Upon review these were the findings -
C/c- Patient complains of bad breath after 5-6 hrs of daily brushing, also bad taste since 2years and receding gum line on canine region
Elaborately these are to be done for -
History of oral hygiene maintenance, hormonal changes, gastric disturbances and other organs-halitosis,
Gum line recession irt canine-tooth brush trauma? gingival inflammation and gum line recession? periodontal cause?
Provisional diagnosis -
Chronic generalised gingivitis?
Differential diagnosis -
Periodontal involvement? receding gum line
Menstrual cycle history and hormones causing gingival problems
Diagnostic tests -
Plaque and calculus staining for oral hygiene check
Treatment advise for -
Oral prohylaxis with oral hygiene instructions
Use? of mouth wash
Do you have bad odour from mouth? is it from poor oral hygiene? or from metabolic origin from gastric cause called- bad odour -halitosis
Clinical review and refer
Prognosis -
fair
Next Steps
oral prophylaxis and review for referral?
Health Tips
do get scaling and prophylactic treatment for proper oral hygiene maintenance every 3-6months an year