THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: May 3, 1999 03:30 PM Monday;
Rod Welch
Visit Dr. Kashini at Steve's office for dental examination.
1...Summary/Objective
2...Periodontal Gum Recession Improved
3...End Tuft Brushing Treatment for #6 and #11
4...Special Knot Flossing for #3, 13 15, 31 30
5...Two Rows Tooth Brush Home Treatment, 2 Weeks
6...Lower Front Teeth at Beginning Stage of Gengivitis
7...Doctor's Report on Examination and Confirming Instructions
..............
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CONTACTS
0201 - Steven K. Olsen, DDS.
020101 - Dr. Steven K. Olsen
SUBJECTS
Dental Periodontal Examination Gengivitis Periodontal Disease Lower
2203 -
2203 - ..
2204 - Summary/Objective
2205 -
220501 - Follow up ref SDS 12 0000, ref SDS 11 0000.
220502 -
220503 - Gum recession has improved considerably. Examination found new issues
220504 - that resulted in recommendations for special home treatment.
220505 -
220506 -
220507 -
220509 - ..
2206 -
2207 -
2208 - Progress
220901 - ..
220902 - Periodontal Gum Recession Improved
220903 -
220904 - Follow up ref SDS 12 0824.
220905 -
220906 - On 990310 Russel reported several additional areas that should be
220907 - examined by Dr Kashani for possible gum recession. ref SDS 12 0824
220909 - ..
220910 - Today, Dr Kashani reported tooth #3 measures 3 3 4. This seems to
220911 - show considerable improvement from 5 reported on 980330. ref SDS 8
220912 - 1151 Dr Kashani's work and continuing dental care by Steve and Russel
220913 - have helped achieve this recovery, following periodonatl deep cleaning
220914 - significantly improved prior deep pocket problems, reported on 880419.
220915 - ref SDS 1 0001
220916 -
220917 - [On 001212 1500 Doctor Steve Olsen making routine dental
220918 - examination reported finding no evident gum nor other
220919 - periodontal issues. ref SDS 14 E49K
220921 - ..
220922 - Dr Kashani noted that his dental records show recommendations on
220923 - 980330 for work to be performed on tooth #11 and #14, but the dental
220924 - record does not show whether this work has been performed.
220926 - ..
220927 - I mentioned it may have been done on 980827. ref SDS 11 3748
220929 - ..
220930 - Dr Kashani commented after examination that #11 and #14 have received
220931 - recommended treatment.
220932 -
220933 -
220934 -
220936 - ..
220937 - End Tuft Brushing Treatment for #6 and #11
220938 -
220939 - He suggested the following during the examination...
220940 -
220941 - #6 and #11
220942 -
220943 - Use a special "end tuft" tooth brush for two weeks.
220945 - ..
220946 - These are the front two incisors.
220948 - ..
220949 - A special brush was provided for this home treatment effort.
220951 - ..
220952 - The idea seems to be to give these two teeth directed but
220953 - delicate brushing.
220954 -
220956 - ..
220957 - Special Knot Flossing for #3, 13 15, 31 30
220958 -
220959 - Dr. Kashini suggested...
220960 -
220961 - Use special flossing technique on these teeth, where a knot
220962 - is tied in the floss, so it presents a larger mass moving
220963 - between the teech.
220965 - ..
220966 - A diagram provided by the dental assistant, Wenda, shows the
220967 - following...
220968 -
220969 - #3 is the upper right molar 2nd from the end.
220970 -
220971 - #13 is the Upper left, 3rd from the end
220972 -
220973 - #15 is the Upper left, last tooth
220974 -
220975 - #30, #31 are lower right last two teeth.
220976 -
220978 - ..
220979 - Two Rows Tooth Brush Home Treatment, 2 Weeks
220980 - Lower Front Teeth at Beginning Stage of Gengivitis
220981 -
220982 - Dr. Kashani recommended special brushing treatment on the lower front
220983 - teeth. He showed a continuous line of minor inflamation along this
220984 - area, which is the beginning stage of Gengivitis, also called "perio"
220985 - disease.
220986 -
220987 - [On 990915 no report of gengivitis. ref SDS 13 1740]
220989 - ..
220990 - This brushing is to be performed for a two week period with a "two
220991 - row" tooth brush provided by the dentist today.
220993 - ..
220994 - We did not discuss recent life style changes working long hours that
220995 - cause reduced oral hygiene, which is reflected in the observations
220996 - today.
220997 -
220998 -
220999 -
221000 -
2211 -
SUBJECTS
Teeth ID Numbers
2303 -
230401 - ..
230402 - Doctor's Report on Examination and Confirming Instructions
230403 -
230404 - During the examination, Dr. Kashani made a number of recommendations
230405 - for special home brushing treatment for 7 different teeth, as
230406 - explained above. ref SDS 0 1326, ref SDS 0 2496
230408 - ..
230409 - A third form of treatment was recommended for a different group of
230410 - teeth. ref SDS 0 4592
230412 - ..
230413 - There was discussion, that remembering specific forms and areas of
230414 - treatment on teeth can be aided by a report from the doctor.
230416 - ..
230417 - Dr. Kashani submitted a hand drawn document that shows the following
230418 - table...
230419 -
230420 -
230421 - UR | 1 1 1 1 1 UL
230422 - 2 3 4 5 6 7 8 | 9 0 1 2 3 4 5
230423 - |
230424 - |
230425 - --------------------+--------------------
230426 - |
230427 - LR 3 3 2 2 2 2 2 | 2 2 2 2 2 1 1 LL
230428 - 1 0 9 8 7 6 5 | 4 3 2 1 0 9 8
230429 -
230431 - ..
230432 - He entered the date 990503, but did not sign it.
230434 - ..
230435 - This document has hand written notations with information entered
230436 - above on special treatment recommended today. Handwriting is
230437 - illegible, so the instructions remain unknown.
230438 -
230439 -
230440 -
230441 -
230442 -
230443 -
230444 -
230445 -
230446 -
2305 -
Distribution. . . . See "CONTACTS"