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CASE #4: Your new patient presents with a chief complaint of…

CASE #4: Your new patient presents with a chief complaint of “I want to get established as a patient and I think I may have some gum issues going on”. During the health history and dental history, the patient reports high blood pressure and diabetes that he takes medications for and that he is a current daily cigarette and e-cigarette/vaping user.  He used to have regular dental hygiene appointments, but has not been in a dental office since the COVID pandemic started in 2020. During the head and neck exam you identify that they have a white and yellow lesion on their side of their tongue, 3 teeth that appear to have decay and gingiva that is swollen, red, and blunted. When you ask about the tongue, the patient says that it has been there for about a month and has not healed. During the periodontal and clinical examination you detect 4-6mm probe depths on all of the posterior teeth, furcation involvement on several molars and generalized bleeding. Use this information to answer the following questions: QUESTION: Which risk assessment form would be difficult to complete using the information from this scenario?

CASE #2: You are seeing a patient who is has recently finish…

CASE #2: You are seeing a patient who is has recently finished chemotherapy and radiation treatment for cancer. They have not had a dental visit for two years and in completing your assessments, you are seeing several areas of decay. You take bitewing radiographs and two anterior periapical radiographs and suspect that they have areas of decay on the posterior proximal surfaces, at the margins of two crowns, around the fillings on #3 and #31, and on the proximal surfaces of #10 and #11. Use this information to answer the following questions: QUESTION: Who will diagnose the decay and create the treatment plan of restorative needs for the patient?