Periodontal Care Plan

PERIODONTAL CARE PLAN (PCP)
Patient Name: Age: 24

Date of initial exam: 9-30-19 Date completed:
1. Medical History: (systemic conditions altering treatment, pre-medication, medical clearance)

explain steps to be taken to minimize or avoid occurrence, effect on periodontal diagnosis
and/or care)
Besides a few surgery’s, the patient is currently not on any medications and does not have any major
systemic conditions. In 1997, the patient had a groin hernia repair, 2013 a lymph node biopsy, and in
2015 a cesarean section. None of these surgeries were major concerns for premedication of a medical
release. Clinician will be explaining to patient the importance of proper oral hygiene care to prevent the
disease progression and prevent further progression from occurring. With this patient having
periodontitis, the patient should be on a 3-4-month recall.
The patients first visit was 9-30-19, at the appointment her vitals were Blood Pressure: 121/85 R stage 1,
Pulse: 88+2 regular, Respirations: 17 regulars east, normal and her Temperature was 97.5 normal, all her
vitals besides blood pressure were within normal limits. The health of the body starts in the mouth. When
you have bad oral health, it can potentially have effects on the heart because of the spread of disease. On
the same day I did an FMX on the patient, and the patient was established as a periodontal case patient. I
believe after the patient was shown her X rays and realized how much bone loss and calculus, she has she
will be willing to continue with the necessary means for treatment. The patient had also stated multiple
times during her appointment that she was excited to come back and finally have her teeth cleaned.
The patient returned on 10-7-19 to begin cleaning her BP was 122/88 R stage 1, pulse was 84+2 reg
WNL, and respiration was 16 Reg easy normal WNL, and temp was 98.5 normal.
The patient returned on 10-14-19 to have another quadrant cleaned- BP was 118-76 R normal, pulse 87+2
reg WNL, respiration 18 Reg easy normal WNL, temp 98.0 normal.
The patient returned on 11-4-19 to have another quadrant cleaned- BP was 110/70 R normal, pulse 88+2
reg WNL, respiration 19 Reg easy normal WNL, temp 98.0 normal.
The patient returned on 11-11-19 to have another quadrant cleaned- Bp-118/77 R normal, pulse 87+2 Reg
WNL, respiration 16 reg easy normal WNL, temp 97-7 normal.
The patient returned on 11-25-19 for post perio and calculus evaluation Bp: 114/73 R normal, pulse 83+2
reg WNL, respiration 17 Reg easy normal WNL temp 97.9 normal.
I know the patient is willing to continue treatment and is wanting to have better oral hygiene because
she asked me when she was leaving when her next appointment will be and that she was excited to return.
2. Dental History: (past dental disease, response to treatment, attitudes, dental I.Q., chief complaint,
present oral hygiene habits, effect on periodontal diagnosis and/or care)
The patient does not have routine appointments with the dentist, she was unaware of when her last
appointment was. The patient was extremely interested in halting the progression of her disease, when I
discussed with her that she had periodontitis she asked me what that was and how she could stop it. The
patient is willing to come back for a deep cleaning and learn how to maintain her oral health. She did not
have any pain in her mouth the only thing she came in for was a cleaning. The patient stated that she
brushes only once a day and does not floss. She does not use moth rinses, fluoride or any other oral
irrigators. The plaque biofilm she has let accumulate has caused generalized calculus, edema, edematous,
rolled margins, bulbous papillae, localized blunted anterior papillae, smooth and shiny papillary &
marginal and attached surface texture. The patient has generalized deep pockets ranging from 4-6mm.
3.Oral Examination: (lesions noted, facial form, habits and awareness, consultation, effect
on periodontal diagnosis and/or care)
The patient had a cold sore on her right labial commissure from when she had split her lip open,
and she had a unilateral small lymph node on the right submandibular. Also, her TMJ she had
bilateral popping, but she did not have any tenderness. The patient had multiple intraoral atypical
signs; midline tori on the hard palate, scar tissues on the labial mucosa from an injury, bilateral
linea alba on the buccal mucosa from cheek biting, bilateral mandibular tori on the floor of her
mouth and scar tissue on her tongue from her tongue ring. The patient stated she grinds her teeth
at night time, clenches when she is agitated, mouth breathes when she is stopped up and does
have a tongue thrust. The patient’s molar and canine classifications on both right and left were
all class I. Her overbite was 5mm, overjet was 1mm, and a 1 mm to the right mid-line shift.
There was no open bite or cross bite noted. Patient has a PE tooth on #1, and 17, and impacted
tooth on #16, and an extracted tooth on #32. Also, she had a torsoverted lateral central incisor
mesially almost completely on tooth #7. All her present molars, 1, 2, 3, 14, 15, 17, 18, 19, 30 and
31 will all be sealed. A lot of her intra oral exam can cause a collection of plaque biofilm to
accumulate. Breathing in aerosols from the outside, partially erupted teeth, impacted tooth and
her tosoverted tooth causes plaque biofilm to be stored in certain areas of the mouth that are
harder to clean.
4.Periodontal Examination: (color, contour, texture, consistency, etc., effect on periodontal

