Patient Jesus Díaz came to the office for his six-month recall appointment. During the appointment he pointed out that he was concerned about having teeth discoloration and he would like to fix this issue before his wedding. Because of this problem, he needed a professional opinion about products he could use in order to whiten his teeth. After reviewing his health history, I observed that the patient suffers from xerostomia and has been smoking for 20 years. He also stated that he drinks coffee and coke a few times a day in order to get him going through the day. Even though I recommended the patient to change his habits, he stated that he is not willing to make a change. In order to be able to help Mr. Díaz, I formulated a clinical question involving Therapy or Treatment Comparisons. Using the PICO format I formulated my clinical …show more content…
Díaz. Is it any preference between in office treatment or high-adhesion whitening strip? Are there any side effects of either treatment?
Outcome of interest: I hope this treatment plan help with the whitening of Mr. Díaz’s teeth. I also plan on educate him about how to avoid future discoloration of the teeth.
In order to find articles and/ or guidelines related to this issue I used Pubmed. Some of the keywords used during this search were carbide peroxide, eldery, tray bleaching, and teeth discoloration.
After doing some research I discussed the different treatment plan options with the patient. I explained to the patient that tray bleaching would be beneficial not only for the whitening issues, but also to improve the overall oral health. Tray bleach would also help reducing and fighting the number of cavities by raising the pH of the mouth, killing bacteria and eradicating the amount of plaque. However, in order to make this an effective treatment, I would have to build a custom-fit tray for him and I would have to do the treatment in the
A hygienist then asks what polisher flavor the patient would like. What the polisher does is remove any fragments of plaque remaining and surface stains on the teeth. A hygienist will then go over how to properly floss teeth for future references. Flossing is the only way to remove plaque in between the teeth. The hand scalers and polishing can only do so much. Most patients believe that flossing isn’t a big deal and make excuses such as “I forget to do it” or “I don’t know how.” This is what a hygienist is for; to properly educate the patient how to take care of the mouth by teaching them how to floss if necessary and prevent serious
The child is at stage three linguistic speech in oral development (Fellows & Oakley, 2014). They show evidence of this in both their receptive and expressive language meeting the criteria for this stage (Fellows & Oakley, 2014). They show evidence of their receptive language by their ability in being able to understand opposites (Fellows & Oakley, 2014). While they had some issues with the differences between soft and scratchy they were able to demonstrate the differences between big and little several times during the dialogue. They showed evidence of their expressive language by their use of telegraphic speech, expanding vocabulary and in the ability to take in turns of speaking and listening (Fellows & Oakley, 2014). Telegraphic
Dental caries occurs through a complex interaction over time between acidogenic micro organisms and fermentable carbohydrate, and host factors including teeth and saliva.1 The caries process can be described as a imbalance between re and demineralization and when more minerals are lost than gained from the hard tissues over time, caries lesion occurs.2Dental caries, if allowed to progress will result in non cavitated caries lesions initially on tooth surfaces, and eventually can progress to cavitation. There has been a general trend in clinical practice that caries lesion management focus primarily on operative treatment rather than using preventive non invasive strategies. This will lead to several replacements over time with increasing restoration size and produces iatrogenic damage. It has been reported that 71% of all restorations are performed on previously restored teeth, with secondary carious lesions as a major cause.3 This shows that although the carious lesion was repaired, the dental caries was not adequately treated, since the actual cause and risk factors were not adequately resolved. Recently the concept for caries management has been changed and focused mainly on multifaceted nature of caries and biofilm involvement. Currently it has been shown that the success to caries prevention
Imagine having to spend half your fortune on correcting your teeth.”Tooth decay was a perennial national problem that meant a mouthful of silver for patients, and for dentists a pocketful of gold.” (Wallis, 17) If patients don’t take care of their teeth, many issues can start to appear later in their life. Some patients are not knowledgeable of the correct procedures toward keeping a healthy smile. In order to keep a healthy smile patients must be better informed about the knowledge to achieve that success and also maintain.
