Case: Gingivits
Abstract: A 40 y/o man come to your dental clinic cause he has pain in the lower 1 st and
2nd molars. He works at the cement factory for 20 years.
Doctor
Using SOCRATES:
Where do you feel the pain come from?
When did the pain begin?
Is this the first time it happened?
Is it constant or intermittent?
How long does it last, and how often does
it occur?
Does the pain spread elsewhere?
Are there any other symptoms that seem
associated with the pain?
How has the pain changed over time?
Does anything make the pain better? Does
anything make it worse or trigger it?
On a scale of 0-10, how severe is the pain,
if 0 is no pain and 10 is the worst pain
you’ve ever experienced?
What do you think your problem is?
What’s your number one concern
regarding this problem at the moment?
What were you hoping I’d be able to do
Patient
Its around these teeth: point at the lower
1st and 2nd molars
It was yesterday when It’s come the worst
pain and I barely can touch the gum.
It happened a lot before lately it’s the
worst.
It’s intermittent.
I feel hurt when stuff got stuck into the
area, it occurs quickly and goes away
when there is no cause.
I think it’s a no.
I see the bleeding from the gums when
brushing, also my breath has bad smell
lately.
When it first came out at 5 years ago, I
don’t feel much but now it hurts a lot.
I don’t know for sure.
I think it might be 6-7.
It’s hurt alots when eating and also
disrupts my life.
Can it be cured?
I want to have my pain eased as much as
for you today? possible.

How would you rate your health? Based 5/10

on level from 1 to 10, tell me a number.

Do you have any medical conditions? Yes, I just got diagnosed with diabetes
type 2 last years.

How well do you control the disease? I had been treated with Glucophage for
10 months.
Have you ever previously undergone any No
operations or procedures?

Have you carried any medical devices No

inside your body?

Are you allergic to latex or any other Im not allergic to latex but to the alcohol.
substance or materials?

Do your family members have any

No.
physiological disease or genetic disorder?

Are you smoking? Yes.

How many times a day do you smoke?
Do you drink alcohol frequently?
When was the last time you visited a
dentist?
I do the smoking at free time… About 10
pieces of tobacco per day.
No, I can’t drink it cause of the allergy.
It has been 3 years. Back then I need to
have my teeth filled.

When was the last time you visited a It has been 3 years. Back then I need to
dentist? have my teeth filled.

How often do you see a dentist? Not frequently. I only go to the dentist for
treatment.
Have you had any dental treatment in the I had my tartar removal treatment 3 years
past? ago. The same time I have my teeth filled.

How many times do you brush your teeth 2 per day.

in a day?
How do you brush your teeth? Brushing left to right along my teeth 

Do you have interdental cleaning? No

Do you have any bad habits? Such as: I think I like chewing ice cubes.
Chewing ice cubes.
Biting your nails.
Eating too much snack.
Brushing too hard.
Using your teeth as an utensil.
Grinding or clenching your teeth/Especial
in anger or sleeping.

Thank you for your cooperation, now I

have to examinate your mouth for more
information.
Relax and open your mouth!