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Abstract: A 16-year-old high school boy came to our hospital for dental cleaning because he needed orthodontic treatment. I diagnosed chronic gingivitis through the boy’s clinical manifestations and oral examination, and after obtaining the consent of his family and the boy, he was given full-mouth ultrasonic scaling and medication.
Basic information】Male, 16 years old
Disease Type】Mismatch, gingivitis
Hospital】Qilu Hospital of Shandong University
Date of Consultation】May 2019
Treatment plan】Physical therapy (full-mouth ultrasonic scaling) + medication (compound chlorhexidine rinse, iodine glycerin)
Treatment Period】1 day
Effectiveness】Tartar was removed, no follow-up consultation at present
I. Initial consultation
In the morning, a high school boy came to my clinic with his parents. The parents said the boy had buck teeth and wanted braces, and after consulting with the doctor online, they learned that this condition was a malocclusion and required scaling treatment before orthodontic treatment. During the conversation, we also learned that the boy’s gums would occasionally bleed when he brushed his teeth. Through oral examination, we found that his teeth were neat and symmetrical, but his upper teeth were buck teeth. The gums were red and swollen, but some teeth had calculus, so the boy was diagnosed with chronic gingivitis.
II. Treatment process
After I told the boy and his family about his condition, I formulated a dental cleaning treatment and told the patient that if he did not clean his teeth now, when he wore braces after orthodontic treatment, it would not be easy to clean his teeth, which would easily lead to the accumulation of food debris and the formation of more calculus, leading to the aggravation of gingivitis, which could aggravate the redness, swelling and bleeding of the gums. After the boy and his family agreed, I performed a full-mouth ultrasonic scaling procedure to remove all the calculus, and after the procedure, I had the boy rinse with a compound chlorhexidine rinse to clean his mouth and apply iodine glycerin to relieve the gingivitis. The boy was instructed to insist on applying iodine glycerin for 3 days to thoroughly treat the gingivitis after returning, and to follow up by telephone after 3 days, and to visit the doctor for a review at an interval of 3 months after the orthodontic treatment.
III. Treatment effect
After I gave the boy a full-mouth ultrasonic scaling treatment, all the calculus in his mouth had been removed. Since there was less calculus and the symptoms were mild, there was no bleeding after the full-mouth ultrasonic scaling procedure. The boy reported a slight discomfort in his teeth, but the discomfort was relieved after rinsing with compound chlorhexidine rinse and applying iodine glycerin. 3 days later, he reported that his teeth were completely normal with no discomfort during the follow-up phone call.
IV. Precautions
Since the boy is still young, after active treatment, the dental abnormality improved significantly, and I was happy for him, but it is suggested that the following matters should be noted on a daily basis.
1. the need to master the correct brushing method, the Pap smear method is recommended and a soft-bristled toothbrush is used for better cleaning of the teeth.
2, need to adhere to the morning and evening brush, after eating any food or drink need to rinse, brush teeth, can reduce the occurrence of plaque.
3, later to avoid smoking, easily lead to yellowing of the tooth surface, the formation of dental stains, etc., to dental health and liver and other harmful.
4. It is recommended to have regular dental cleaning and oral health checkups every year so that dental problems can be found and professionally treated in time.
V. Personal insight
At present, there are more teenagers who come for orthodontic scaling, such as the 16-year-old boy in this case. If you don’t pay attention to oral hygiene after orthodontic treatment, it will be easier to have calculus and gingivitis, which will have certain influence on dental health and orthodontic effect. Therefore, when paying attention to the aesthetics of teeth, you also need to pay attention to the protection of dental health, such as the use of toothpicks, dental floss, flossers, etc. to remove food debris and reduce the chance of oral diseases such as calculus and gingivitis.