The Hot Mess: Dr. Parham - Patient S

F2 - 6/2013

Adult male patient presents with multiple areas of gross decay and poor hygiene. Areas of concern are #3/4, #4/5, #13/14, #19/20 and #29/30.

Doctor placed Phocal pHn fluoride disks in sites #4/5 and #29/30 with hopes of arresting carious lesions and comparing to other areas of decay in mouth. This was the first test case with the Phocal fluoride disks. Other areas in the mouth were restored using composite material.

Patient was educated in proper oral hygiene. His daily dentifrice was changed, Spry products were recommended and prophylaxis with varnish fluoride was performed.

F3 - 6/2014

One year later, patient was in for recall appointment. Patient exhibits advancing decay everywhere except where Phocal disks were placed at #29/30 and #4/5 areas. Phocal pHn fluoride disks were placed again in sites #4/5 and #29/30.

F5 - 6/2015

Two years after initial appointment, patient was in for recall appointment. Radiographic lesion between #4/5 is diminished and lesion at #29/30 has not advanced since initial appointment.

F6 - 6/2016

Three years after initial appointment, patient was in for recall appointment. Radiographic lesion between #4/5 is gone and lesion at #29/30 stayed the same with no further decay. Please note that doctor placed Phocal disks in these areas only two times in three years.

 

Reaction from Dr. Parham’s assistant, Dawn:

“This case was a real eye-opener for the efficacy of the Phocal fluoride disks. This was the first case study we did with Phocal. The patient continued to show signs of advancing decay everywhere except where we placed the Phocal disks. Note the last set of x-rays show the interproximal areas where we placed the disks are healed. I wish we placed Phocal disks where we preformed the restorations to prevent recurrent decay. It's exciting to see the Phocal disks working so well.”