Chronic Periodontitis OSCE

[Guest guest]

Hi guysThis is Chronic Periodontitis OSCE

· Good morning Mrs , my

name is ............ .......I’m here to discuss and explain the problems you’ve

been having with your teeth, is it all right with you?

· May I know kind of problems

you’ve been having with your teeth?

· Take brief history of

complaint.

· Take brief medical history

esp. Diabetes. Just say, do u suffer from a major disease such as diabetes.

· Take brief social history

esp. Smoking, don’t go into smoking cessation, only ask-

1. Do you smoke?

2. How many cigarettes do you smoke in a day?

3. Since how many years have you been smoking?

· After seeing your teeth,

X-rays and other findings, I’ve noticed that your gums and bone around the

teeth are slowly losing attachment with your teeth and so the teeth are

becoming loose. It seems like you have gum disease/problem (which we call

periodontitis) . In this disease, you might also get problems like bad breath,

bad taste, swollen and bleeding gums, there can be some pain and the teeth

become loose and spaced and eventually fall out if not treated. (Diagnosis and

basic explanation of disease)

· It is caused by bugs which

get attached on your teeth in soft whitish deposits which we call plaque.

(Aetiology)

· The disease can be controlled

by removing these deposits by brushing regularly, in the morning and last

thing at night. You might already be cleaning your teeth regularly but you may

need to make some changes to the way you brush, you should use a soft brush and

need to change your brush every 2 months. You’ll also need to floss everyday to

clean between your teeth. To clean the plaque below the gum level and to remove

the hard deposits or tartar on you teeth which collect this plaqueyou will need

regular professional cleaning of teeth. (Explain methods of prevention)

· Smoking reduces the response

of some of your body cells which fight against this disease so smoking is a

direct cause of gum diseases so in smokers this disease is more common and more

severe so you have stop smoking to prevent more damage to your gums, I can give

you the contact of the NHS quit smoking helpline for that. (Explain effect of

smoking and advise smoking cessation)

· Coming to the treatment of

your problem, I’ll first need to do a thorough check of your teeth and gums and

check the extent of the damage. I’ll do that by putting small instrument

between your teeth and gums. Then we’ll do professional cleaning of your teeth

regularly every 6 months. We might have to give you some mouthwashes like

corsodyl to rinse with for a few days if we cannot control the disease by

brushing alone, or I might have to refer you to a specialist.

· Some of your teeth are in a

very bad condition and have a poor outcome, and we might have to remove them.

We can then replace these teeth with a denture, or we can use the good teeth to

support a bridge. (Explain short term and long term treatment)

· You will need regular check

up during and after the treatment.

· Do you have any questions?

ModeratorAlenaOzieva