diagnosis and/or care)
There was no suppuration noted on this patient. Her architecture was generalized
scalloped with localized flat on the mandibular anterior teeth. The patients color was
generalized red, consistency generalized edematous/spongy, generalized rolled margins
with localized thickened margins on the mandibular anterior lingual, and generalized
bulbous papillae with localized blunted mandibular anterior lingual. The surface texture
for papillary and marginal was smooth and shiny and the surface texture for attached was
smooth and shiny as well. Edematous and red gums eventually lead to pockets around the
teeth that fill with plaque bacteria which leads to bone loss and eventually tooth loss.
The patient had <15% horizontal bone loss on the UA, and LL on teeth #6D, 7D, 18M,
and 20M and a 15-33% horizontal bone loss on LA, and LR on teeth # 27D, 28D, 29D,
and 30D. Calculus was found on the UA, UL, LL, LA, and LR on teeth #9D, 10M, 13M,
14M, 30M, 29M, 28M, 27D, 24M.
a. Periodontitis Stage: II Periodontitis Grade: C Extent & Distribution: Generalized

moderate periodontitis with moderate bleeding upon probing.
Describe determining factors/ etiology behind Stage, Grade. & Extent of disease findings:
The determining factors for the stage and grade are the radiographs taken on the patient. They
show the amount of bone loss the patient currently has. Also, the etiology would be how well the
patient is currently performing home oral hygiene. Inadequate home health care can lead to
plaque buildup causing inflamed tissues, redness and eventually tooth loss and bone loss. The
pocket depths noted in the patients’ mouth and that there is no tooth loss are also determining
factors in the stage. The grade was determined by the patients smoking, age, bone loss and
amount of biofilm present.
b. Gingival Description:
App't 1:
Architecture: Generalized scalloped and localized flat mandibular anterior
Color: Generalized red
Consistency: Generalized spongy
Margins: Generalized rolled and thickened mandibular anterior lingual
Papillae: generalized Bulbous and localized blunted mandibular anterior lingual
Suppuration: None
Surface texture (papillary and marginal) -Smooth and shiny
Surface texture (attached) – smooth and shiny
App't 2:
Suppuration: None
Surface texture (attached) – smooth and shiny)
App't 3:
Suppuration: None
App't 4:
Suppuration: None
App't 5:
Suppuration: None
App't 6:
Architecture: Generalized scalloped and localized SLIGHT flat on mandibular anterior
Color: Generalized pink localized red mandibular anterior
Consistency: Generalized spongy (not as spongy as when she first came in)
Margins: Normal
Papillae: Generalized bulbous
Suppuration: None
Surface texture (papillary and marginal): Smooth shiny
Surface texture (attached) Smooth and shiny
c. Plaque Index: App’t 1: 3%-Fair_

