Patient Profile:
JS is a 42-year-old female who works as a department store manager. She has come to your dental clinic office to get her dental condition in order. She states that she has neglected her dental care because she has been taking care of the dental needs of her children for many years, but she is now ready to take care of herself. She is nervous about having dental treatment done because she had a bad dental experience when she was younger.
JS informs your dental team that some years ago she was told that she had gum disease, but decided not to receive any care for the condition. She has been brushing and flossing daily because she wants to keep her teeth.
Patient Health History:
Vital signs at initial visit: blood pressure 130/85 mm Hg, pulse 75 beats per minute, respiration 16.
Health History: GERD and elevated cholesterol level.
Current medications: Omeprazole and Simvastatin prescribed by her physician and multivitamins.
History of smoking: smoked one pack of cigarettes daily for about 8 years when she was younger, but that she quit smoking 10 years ago and has not smoked since that time.
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 (OSCE) on page 4 of the pink competency forms.
Passing score is 85% or higher. If passing score is not achieved, the student will review missed areas and complete the case study. Total points-69
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 the attachments to get all the clinical findings
