Description
Please read each patient scenario and plan an oral hygiene home instruction:
For each section include the rationale for the selection.
If there is no recommendation, state no recommendation.
Include the following:
1) Disease Concept Education
2) Tooth brushing:
a. Technique
b. Product recommendations
3) Interproximal aids
4) Mouth rinse products
5) Fluoride therapy
6) Any other recommendations or referrals
I. Patient Profile: Patient is a 79-year old African-American female, 57 and weighs 160 lbs. Patient reports she has not had a dental check-up for several years.
Chief Complaint: My teeth have not been cleaned in a long time and are in bad shape.
Dental History: The patient had the mandibular right first molar extracted one year ago and has received no dental treatment since.
Medical History: The patient had a hysterectomy at age 62. She suffered a mild stroke four years ago, relies solely on a cane in order to walk and occasionally suffers with shortness of breath upon exertion. She recently underwent laser surgery on the retina in her right eye. Daily medications include: 81 mg aspirin, (Omeprazole) Prilosec®, (Lovastatin) Mevacor®, and (Clopidogrel bisulfate) Plavix®
Supplemental Information:
Patient is curious about a power brush since her hands are weak.
She questions whether a mouth rinse will reduce her bleeding.
Health Behaviors:
Patient reports she brushes with a fairly hard manual toothbrush.
She does not floss and is uncertain whether she uses fluoridated toothpaste.
Bleeding Index: 55%
Plaque Free Score: 35%
II. Patient Profile: Patient is a 61-year old White Caucasian male. The patient is a retired banker and remains active in the community in several volunteer organizations.
Chief Complaint: The patient has no chief complaint other than palatal irritation due to an ill-fitting maxillary partial denture. Patient is aware that a new partial will need to be fabricated since his visits to the dental school for adjustments have been unsuccessful.
Dental History: The patient has received dental care throughout his life.
Medical History: The patient’s blood pressure was recorded at 124/78. He had double by-pass surgery in 1992 and has encountered no complications since. He is currently taking (Metoprolol succinate) Toprol® and (Pravastatin sodium) Pravachol®. His only allergy is to bee and wasp stings.
Extra oral Examination:
Assessment reported all within normal limits.
Supplemental Information:
Patient uses a phenol mouth rinse for 60 seconds prior to bedtime and soaks his partial in the same mouth rinse.
Health Behaviors:
Patient brushes twice daily.