2: 1.8%-Fair
3: 1.8% - Fair
4: 1.3%- Fair
5: 1.3%- Fair
6: .6%- Good
d. Gingival Index: Initial: 1.2 Fair Final _1.41_Fair_
e. Bleeding Index: App’t 1: 19.4%

2: 13.8%
3: 14.3%
4: 2.5%
5: 20%
6: 9%
f. Evaluation of Indices and effect on periodontal diagnosis and/or care:
1. Initial: The evaluation of indices showed me that these factors play a role in the patients
generalized moderate periodontitis with moderate bleeding. The patient has localized <15%
bone loss in two quadrants of the mouth and 15%-33% bone loss in two quadrants of the mouth.
The patient’s plaque score was 3% which is fair but is the primary factor in the patient’s bone
loss. The gingival index was 1.2 which is fair, but we are going to try to bring it down to 0 by
the final appointment. Patient ed about pocket depths and smoking will be discussed to further
the patient’s knowledge about periodontitis and how if it progresses it can lead to a more severe
case. The bleeding score was 19.4% and we hope to bring it down to a lower number by the final
appointment.
2. Final: The patient has slight generalized plaque with generalized inflammation but not as
inflamed as the initial appointment. The inflammation has reduced significantly and is now less
inflamed than before. The patients bleeding score fluctuated throughout the treatment. She
started high at 19.4 dropped lower at the second appointment at 13.8, jumped back up to 14.3 at
the third appointment and then to 2.5 at the forth, jumped back up to 20%, and then back down
to 9% by the final appointment. I believe the patient wants to improve her oral health but wants
to do it on her own terms. She’s told me she brushes twice a day but still doesn’t floss regularly.
She stated that she used to love flossing when she was younger but now, she doesn’t like it
because it hurts. When I explained to her that while flossing will help remove the plaque from
beneath the tissues, it will also help your gums from being inflamed because the plaque was
causing the sensitivity. She understood and said that she was interested in trying to see if it
helped her, so I sent her home with some floss to try.
g. Periodontal Chart: (Record Baseline and First Re-evaluation data, effect on periodontal
diagnosis and/or care)
1.Baseline: At this appointment I recorded probe depths. The pocket depths ranged from 4mm to
6mm, with loss of attachment. With these pockets being so deep it will cause plaque biofilm to
accumulate in these areas. It will be more difficult for her to clean those specific spots but with
adequate home care and recall appointments the buildup can be maintained, and the progression
can be slowed down. There was also heavy supragingival calculus buildup on the lingual of the
anterior teeth. If patient does not have recall appointments every 3-4 months, and adequate home
care the progression and rate of disease will continue to increase.
2.First evaluation: The patient had improvements in pocket depths. At the initial appointment there
were 5mm and a couple 6mm pocket depths, and all these pocket depths were decrease to a 4 or
below besides tooth #30 which had a 5mm still. Various 3mm pocket depths generalized throughout
the mouth shrunk to 2s as well. Her overall gingival health is improving significantly. The patient
does not have any recession. There is no mobility, suppuration and only some sensitivity
occasionally around the inflamed areas.
5. Dental Examination: (caries, attrition, midline position, mal-relation of groups of teeth, occlusion,
abfractions, effect on periodontal diagnosis and/or care)
The patient’s molar and canine classifications were all class I, with an overbite of 5mm,
an overjet of 1mm, and a mid-line shift of 1mm to the right. There were no cross or open
bites observed on the patient. The patients #1 tooth was partially erupted along with tooth
# 17, tooth #16 is impacted and # 32 was extracted. Tooth number 7 was torsoverted
mesially. All her present molars, 1, 2, 3, 14, 15, 17, 18, 19, 30 and 31 will all be sealed.
These findings can contribute to the disease because they are harder areas to adequately
clean. If she is unable to clean these areas plaque bacteria will accumulate, and lead to
tooth loss and bone loss, especially if she isn’t flossing or going to her recall
appointments. There was no suppuration noted on this patient. Her architecture was
generalized scalloped with localized flat on the mandibular anterior teeth. The patients
color was generalized red, consistency generalized edematous/spongy, generalized rolled
margins with localized thickened margins on the mandibular anterior lingual, and
generalized bulbous papillae with localized blunted mandibular anterior lingual. The
surface texture for papillary and marginal was smooth and shiny and the surface texture
for attached was smooth and shiny as well. The patient had <15% horizontal bone loss on
the UA, and LL on teeth #6D, 7D, 18M, and 20M and a 15-33% horizontal bone lose on
LA, and LR on teeth # 27D, 28D, 29D, and 30D. Calculus was found on the UA, UL, LL,
LA, and LR on teeth #9D, 10M, 13M, 14M, 30M, 29M, 28M, 27D, 24M. If the calculus
is not properly taken care of it can lead to progression of disease, and potentially could
lead to tooth loss.
6. Treatment Plan: (Include assessment of patient needs and education plan)

