LORENZO HAS HAD SEVERAL ISSUES, IN THE PAST, WITH RED AND BLEEDING GINGIVAL TISSUE. OVER THE LAST FEW MONTHS HE NOTICES THAT HIS TEETH SEEM TO BE GETTING ‘LONGER’, AS WELL AS BEING LOOSE. ONE MORNING HE BITES INTO A SOFT MUFFIN AND TWO OF HIS TEETH CASUALLY FALL OUT.

What would you diagnose Lorenzo with?

What tests can be done to prove your diagnosis?

DISEASE DETERMINATION-DENTAL PANORAMIC X-RAY-PROBING OF GUM TISSUE-IDENTIFY ORAL HEALTH OF PAST/PRESENT-GENETIC TESTING (PREDISPOSAL OF DISEASE) USING DNA-PCR OF SALIVA

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Journal of Applied Oral SciencePrint version ISSN 1678-7757On-line version ISSN 1678-7765

Have you gums ever bled after brushing or flossing?

PREVENTION

• Can be genetically related, testing can be done by DNA-PCR of the saliva• Brushing 2x daily, for two minutes each time minimum• Flossing daily, BEFORE brushing

• Early Diagnosis: Gingivitis occurs before Periodontal Disease, and often leads to the disease. Bleeding of the gums after flossing and brushing is not something that should be taken lightly. This early stage can be reversed with prompt, optimal oral health. However, once the bacterial is spread to the bone, there is no reversal or cure.

-Antimicrobial mouth rinse, chlorhexidine -Enzyme suppressant, doxycycline. Keeps destructive enzymes in check from breaking down the gum tissue.-Flap surgery-Bone and tissue graft-Dentures (Approx. $300-5000, per plate. Dependent on a number of factors)-Dental Implants (Approx. $1000-3000, per tooth. $3500-$25000, implant bridges)

TREATMENTS