Justification Paper I selected my patient to be my capstone patient based on the findings during the dental appointment. These findings were found from the patient’s medical history, radiographs, ten page assessment, and periodontal charting. My patient’s ASA classification was a class I due to no medications except for mucinex. Mucinex can cause oral side effects that include xerostomia. The patient’s blood pressure was 140/90 mmHg at the first appointment, which is in the prehypertensive stage. Prehypertensive is a major concern due to the risk of becoming hypertensive and being prescribed a medication to help control the patient's blood pressure. The medical history also revealed evidence of tobacco use and alcohol intake. Tobacco use can increase the patient's risk for oral cancer, xerostomia, dental caries, tooth stain, tooth loss, and periodontal disease. My patient currently has moderate stain and active decay. Therefore, it is important to also include tobacco …show more content…
Based on the radiographs that were previously taken by another student, the patient has areas of decay and generalized bone loss. These findings indicate that individualized home care is crucial in the progression of the treatment plan. The ten page assessment findings included areas of active decay, bulbous and shiny gingiva, and occlusal wear on the anterior teeth. A night guard is important to recommend in order to help to prevent further wear on the occlusal surface. The generalized areas of decay within the mouth indicate that this patient is in need of nutritional counseling. Nutritional counseling is helpful in determining the food items and beverages that the patient's eats and drinks that are high in sugar or carbohydrates. Nutritional counseling for my patient revealed that my patient drinks multiple different types of juices due to being unaware of the amount of sugar contained in
For those that have bad habits with cigarettes, Tobacco Cessation Counseling is available. Cigarettes cause tooth loss, rotting, and surface stains; hygienist make sure to pass this information to the patient and help them to understand that quitting is the best option if they want to keep their teeth. As said before, a hygienist informs the patient on what foods to avoid. Nutritional Counseling is provided if a hygienist believes there is danger with a patients teeth such as diseases. (Dental Hygiene Clinic) Any foods with high acidity is something a dental hygienist would recommend avoiding. For example, apples, hard candies, popcorn, diet sodas, and salad dressing. Enamel is the hardest structure in the human body. It’s even harder than bones. When the enamel is exposed to acid, it wears down and erodes. This is how tooth erosion and decay happens. They will educate the patient with what foods to replace the bad ones with. Although, a dentist is who performs the restorations, a hygienist can still inform what will happen. Because of the fact that hygienists usually see patients before the dentist, they will give feedback to the dentist and recommend restorations in the mouth. They specialize in providing clinical and educational services (Sealy Dental Center) so they are very useful to dentists. When a patient has missing, chipped, or sharpened teeth, a restoration is done to replace the originals. Some examples
The Faculty of General Dental Practice is responsible for continued professional development of dental clinicians. It is committed to improving standards of patient care within dentistry by providing up to date publications and guidelines for clinicians. The standards and guidelines by the FGDP are evidence based and are recognised as authoritative statements of good practice within the profession (REF). The FGDP have produced standards and evidence-based guidelines detailing the Selection Criteria for Dental Radiography (REF).
Not only do they face the obvious challenges with their memory but also often have diminished physical ability and when one adds the possibility of xerostomia from medication it only makes the situation worse. Dental professionals should strive to do the best they can to help all people. Practicing dentistry should not be limited to the people who can take care of themselves. It is clear that people are living longer in the world today and with that comes mental and physical deficits. Oral health care does not become less valuable because a person suffers from life threatening diseases, it should continue to maintain its importance. Many of the problems our geriatric population face can be linked directly to lack of proper nutrition and loss of joy from being able to eat certain foods. Furthermore, oral diseases can cause the manifestation of systemic ailments that ultimately will lead to certain health decline. If people do not consider oral hygiene a priority then it is up to Dental professionals to convince them and encourage them to take responsibility. The general populous has neglected the geriatric population, but health care providers seem to be at the forefront by keeping them in focus. Dental health care providers have a duty to be apart of our older populations
There are many different types of diseases that dental hygienist have to be aware of. It is important to know the basic information about the disease and how the disease affects the patient’s oral cavity as well as how to treat the patient. This paper will be addressing liver disease and more specifically, liver disease caused by hepatitis. “The term liver disease applies to many diseases and disorders that cause the liver to function improperly or stop functioning.” (U.S. National Library of Medicine. “Liver Disease.”) A couple signs and symptoms include fever, dark urine, abdominal pain and jaundice, which is the yellowing of the eyes and skin. (U.S. National Library of Medicine. “Liver Disease.”)
Bowers, L., Allan, T., Simpson, A., Nijman, H., & Warren, J. (2007). Adverse Incidents, Patient
Is there anything else you would like to share with me about the head, neck and oral exam in relation to comprehensive, individualized patient
• Wexner Med. Corp. "Oral Cancer and Tobacco." Oral Cancer and Tobacco. Ohio State University, Aug. 2010.
8) "Nutrition Index." Gerontology and Geriatric Dentistry n.d.: n. pag. Columbia University Dental Education Software. N.d.
The perspective of a deontologist with this dilemma may seem be a bit contradictory. This is
On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with excellent oral hygiene at this appointment which was a reflection of his commitment to good oral hygiene; tooth-brushing twice daily and dental flossing once daily. This was further supported by the patients plaque scores at 5% and bleeding scores at 4% with only minimal supra gingival calculus on lower anterior teeth. There was no erythema or oedema present on the gingival tissues.
Cappelli, D. P., & Mobley, C. C. (2008). Prevention in clinical oral health care. St. Louis, Mo: Mosby Elsevier.
...ociation between smoking tobacco, alcohol consumption and OPMDs. Second, our results may not be generalizable to the population at large, as only dental patients were included. Randomized-controlled trials may be useful to further investigate the sensibility and specificity of the oral visual examination in the context of OPMDs.
Maintaining oral health is extremely important not only for your mouth, but for your overall health (Wallace, Taylor, Wallace & Cockrell, 2010). Poor oral health impacts a person’s quality of life and general health, It causes pain which could result in poor nutrition (Griffin, Jones, Brunson, Griffin & Bailey, 2012). The residents at Menarock aged care have a private dentist from Alpha dental that visits the facility when prompted, although some resident’s families take them to their own family dental professional.
Tobacco use causes a number of diseases. Smoking causes cancer, heart disease, stroke, and causes lung diseases. Tobacco can lead to someone losing limbs and...
Alcohol and tobacco use may lead to major health risks. Alcohol is associated with chronic liver disease, cancers, cardiovascular disease, acute alcohol poisoning, and fetal alcohol syndrome, while smoking is associated with lung disease, cancers, and cardiovascular disease. Alcohol and tobacco cause more than 80 percent of cases of mouth and throat cancer in men and more than 65 percent in women. People who smoke and drink at same time, it is dangerous to mouth and throat cancer increases dramatically. In fact, the combined risk is greater than or equal to the risk associated with alcohol multiplied by the risk associated with tobacco. The American Heart Association estimates that more than 34 percent of the United States population has some form of cardiovascular disease. First, cardiovascular disease encompasses a variety of conditions, such as heart attack, stroke, and hardenin...