App't 1:
- Update medical/dental history
- Pre-rinse
- Statement of release
- HIPPA
- Patient appointment practice
- Head/neck exam
- Dental charting with xrays
- Perio assessment
- Initial bleeding score
- Initial plaque score
- Initial gingival index score
- Took FMX on patient
- Pt. ed about brushing 2x a day.
- LL’ involvement.
- Scheduled patient for 2nd appointment.
App't 2:
- Pre rinse
- Bleeding and plaque score
- Take pictures on intraoral camera to be able to provide examples in the patients mouth of
calculus, and inflammation
- Update gingival condition
- Ultrasonic mandibular right quad
- Full mouth periodontal charting on mandibular right quad
- Fine scale mandibular right quad
- 1st pt. ed session about Plaque and brushing
- Summarize topics for next appointment
- Schedule 3rd appointment
For patient ed I have chosen 3 long term goals that I feel are attainable for my patient. At
each patient ed session I will discuss these long-term goals and the short-term goals I
have planned for my patient. If changes are necessary, my patient and I will discuss how
we can fix the goals so my patient will achieve them.
LTG: Plaque score will be 0 by final appointment
STG: Pt will define plaque
STG: PT will lower plaque score at each appointment by 1
STG: Pt will demonstrate back to me the correct brushing technique
LTG: Patient will lower bleeding score to 8% by final appointment

STG: Pt will define periodontitis
STG: Patient will halt progression of periodontitis by checking bone loss and bleeding
STG: Pt will demonstrate the correct flossing technique
LTG: PT will reduce smoking habits from one pack to 1/3 a pack a day
STG: Pt will understand how smoking increases periodontitis and causes stains
STG: Pt will reduce amount of smoking at each appointment by 3 cigarettes a day
STG: Demonstrate how she will reduce amount.
Pt. Ed session 1 (Brushing and plaque)

