Patient Profile:
DW is a 52-year-old male who manages a local gardening store. His appointment today at your dental office is for an initial dental visit. During the patient interview, DW informs you that he made this appointment at is wife’s insistence because his wife wants to know if there is anything that can be done about his bad breath. DW informs you that he uses mouth rinse to control the bad breath but it doesn’t help.
Patient Health History:
Vital Signs at initial visit: blood pressure 164/100 mm Hg; pulse 74 beats; respiration 20.
Current medications: Amoxicillin prescribed by his physician for an ear infection.
During the interview, DW tells you that he had high blood pressure once and that he did take a prescribed medication a few years ago for that condition but stopped taking it because he feels fine.
Completion of this case study counts toward demonstrating competency in providing dental hygiene treatment for Adult and Special Needs patients. Please have Prof Chan sign off the Adult/Special Needs Patient Case Studies section for DH 320D on page 4 of the pink competency forms.
Passing score is 85% (58/68 points) or higher. If passing score is not achieved, the student will review missed areas and complete the case study. Total points-68
Part 1: Case Study Questions
1. Identify three special needs for this patient. (4 pts)
2. Based on the patient’s special needs, how would you modify dental hygiene care for him? (4 pts)
3. Analyze the patient’s medications. (5 pts)
List the patient’s medications.
What are the dental considerations for his medications?
Identify what systemic condition(s) he is taking each medication for.
4. Review the patient’s radiographs and complete a radiographic interpretation. Use the following template (8 pts):
Bone Loss: (generalized appearance)
Radiographic Bone Loss: Site with greatest loss
Suspicious Caries:
Overhang/open margins:
Furcation:
Calculus: Yes or No
Missing Teeth:
Radiographic Pathology:
5. What signs of inflammation are evident on the patient’s clinical photographs? Include color, consistency, texture, etc in your description. Be as specific as you are able using the photos.(6 pts)
6. After reviewing the patient’s assessments, what is the patient’s AAP classification (include stage and grade if you determine the patient has periodontitis)? (2 pts) NOTE: assume missing teeth were lost due to periodontal disease.
7. Identify the appropriate treatment option for this patient (NSPT, gingival scaling, periodontal maintenance, prophylaxis). (2 pts)
8. Explain your rationale in 50-100 words for the treatment option you chose for the patient in question #6. (8 pts)
9. If you were treating this patient in clinic during spring quarter, what additional procedures would you include in your treatment plan? (4 pts)
10.Explain your rationale in 50-100 words for each additional procedure that you would include in your treatment noted in question #8. (5 pts)
Please see attchments for the clinical findngs
