Marie, 50-year-old woman, reports to you for the first time complaining about
her loose teeth, bad breath and intermittent dull aching pain on her gums. She
reported that her previous dentist treated her gum 6 years ago. One year later,
she was given implants to replace her front missing teeth. She gives you an X- ray
which was taken during the implant treatment.
She has not visited her dentist after the implant placement. She brushes her teeth
once daily and thinks flossing between her teeth is a waste of time.
Medical history reveals that she is under medication for diabetes and
osteoporosis.
On clinical examination,
All Lower anterior teeth are missing due to the previous history of gum disease
and are replaced by an implant supported bridge with 2 implants.
Inflamed peri-implant mucosa.
Missing teeth 16, 25, 37, 44, and 45.
Q1. Which among the following is the most important information to conclude a diagnosis?