I will first start patient ed by explaining to my patient the long- and short-term goals I
have set for her. Any necessary changes will be discussed in patient ed if my patient
needs to. I will define plaque with my flip book page and show my patients pictures of
plaque and what it can lead to. I will then explain to my patient what a plaque score is
and tell her why we want to lower her score to 0 by her final appointment. I will then
teach my patient proper brushing. I will be teaching her the bass method using my flip
book page over brushing. I will demonstrate the bass method motions on the typodont
then bring my patient to the mirror and let her show me how to do this technique in her
mouth. To show the patient the areas in the mouth they are missing I will use the
disclosing agent and make any necessary changes to the brushing method they just
performed. Tell patient how these goals will only be achieved if patient is willing to
comply and make these changes for themselves.
App't 3:
- Update medical and dental history
- Prerinse
- Ultrasonic mandibular left quadrant
- Full periodontal charting on mandibular left quadrant
- Fine scale mandibular left quadrant
- Pt ed session #2 about periodontitis and flossing
- Schedule 4th appointment
Pt. Ed Session #2- Review long and short-term goals. Review patient and ask them if they
remember what plaque is and what it can cause. Ask them if they have been using the bass
method of brushing and if it is working for them. Have patient define what periodontitis is and
how it is irreversible but halting the disease is possible. I will use my flipbook page about
periodontitis and teach my patient about their recession and if it continues it will lead to more
bone loss. I will also teach my patient proper flossing techniques on the typodont then bring
them to the mirror and let them practice flossing with the new technique they learned. I will then
use the disclosing agent on the teeth and show patient where they are missing while flossing and
make any changes if necessary. Remind patient these goals are only going to be achieved if
patient is using the new techniques learned.
App't 4:
- Update medical and dental history
- Pre rinse
- Ultrasonic maxillary left quad
- Full perio charting on maxillary left quad
- Fine scale maxillary left quad
- Patient education on smoking
- Schedule 5th appt.
Pt. ed session #3- I will start this session by talking about the long, and short-term goals. I will
then have patient define periodontitis and ask if the flossing technique is working out for her. I
will then use my flip book page about smoking to explain to my patient how smoking increases
plaque and causes stain. I will encourage my patient to stop smoking, so she increases her
chances of halting the disease. I will ask my patient how they feel they are doing with all the
goals we have set and if they think they are improving their oral health.
App't 5:
- Update medical dental history
- Pre rinse
- Bleeding/plaque score
- Update gingival assessment
- Ultrasonic maxillary right quad
- Full perio charting on maxillary right quad
- Fine scale maxillary right quad
- Pt. ed about goals we have discussed and see if they can define plaque, periodontitis,
and caries.
- Will take more intraoral pictures to compare before and after pictures of gum tissue,
and healing.
- Book 6th appointment
App't 6:
- Pre rinse
- Update gingival conditions
- Final Bleeding and plaque score
- Final gingival index score
- Final perio charting
- Plaque free
- Fluoride treatment
- Book 3 month recall appointment
7. Radiographic Findings: (crown root ratio, root form, condition of interproximal bony
crests, thickened lamina dura, calculus, and root resorption; effect on periodontal diagnosis
and/or care)
The patient had <15% horizontal bone loss on the UA, and LL on teeth #6D, 7D, 18M, and 20M
and a 15-33% horizontal bone loss on LA, and LR on teeth # 27D, 28D, 29D, and 30D.
Calculus was found on the UA, UL, LL, LA, and LR on teeth #9D, 10M, 13M, 14M, 30M,
29M, 28M, 27D, 24M. If the calculus is not properly taken care of it can lead to progression
of disease, and potentially could lead to tooth loss.
8. Journal Notes:(Record in detail the treatment provided, oral hygiene education, patient
response, complications, improvements, diet recommendations, learning level, short- and long-
term goals, expectations, etc.) The progress notes should be written by appointment date.
Appt 1: (9-30-19) Treatment: Medical/dental history. Pre-rinse, statement of release, HIPPA,

