Caselet Two Mr. Matton presents as a new patient wanting to…

Caselet Two Mr. Matton presents as a new patient wanting to have his teeth cleaned.  He takes captopril (Capoten) every morning and has allergies to bananas, kiwis, and tomatoes.  You record his blood pressure at 155/92 mmHg, pulse at 74 beats per minute, and respirations at 16 per minute.  He has not received any dental treatment for 5 years.  He also says that he is having constant pain in tooth #30.  Mr. Matton’s intraoral exam reveals generalized marginal inflammation, moderate biofilm accumulation, and subgingival calculus.  Probing depths are 4 to 6 mm on the posterior teeth with bleeding upon probing.  Radiographs show carious lesions on the mesial of #14; mesial, occlusal, and distal surfaces of #30; and mesial surface of #19.  There is also a periapical pathology on tooth #30.  There is horizontal bone loss in the posterior regions and Class II furcations on #3, #14, and #19. Question 4 of 4 Which of the following would represent the most accurate disease classification of the patient’s periodontal status?

Caselet Two – 5 of 5 questions Bill, a 30-year-old patient,…

Caselet Two – 5 of 5 questions Bill, a 30-year-old patient, presents to the office for routine dental hygiene therapy.  Bill has always reported that he has had seizures.  This visit he indicates that he has been having a seizure about once a week.  Since his seizures have been happening more frequently, his doctor has put him on phenytoin.  The dental hygienist asks Bill about his seizures and he states that he usually notices very strong smells before his seizures.  His seizures usually last about 10 seconds, he loses consciousness, and usually his eyelids twitch.  He comes out of it quickly and usually does not remember what has happened.  During the intraoral exam the dental hygienist notes that the gingiva in the upper anterior interdental area is enlarged and is somewhat fibrotic.  Bill says he has noticed it, but it is not painful. The dental hygienist determines Bill has slight to moderate gingival enlargement.  Which of the following is not part of the dental hygiene care plan?