Uncontrolled Diabetes patient with periodontitis: ADC OSCE practice station

Mrs Lima, 48, a regular attender, presents complaining of bleeding gums while brushing and sensitivity to cold. Her last dental visit was 6 months ago, when a clean was done and the dentist told her she had mild gingivitis; that dentist used an electric brush to clean her teeth. Today you have examined her, completed periodontal charting given (lot of areas with 4 -5 mm pockets), and diagnosed generalised moderate periodontitis; you have also taken an OPG. Her medical records show she is Type II diabetic. She is a smoker, 10 cigarettes/day. Task: manage her concerns and explain your treatment plan.