Implant Check

Subjective: - The patient visited for a routine implant check, reporting mild discomfort around the implant site. - The discomfort has been present for the past two weeks, localized to the lower right jaw, described as a dull ache. - The patient noted that the discomfort worsens with chewing hard foods and is alleviated by using over-the-counter pain relief. - The symptoms have remained consistent over the past two weeks without significant change. - The patient has not experienced similar symptoms in the past. - The discomfort has slightly impacted the patient's ability to eat certain foods but has not affected daily activities significantly. - No other associated symptoms were reported. Past Medical History: - The patient has a history of periodontal disease, which was treated with scaling and root planing. - No relevant social or family history was reported. - The patient is up-to-date with all immunizations. Objective: - Vitals signs: Blood pressure 120/80 mmHg, Heart rate 72 bpm. - Oral examination revealed slight redness around the implant site but no signs of infection. - Recent X-ray showed proper placement of the implant with no signs of bone loss. Assessment: - Likely diagnosis: Mild peri-implant mucositis. Plan: - Investigations planned: None at this time. - Treatment planned: Recommend using a chlorhexidine mouthwash twice daily. - Relevant other actions: Schedule a follow-up appointment in four weeks to reassess the implant site. IMPLANT INFORMATION: Nobel Biocare Date Placed: 2023-06-15 LOCATION AND IMPLANT SIZE(S): Tooth #30, 4.3mm x 10mm HEALING ABUTMENT: Tooth #30, 5mm Parts: Healing abutment, cover screw, impression coping