SKENARIO 1 (PBL)

A 65 years old man complained about his upper full denture which had been replaced 3
months ago. It could be detached easily while he was eating. He also complained about his
burning tongue and bad breath. He said that he used listerine gargle twice a day and cleaned
his teeth at dentist routinely every year. His medical history showed that he has been
consuming metformin and eclid for 6 years, and also ACE inhibitor and Calcium Chanel
Blocker since 2 years ago. He has been using amitriptyline for this last 6 month. Intra oral
examination showed poor oral hygiene, gingivitis marginalis and viscous sticky saliva. There
was white plaque on his tongue which could be rub easily and left a reddish area. There were
red atrophic mucosal and cervical caries on his remaining teeth.