Patient dossier
S-1042
Medications
- Apixaban (anticoagulant)
- Lisinopril
- Metformin
- Atorvastatin
Conditions
- Type 2 diabetes
- Hypertension
- Atrial fibrillation
Visit timeline
- Jun 2025Comprehensive exam and routine cleaning
- Dec 2025Routine recall cleaning; bleeding on probing and 5 mm pockets noted
- Mar 2026Scaling and root planing, upper right
Patient mentioned in passing that bleeding after scaling and root planing took a while to stop; no change to medication list recorded.
- Jun 2026Periodontal maintenance; extraction of tooth 30 planned
Medical flags
- Anticoagulant on medication listApixaban may increase bleeding risk with extractions and deep scaling.
- Diabetes with gum inflammationOngoing periodontal inflammation alongside type 2 diabetes.
Risk score
72elevated
Inputs
- Survey: reports bleeding gums most mornings
- Survey: reports putting off recommended dental work
- Medication list includes an anticoagulant
- Type 2 diabetes on file
Drivers
- Anticoagulant use
- Diabetes with gum inflammation
- Reported prolonged bleeding
Suggested nudges
Confirm current anticoagulant dosing with the patient's physician before the planned extraction.
Evidence
- Medication list: Apixaban (anticoagulant)
- Visit note, Mar 2026: bleeding after scaling and root planing took a while to stop
- Visit note, Jun 2026: extraction of tooth 30 planned
Schedule a periodontal re-evaluation sooner than the standard maintenance interval.
Evidence
- Visit note, Dec 2025: bleeding on probing and 5 mm pockets noted
- Condition on file: Type 2 diabetes
- Survey: reports bleeding gums most mornings