patient appointment practice, Head and neck/ intra and extraoral exam, periodontal assessment,
dental charting with FMX, informed consent- referrals #16, 17, and 1 need to be extracted, risk
assessment, plaque score, bleeding score, x-rays taken FMX- phosphor plates. Education:
brushing day and night, learning level: involvement. Patient seemed to be extremely interested
and wanted to learn more.
Appt 2: (10-7-19) Treatment: Reviewed medical/dental history. Pre-rinse, plaque and bleeding
score, anesthesia-lidocaine HCL2% 1:100,000 injection 1.7ml, ultrasonic and fine scaled
mandibular right, needed the fine scale checked, and intraoral pictures. Education: brushing and
bass method, reviewed all long-term goals and short-term goals. Long term goals were to reduce
plaque score, lower bleeding score to 8% by final appointment, and reduce smoking from 1 pack
to 1/3 pack a day. Short-term goals define plaque, lower plaque at each appointment by 1, let the
patient demonstrate correct brushing technique, define perio, halt progression of disease, and
demonstrate flossing, understand how smoking increases disease and stain, reduce smoking by 3
cigarettes a day, and demonstrate how she will reduce the amount. I explained to the patient what
plaque is, and what it can turn into. I told the patient that plaque is bacteria. Also explained to her
how you can’t effectively remove calculus by yourself at home so 3-month recalls are necessary
for her periodontitis. We focused on the bass method of brushing and the patient demonstrated to
me the correct technique. The learning level I have the patient was involvement.
score. Ultrasonic and fine scaled maxillary right, needed the fine scale checked and perio charted
maxillary and mandibular right and had mandibular right fine scale checked. Education: the
importance of flossing and how it can halt the progression of her disease. The patience response
seemed to be that she understood and was willing to try the new technique I taught her.
Reviewed all LTG and STGs with the patient. I explained to the patient what periodontitis is, and
how you are unable to get ride of it, but you can halt the progression. Flossing is essential to
remove plaque in between teeth to prevent further bone loss. I taught the patient the “C-method”
of flossing and she seemed to be able to reach all areas of the mouth and didn’t have any
questions or complaints. I gave the patient the learning level of action.
score, ultrasonic and fine scaled maxillary left, needed the fine scale checked, perio charted
maxillary left, and had maxillary right fine scale checked. Education: Reviewed long term and
short-term goals. I explained to my patient how smoking increases the disease and can cause
stain, recession, dry mouth which can lead to caries and oral cancer which is what we want to
prevent. The learning level I gave her was action.
score, ultrasonic and fine scaled mandibular left, needed mandibular left fine scale checked, had
maxillary left fine scale checked, perio charted mandibular left. Education: flossing two times a
week because she had stated she wasn’t flossing, and I gave her the learning level of
involvement.
score, mandibular left fine scale checked, plaque free, fluoride NaFL 2.0%, x-ray retakes on
maxillary right, and left and mandibular left, sealants on #19, and 30. I did a full mouth post
perio evaluation and overall, there was a decrease in pocket depths. There were few recordings
of 4mm and only one 5mm pocket depth. This told me the patient is also doing what she needs to
be doing at home to make sure her gums stay healthy. Education: the patient seemed to have
built up plaque faster so I stressed flossing to help reduce the subgingival calculus which in turn
will reduce gingival inflammation. When I explained to the patient how plaque below the gums
can cause inflammation and sensitivity she understood and said she was going to buy some more
floss to try. Instead of her having to go buy some I gave her some for the clinic and told her to
try it and let me know if they sensitivity reduced by next time, I saw her. The learning level I
gave her was action because she said she was excited to try it and tell me about her progress at
her next appointment. The patient’s inflammation overall decreased significantly but wasn’t
completely gone. Patient was interest in coming back next semester for a recall appointment, so I
told her I could see her again in February of 2020.
9. Prognosis:(Based on attitude, age, number of teeth, systemic background, malocclusion,

tooth morphology, periodontal examination, recare availability)
I rate my patient as a good prognosis because my patient is overall very cooperative and
eager during her appointments to be back at the healthiest state possible. She stated several times
to me that her teeth and gums felt so much better and she loved the feeling. She showed
commitment and involvement whether it be from brushing morning and night, flossing 2x a
week or attempting to quit smoking. This is resulting in the reduction of plaque in the patient’s
mouth and her being concerned and asking different ways to help keep her mouth healthy. My
patient is 24 and still have full functional teeth with no mobility or suppuration. She did ask
about her sensitivity in her gums which I explained to her the importance of flossing to reduce
subgingival plaque. My patient had localized posterior 4-5 mm pocket depths, and most of these
pockets shrank to 2-4 mm by the post periodontal evaluation. Which I explained to her how
amazing that was. I rate my patient a good prognosis instead of fair or poor, because she had
made multiple efforts to improve her oral health. Including brushing morning and night, deciding
to floss, and cutting back on smoking. My patient asked my several times when her next
appointment was, so I know she is eager to come back next semester.
10. Supportive Therapy: Suggestions to patient regarding re-evaluation, referral, and recall
schedule. (Note: Include date of recall appointment below.)
I explained to my patient the results of the re-evaluation appointment. I explained that with her proper
home care methods that there is an improvement of the gingiva and pocket depts. I praise her on how
awesome she has been doing and encouraged her to continue the home care even after the treatment to
maintain a healthy oral cavity. Referrals that my patient had are extractions of #16, 17, and 1. As for her
revaluation I put down for a three month recall February 2020.
Assessment of Changes: (note “Grade” at the end of treatment, compare changes in

