牙科病例（Dental case）.docVIP

牙科病例（Dental case） Chronic periodontitis is characterized by purulent bleeding in the lower anterior teeth for more than 1 month. Current medical history: the patient often bleeds gums and has bad breath when brushing gums during the past year. For the past few months, there has been an overflow of pus at the lower anterior teeth. Past history: asking patients to deny a history of major illness (no history of hypertension, heart disease), denying the history of blood diseases. Check: right under the 12 left 12 malalignment, calculus 2 degrees, swollen gums, light of bleeding, periodontal pocket depth of about 4-5mm, with pus, exploration of root surface rough calculus. Loosen 1 degrees. X-ray absorption level Duggan length is about 1/3. Diagnosis: right lower 12, left lower 12 adult periodontitis (chronic periodontitis) Differential diagnosis: gingivitis, gingivitis, gum inflammation, no periodontal bag formation, no alveolar bone absorption, no tooth loosening and other typical periodontitis clinical manifestations. Treatment plan: a thorough cleaning, scaling local irritants, hydrogen peroxide, Iodine Glycerol. 2., oral hygiene education, so that patients correctly grasp the method of brushing teeth. 3. a month later, the lower anterior teeth flap will be taken as appropriate to remove the periodontal pocket. 4., regular review, maintenance efficacy. Acute apical periodontitis Chief complaint: the patient suffered from sore left lower teeth for three days. Current medical history: Patients with lower left teeth have caries for several years, no discomfort, three days ago chewing pain after eating food, began to chew feel light pain, this pain gradually increased, accompanied by swelling to diagnosis. Past history: asking for denying major disease history. Check: left 6 deep caries and pulp, no loosening of exploration pain; 3; pain + + +, apical swelling, palpable pain, wave motion; the left cheek swelling of the body temperature of 38 degrees. The remaining teeth