Cаse #1: BOB Pаtient Prоfile: The pаtient is a 68 year оld male, 6’0’’, 240 lbs. Blоod pressure is 130/80. Pulse is 70. His medical history reveals hyperthyroidism (controlled), liver disease, cardiac arrhythmias, and knee replacement in 2012. He currently takes multiple medications but he cannot remember all of the names. No allergies. Chief Complaint: Worried about my teeth and having to get numb. Clinical Findings: Periodontal assessment reveals 5-7mm pockets, heavy bleeding on probing, furcation involvement. Diagnosis: Generalized Stage III Periodontitis Grade B (no grade modifiers), Caries Active, Deposit 2 Supplemental Notes: He lost his maxillary anterior teeth in a car accident. He is missing premolars from orthodontia. He is missing #3 and #20 due to failed RCT. He wears a removable maxillary partial denture. It has been 3 years since his last periodontal treatment. Treatment Plan includes 4 quadrants of SRP with anesthesia.