Although the recommended time for a re-evaluation appointment is six weeks, due to the length of our Christmas break, Rebecca’s revaluation appointment was not conducted for 8 weeks. After re-examining this patient I concluded that the patient had not declined, but had not improved to the extent I had hoped for. Out of 192 sites probed the pocket depths of 12 decreased, 108 increased and 72 remained the same. The areas that showed the greatest improvement were on the mesial buccal surface of number three and the mesial lingual surface of number 30, where the pocket depth decreased by three millimeters, from a seven to a four. Out of the 108 sites that showed signs of disease progression the worst was the mesial lingual of number 32. The pocket depth in this area increased from a six to a …show more content…
Comparing bleeding sites, at the initial appointment there were 92 bleeding sites; at the re-evaluation appointment there were 73. Bleeding sites decreased by approximately 27%. It was noted that tissues appeared to be less red and inflamed. At the original appointment the intra-oral photos show a very red and inflamed gingival margin, with a very distinguishable color differentiation between the attached and sulcular tissue. In comparison to the re-evaluation photos, the tissues present less inflamed with an overall pink appearance. There is still liner gingival erythema present, but not to the extent prior to NSPT. Arrestin was placed on the lingual of number 31. Although the probe depths did see a decrease, by two millimeters on the mesial and distal aspect, the bleeding index for those sites remained the same. Bleeding on probing was present across the entire lingual surface. Recession areas did not change, but due to the increase in 108 pocket depths the clinical attachment level decreased by an average of two