Pre-implant Appt

Subjective: - The patient, a 45-year-old male, presents for a pre-implant appointment with complaints of missing teeth in the lower jaw, seeking dental implants for improved function and aesthetics. - The patient reports the missing teeth have been present for over a year, causing difficulty in chewing and affecting speech. - The patient has tried using a removable denture, which was uncomfortable and did not alleviate the issues. - The condition has progressively worsened, with increased difficulty in eating solid foods. - Previous episodes include a history of periodontal disease leading to tooth loss, managed with scaling and root planing. - The missing teeth have significantly impacted the patient's daily activities, including work and social interactions. - Associated symptoms include mild jaw discomfort and occasional gum irritation. Past Medical History: - The patient has a history of periodontal disease and hypertension, managed with medication. - Social history reveals the patient is a non-smoker and consumes alcohol occasionally. - Family history is significant for periodontal disease in the patient's father. - Immunization history is up to date. Objective: - Vital signs: Blood pressure 130/85 mmHg, heart rate 72 bpm. - Oral examination reveals edentulous areas in the lower jaw with adequate bone structure for implant placement. - Recent panoramic X-ray shows sufficient bone density for implant support. Assessment: - Likely diagnosis: Edentulism in the lower jaw due to periodontal disease. - Differential diagnosis: None indicated. Plan: - Investigations planned: CBCT scan to assess bone volume and density. - Treatment planned: Placement of two dental implants in the lower jaw. - Relevant other actions: Referral to a dental hygienist for pre-implant cleaning and oral hygiene instructions. Implant plan: - Implant manufacture: Nobel Biocare. - Implant size: 4.3mm x 10mm. - Healing abutment size: 5mm.