). He is revealed to have early periodontal disease (stage IV, grade B). His periodontal condition is stable; a probing depth of Probing depths (ST) of 5 mm is only evident at the implant in region 36. Gingivitis is also identified. more

This case report of a 52-year-old male with type 2 diabetes and periodontitis emphasizes personalized preventive measures and periodontal health maintenance to manage the moderate disease progression risk. more

28-year-old patient, smoker, with erosions. The bidirectional relationship between oral and general medical health is very well known. It is no longer sufficient – and arguably even old-fashioned – to consider intraoral conditions in isolation. In order to create a personalized, case-specific preventive and patient profile, it is essential to take a detailed medical history and perform diligent examination of the general medical and intraoral health, as well as considering the two in combination. more

The patient is 39 years old and has previously undergone aortic valve replacement due to valve failure and endocarditis. ASS 100 is taken regularly as an anticoagulant. In terms of lifestyle, the patient’s diet is classified as caries-promoting due to the regular consumption of sugary foods and the fact that six to seven meals are consumed daily. The patient’s oral health indicates a moderate risk of caries, with active lesions. The risk of periodontitis is low, but gingivitis is present. The following recommendations are made for prophylactic treatment. more

A 71-year old patient presents with having previously undergone a kidney transplant and with a history of hypertonia (high blood pressure). Due to his medical history, long-term medication with cyclosporine is required to suppress the immune system, as well as amlodipine to lower blood pressure. The patient also reports sensitive and bleeding gums. From an oral health perspective, the patient has undergone dental restoration and has eight missing teeth, pronounced gingival growth, and grade B, stage II periodontitis with active pockets and initial root caries on tooth 22. The caries risk assessment determines a moderate risk of caries (API 60). The following treatment recommendations can be determined for the prophylaxis session. more

The 68-year-old patient has no general health conditions and is not taking any medication that may be relevant to her oral health, and her lifestyle does not pose any particular risk. The patient has two dental implants (3rd quadrant, for five years) and a previous case of periodontal disease (stage IV, grade B periodontitis) with tooth loss. Currently the periodontal conditions are stable. However, periodontitis significantly increases the biological complications of implantations and there is a risk of implant loss (21). Four recommendations can be determined for the prophylaxis session. more

NIWOP – No Implantology without Periodontology