Challenge: A patient of record since 2014, single dad and full-time factory plant worker came in for a routine dental . Background: Age: 33 years old Sex: Male Medical History: asthma, high blood pressure, patient reports smoking history, on and off up to a pack per day. Last Dental Exam: 2020 Home Care: Brush, floss, rinse, shower flossing device Clinical Assessment: Dental history shows high caries risk, and adult periodontitis. The patient shows current clinical evi...