- Complaints of tooth sensitivity to hot and cold.
- Reports occasional discomfort while chewing.
- History of irregular dental cleaning.

- Patient is 50 years old, male, 195lbs, height: 6'0".
- Oral examination revealed plaque accumulation and gum inflammation.
- Some teeth showed enamel erosion.

- The individual displays signs indicative of mild periodontitis and dental erosion which could be instigating the symptoms.
- Need for improvement in dental hygiene habits is evident.

- Recommend commencement of treatment for periodontitis including deep cleaning.
- Schedule follow-up after treatment to monitor progress.
- Provide education and instruction for proper dental hygiene habits.