Please fix and check my report! Please

Please fix and check my report! Please also check the grammar. Throughout the appointments, the patient gained knowledge regarding periodontal disease including the disease process and daily oral hygiene. The patient presented improvement with a BOP index of 20.8%, a significant reduction of more than 40%. However, there were a few differences between before and after evaluating plaque management and history. The patient improved by -13.7% from the initial PI index. However, it does not improve significantly, and the area between the teeth is the least managed, so the importance of OHI should be reminded of every visit. At the same time as the BOP index greatly improved, the condition of the patient’s gingiva also improved differently from the initial visit. Overall, the gingiva, which had been swollen from inflammation, was pink and much healthier than before. Reduced pocket depth in some areas of the tooth. However, the outcome was poor due to the severe recession, active periodontal bone loss, CAL loss, Class II furcation involvement, Class II mobility, and poor oral hygiene. The patient had a thorough understanding of nutrition before and after treatment. However, the patient reported that it was difficult to achieve intake control as his job consisted mainly of being in a truck. The patient took the men’s vitamin every day, so he was getting the recommended number of vitamins and minerals that were normally lacking. Sodium intake can affect hypertension, so excessive intake should be significantly reduced in relation to the disease. Fortunately, the patient was aware of the risks and tried to increase fluid intake and control sodium intake. During re-evaluation, more plaque and biofilm formed than expected. The patient was very satisfied with the SRP treatment and felt that the gingival and periodontal tissues were stronger than before. It was a pleasant comment, but since periodontitis was a serious condition, it reminded the patient once again of the importance of home care to maintain the current condition rather than many changes. I believe that if I build a trusting relationship with my patients, they will be more likely to follow my recommendations and instructions. Through several appointments, I gained a trusting relationship with the patient, and my patient began to listen more closely to my instructions and recommendations and put them into practice. Although these changes are very small, they can be the basis of the most important treatment. The patient’s home care still needs to be improved, but the patient’s efforts to quit smoking continue. After several consultations, the patient learned about the risk of smoking, the effects of smoking on hypertension, and the correlation between periodontal disease, and I continued to motivate the patient. Lastly, to reduce the patient’s financial burden, ITR treatment was performed concurrently after all treatments were completed. Based on the re-evaluation assessment, I believed that establishing and maintaining oral hygiene was met throughout the appointments. It is still the way to go, but the patient understood the importance of oral hygiene and affected overall health.

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