Over time as individuals age and are faced with access to care issues they may begin to neglect their oral health. As time passes between dental hygiene cleanings or dentist visits the presence of oral disease may begin to increase.
I decided to do my research report on dentistry because it is a perfect blend of science and art. It is a science in that you must fully comprehend on the different types of diagnostic and procedures you are doing. It is an art in that you are constantly working with your hands to create a beautiful smile. The impact you make on helping a person achieve an impeccable smile is not one to compare with materialistic things like money or cars. People often mistake dentist as only doing practices when in fact they could do more, like research. I was fortunate enough to have been given the opportunity to interview Dr. Sarah Pham, DDS, a close family friend who practices dentistry in her own private office in Los Angeles, California. Dr. Pham was
o Please describe a time when you performed a thorough head, neck and oral exam and the findings had a significant impact on how you proceeded with the dental hygiene process of care. Annette was performing her usual head, neck, and oral exam on a patient and found an enlarged thyroid. She recommended to the patient that she go see her primary care physician to get a better diagnosis. The patient went to her primary care physician and was told there was probably nothing. Later, the patient returned to the dental office and saw Annette and told her what the physician said.
The quality of life can be defined, as the perception of the individuals about their position in life, embedded in a cultural context and a value system in relation to their goals, expectations, standards and concerns (1). During the past few decades, there has been an increasing interest in evaluating and measuring the quality of life in the literature (2). It has been reported to be important for both, the individual and the society since it is assessing relevant patient outcomes, help assessing the outcome of clinical trials, comparing the efficacy of different treatments, evaluating the cost-utility and cost-effectiveness of health-care programs and assisting quality assurance(3). A number of instruments for measuring Oral Health Related Quality of Life (OHRQoL) in relation to oral conditions have been designed (4, 5). They include assessment of impairment and the emotional, social and behavioural domains (6).
-Characterized by the elongation and hyperkeratosis of the filiform papillae, resulting in this hairlike appearance. The elongated papillae usually exhibit brown, yellow, or black pigmentation. Most patients are asymptomatic, but occasionally patients complain of irritation, gagging, or an altered taste. Patients are usually heavy smokers with poor oral hygiene and some have vitamin deficiencies, GI problems, or radiation therapy. Cures range from just brushing the tongue to corticosteroid therapy.
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.
The chosen topic is Scenario 2, which has been converted into an answerable question using the PICO framework. PICO is an abbreviation for Population, Intervention, Comparison, Outcome (Richardson-Tench, Taylor, Kermode, & Roberts, 2016). The framework is a tool used to form an answerable clinical question (Davies, 2011). The issue to be explored is the use of cranberry juice instead of oral antibiotics in the treatment of females with thrush.
Introduction: In Canada, general dental health is not part Canada’s national system of health insurance (Medicare) (1) except for some dental surgical procedures that are performed at hospitals. Since Oral health does not come under the Health Act about ninety-five percent of the oral health care services are offered on a fee-for-service basis. Oral health care is under provincial or territorial jurisdiction like other health care services and publically financed dental care programs provide the remaining five percent of oral health care services (2). Thus, majority of Canadians receive oral health via privately owned dental clinics. Privately owned dental care gives these services providers control over dental service charges, types of available treatment for the patients and number of follow-up appointment for treatments or routine care. Service users pay for the dental expenses from their own pockets or utilize insurance coverage (1).
Dental hygiene is a dynamic and challenging career that offers team work, personal growth, and extraordinary benefits, and it is the perfect career for me. As a health care professional, the dental hygienist is an important member of the dental team providing patient care. Good qualities for a dental hygienist are compassion and enjoying talking to people which are two qualities that fit my personality. I love the thought of knowing I made a positive impact in a person's health. Becoming a dental hygienist professionally requires you to obtain an associate degree in dental hygiene. They affect the average American by educating them about dental care. A dentist helps people with their dental health, which can greatly impact a person’s day-to-day life.
Elderly have long been identified as a high risk group for dental disease and poor oral hygiene care. The major barriers to affect good oral hygiene care can include lack of available staff and lack of appropriate oral health knowledge