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Abstract Preventing Caries and Periodontal Disease on a High Risk Patient. A. MURPHY*, A. CARLTON, P. RETTIG (Indiana University School of Dentistry). OBJECTIVE: The objective of this clinical case presentation is the implementation and evaluation of preventive measures by a dental hygiene student on a patient who presents with high caries risk and localized periodontitis. BACKGROUND: A 54 year old Caucasian male patient presented as a 3 month prophylaxis recall with a chief complaint of “sensitivity in one tooth in the upper right quadrant.” His medical history was positive for hyperlipidemia, hypertension, diabetes mellitus type II, prior head and neck radiation, and anxiety and depression. He takes multiple medications which may induce xerostomia, taste disorder, and gingival hyperplasia. The patient presented with generalized healthy radiographic bone levels measuring 1-2mm from the CEJ to the alveolar crest. The patient presented with generalized moderate plaque-induced marginal and papillary gingivitis as evidenced by red, bulbous and rolled gingiva which is spongy in consistency. The patient also presented with generalized healthy periodontium as evidenced by 1-3mm CAL, with localized areas of 4-6mm CAL. The patient’s plaque score at the last recall visit was 28%, which was an improvement by 36% from our first appointment. The patient presents with numerous modifying factors and a fair adherence to protective modifying factors. DH CARE PLAN: Patient will be placed on a 3 month recall interval as an adult prophylaxis patient, which includes debridement, oral hygiene review, nutritional counseling, 5% NaF varnish application, and evaluation for the need of prescription fluoride. EVALUATION: The patient’s plaque score and gingival health have continually improved over his course of treatments in the dental hygiene clinic. The patient was receptive to the information provided during his dietary analysis session, and he understands the correlation between his systemic and oral health. Probing depths and areas of demineralization are not progressing at this time. CONCLUSIONS: Positive results have occurred from the preventive treatment plan. It is critical to continue monitoring the patient’s systemic health, caries risk, and periodontal conditions to evaluate the long-term success of the preventive measures applied, but short-term results have shown continued improvement.