In: Biology
a 35 year medically fit non-smoking patient presents complaining of a buccal intraoral swelling associated with his lower right posterior teeth. In addition, the patient complains of bleeding gums and wishes to improve the appearance of the gingiva around tooth FDI 23 that clinically has associated class II gingival recession.
Initial clinical examination indicates an intraoral swelling with a draining sinus between teeth FDI 45 and 46, grade I mobility of 46, generalized clinical loss of attachment of 3-4mm and generalized pocketing of 5-6mm with bleeding on probing around all teeth.
The question is:
describe and justify the steps you will take to establish a
diagnosis for this patient's symptoms.