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 determine that they have areas on the posterior proximal surfaces, at the margins of two crowns and 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?

On your new patient you are using the light, explorers and r…

On your new patient you are using the light, explorers and radiographic images to determine where there are restorations, check the restorations for areas of decay and to determine where there is calculus to remove.  On tooth #30 there is an area where there is a gap between the tooth and the amalgam that you can stick the explorer into.  On tooth #18, there is excessive amalgam material that extends into the proximal embrasure space.  You feel vibrations that indicate that there is calculus on many of proximal surfaces, you estimate about 25% of the surfaces total.  One of the patient’s chief complaints for today is that his bridge fell out and he brought it with him in hopes it could be re-cemented. QUESTION: When detected calculus and marginal issues, where will the vibrations be felt and by which finger, when using the modified pen grasp?

Your patient is a 90 year old man with several health condit…

Your patient is a 90 year old man with several health conditions including a past stroke in 2017, past heart attack in 2000, hypertension since 1980 and dementia diagnosed in 2016.  His vital signs are BP: 132/84, pulse 84, respiration 14 and he takes his 5 prescribed medications daily to control his health issues.   His daughter brought him because he no longer drives and she helps him during the appointment with the paperwork and with answering your questions.  The daughter wishes he could have a dentist that comes to his nursing home, so you work with her to try to recruit the dentist you work for to see patients there 1 day per month. QUESTION: What role of a dental hygienist are you playing when you work to get a dentist to commit to seeing patients at the nursing facility?   

Your patient is a 90 year old man with several health condit…

Your patient is a 90 year old man with several health conditions including a past stroke in 2017, past heart attack in 2000, hypertension since 1980 and dementia diagnosed in 2016.  His vital signs are BP: 132/84, pulse 84, respiration 14 and he takes his 5 prescribed medications daily to control his health issues.   His daughter brought him because he no longer drives and she helps him during the appointment with the paperwork and with answering your questions.  The daughter wishes he could have a dentist that comes to his nursing home, so you work with her to try to recruit the dentist you work for to see patients there 1 day per month.   QUESTION: Where do you list new medications that the patient is taking in the AxiUm patient chart?