Perio day!

Today was very exhausting! It was filled with lots of perio. Which is a good thing because I need a lot of perio this year!

My morning patient was a lady I had seen before and I was just finishing up her remaining three quads. She has class III periodontal disease, and a lot of calculus. Luckily it comes off pretty good. She didn't have to be numb which surprised me, but she said it was fine and didn't hurt.

My afternoon patient was one that my peer pal gave me (thank you MeChel!). She saw her last semester and told me that my patient really wants to improve her health so she wanted me to have her come in. I saw that she had been diagnosed with class IV periodontal disease last semester and when I looked the x-rays I was amazed!! I hadn't ever seen so much bone loss! I wasn't even sure if it really existed! Every single tooth was mobile in her mouth. Her plaque free index was way high, so she has been doing a great job keeping it clean. She gums were very inflamed and there was a lot of bleeding. I was only able to probe the maxillary arch because she was very sensitive. I had my instructor numb a quad and then I went to work. I didn't even know how or where to start. But eventually I finished. I was only able to finish one quad because the calculus was very tenacious. I put her on CHX and hopefully I will see some improvement at the next appointment.