During rоutine venipuncture, the needle is inserted with the:
CASE #4: Yоur new pаtient presents with а chief cоmplаint оf "I want to get established as a patient and I think I may have some gum issues going on". The patient reports high blood pressure and diabetes that he takes medications for and that he is a current daily cigarette and e-cigarette/vaping user. He has not been in a dental office since the COVID pandemic started in 2020. During the head and neck exam you identify that they have a white and yellow lesion on their side of their tongue, 3 teeth that appear to have decay and gingiva that is swollen, red, and blunted. The patient says that the tongue lesion has been there for about a month and has not healed. You detect 4-6mm probe depths on all of the posterior teeth, furcation involvement on several molars and generalized bleeding. Use this information to answer the following questions: QUESTION: Would this patient need a periodontal consult and would there be a charge for this consultation at the College of Dentistry?