periodontitis classification, changes in plaque control, bleeding tendency, gingival health,
probing depths, effect on periodontal diagnosis and/or care)
Plaque control- after reviewing the indices the patient showed obvious improvements in plaque
control which proves to me that she is improving her home health care.
Bleeding tendency- my patient’s bleeding score fluctuated throughout her appointments but by
the final appointment she had reduced her score by almost 10%.
Gingival health- my patient’s inflammation improved greatly, but the gingival index increased
by .2
Probing depths- My patient originally started with 4-5mm probing depths and they have reduced
tremendously. The highest probe reading the patient currently has is one 5mm pocket on tooth
#31. Many areas reduced to a 2-3 mm pocket depth, which is great. I believe this is a result of
proper home maintenance.
My patient has improved greatly in area of plaque and slightly in gingival health. If my patient
continues the proper home care and starts to get back into her routine dental care, the full halt of
progression of her disease can be achieved, which is the main goal in this treatment.
12. Patient Attitudes and Cooperation:

My patients’ attitude was always positive, attentive, and mindful. She was very considerate of
my time and only canceled on me once but that was because she had pink eye (which kind of
worked in my favor because I had the flu that day). She was always very excited about coming
and I knew I never had to worry about her showing up on time or showing up at all. She was
always very attentive when I discussed anything with her and was always so interested in
learning how she could improve her oral health. She was excited to come back next semester and
stated several times that she was ready for the next appointment.
13. Personal Evaluation/Reaction to Experience:
Even though this was a very stressful assignment, this was a great learning experience for me.
The results in the end were worth all the stress, time and process. I feel like I have learned so
many things that I never thought about while in first clinic. Being able to recognize the things we
talk about in class with a physical visual of them really helped me learn the differences
especially since I am a hands-on type of person. This case has really been an eye opener to the
differences between healthy gingival tissue and unhealthy when at the beginning I was
struggling. I hope next semester when she returns for her recall appointment, I will get to see
even healthier gingival tissues and halting of the disease.

Periodontal Care Plan

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PERIODONTAL CARE PLAN (PCP)

Patient Name: Age: 24

1. Medical History: (systemic conditions altering treatment, pre-medication, medical clearance)

4.Periodontal Examination: (color, contour, texture, consistency, etc., effect on periodontal

a. Periodontitis Stage: II Periodontitis Grade: C Extent & Distribution: Generalized

c. Plaque Index: App’t 1: 3%-Fair_

d. Gingival Index: Initial: 1.2 Fair Final _1.41_Fair_

e. Bleeding Index: App’t 1: 19.4%

6. Treatment Plan: (Include assessment of patient needs and education plan)

LTG: Patient will lower bleeding score to 8% by final appointment

Pt. Ed session 1 (Brushing and plaque)

Appt 1: (9-30-19) Treatment: Medical/dental history. Pre-rinse, statement of release, HIPPA,

9. Prognosis:(Based on attitude, age, number of teeth, systemic background, malocclusion,

Assessment of Changes: (note “Grade” at the end of treatment, compare changes in

12. Patient Attitudes and Cooperation:

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