Rachel is a 68-year-old patient that has been coming to your…

Rachel is a 68-year-old patient that has been coming to your office for seven years. During the review of her medical history, she tells you that she had a stroke eight months ago that has left her very weak on her right side. She now takes blood thinning medication everyday as well as two medications for hypertension. Her blood pressure reading was 136/88. In the past she has had wonderful oral hygiene care at every visit, but today she presents with moderate to heavy biofilm and generalized slight calculus. Your oral assessment reveals normal salivary flow and no decay, but the patient reports that her teeth are now quite sensitive to cold.   How would you classify her blood pressure reading?

Rachel is a 68-year-old patient that has been coming to your…

Rachel is a 68-year-old patient that has been coming to your office for seven years. During the review of her medical history, she tells you that she had a stroke eight months ago that has left her very weak on her right side. She now takes blood thinning medication everyday as well as two medications for hypertension. Her blood pressure reading was 136/88. In the past she has had wonderful oral hygiene care at every visit, but today she presents with moderate to heavy biofilm and generalized slight calculus. Your oral assessment reveals normal salivary flow and no decay, but the patient reports that her teeth are now quite sensitive to cold. Which of the following is the most likely reason for the increase in biofilm and calculus?

Bridgett is a 42-year-old accountant. She is a new patient t…

Bridgett is a 42-year-old accountant. She is a new patient to your office and presents today with pain on the lower left. The periodontal assessment reveals generalized bleeding on probing and probing depths that are less than 3 mm with the exception of the interproximal molar areas where 5 mm depths are noted. A review of the medical history reveals hypertension and diabetes for which she takes lisinopril and metformin. Her latest A1c was 8.6. Radiographs reveal 1 mm bone loss between the molars and a radiolucency at the apex of tooth 19. Which of the following is most likely having the greatest impact on her periodontal health?

The dental treatment plan includes the diagnosis and all tas…

The dental treatment plan includes the diagnosis and all tasks to be carried out by the dentist and the dental hygienist (but not the patient). The dental hygiene care plan will primarily include tasks included in phase I and phase IV therapy that are covered by the dental hygiene scope of practice.