Dental Case Study - Ms outpatient

Dental Case Study - Ms outpatient

Whitening Toothpaste - Dental Case Study - Ms outpatient Good afternoon. Yesterday, I discovered Whitening Toothpaste - Dental Case Study - Ms outpatient. Which is very helpful if you ask me and also you.

49 year old married female with many sclerosis. She is very open to discuss her disease and the impact it has on her life. She practises yoga and freedom therapy. A friend of hers mentioned that Ms was caused by mercury toxicity from dental amalgam fillings. Her chief complaints were sensitivity to hot, cold in her upper left lower right quadrant, bleeding gums, potential amalgam discharge and dry mouth. Client used to see her dentist normally for dental check ups but stopped all of a sudden. Her last dental visit was at a Dental Hygiene College 3 years ago. In 1976 She reported to have trigeminal neuralgia that lasted about 2 months, and previous use of cigarettes and marijuana from (1974 to 1988). She also reported to have problems with urine leakage. She sees her doctor and neurologist bi-annually. Her vital signs were within general limits, she was hospitalized two times due to acute Ms episodes one in 1978 and the other in 1992. She reported taking medication to prevent the progression of Ms, and gets injected every other day with Betaseron 5mg and Copaxone 20mg; diazepam 1mg twice daily; ibuprofen 800mg three times a day and baclofen 10 mg four times a day. Dry mouth is a frequent side supervene of these medications. Client is disabled she must use a walker to walk. Fatigue has affected her oral hygiene before bedtime so she often brushes only in the morning. This client lacks manual dexterity and coordination due to the numbness and pain in her hands. Her diets consist of fried foods and lots of soda. What I said. It is not the final outcome that the real about Whitening Toothpaste. You see this article for facts about that wish to know is Whitening Toothpaste. Whitening Toothpaste Clinical evaluation Data On the first appointment the following things were completed. Extra and intraoral, periodontal hard tissue examination, a full mouth serious, intraoral photographs were taken and homecare practices were observed and discussed. Considerable findings included the following. Extraoral: Unilateral swelling on the right side of the face; bilateral firm masseter muscles; Tmj crepitation; occasional pain upon occasion mouth in the morning and nocturnal bruxing. Intraoral: Linea Alba bilateral 6mm on both sides; small tori on the palate and decreased salivary flow. Moderate subgingival calculus with grayish extrinsic stains. Periodontal: Generalized 2-6 mm probing depth and localized 5mm readings on the posterior interproximal areas; furcations settled on 16,14,47,46. Bleeding upon probing on all posterior teeth. Hard Tissue: Generalized diminutive attrition. Multi exterior restorations on most posterior teeth. Plaque control Record: Plaque-free score 75%; Radiographs: Generalized bone loss 10 to 30% horizontal bone loss; localized diminutive vertical bone loss in posterior; visible calculus spicules; suspected caries on #15 under restoration. Nutrition: Meal pattern consist of breakfast, snack, lunch, snack, dinner, snack. Calorie intake is inadequate. Food Groups consumed daily are mainly Meat and alternatives. Fat intake high. Body weight above healthy. Activity level low. Social: Regardless of having Ms client feels her farranging health is good. The client has no insurance, so that's why she has been avoiding dental care but she is ready to make a lifestyle change. She has a reserve law to aid her with transportation Dental hygiene rehabilitation care plan 1. Take vital signs at each appointment to ensure that V/S are Wnl 2. Modernize healing history for any potential contraindication to treatment. 3. Divulge her medication intake to conclude any side supervene that might compromise the treatment. 4. Book the outpatient at morning appointments since morning appointments tempt to be less stressful to patients with neurological problems. 5. Ensure a quite and relaxant environment for the outpatient while the appointment. 6. Allow many brakes while the appointment to help relaxing her facial muscles and allow Considerable frequent urination. 7. Minimize fatigue by complying with the outpatient daily regime and ease while rehabilitation (positioning the chair in the most comfortable position for the patient). 8. Monitor oral conditions that are related with client at every appointment and make referral if necessary, (to conclude any intra extra oral changes that might compromise rehabilitation or outpatient health). 9. Use clorhexidine prior to rehabilitation to reduce bacterial flora within the oral cavity. 10. Debridement of calculus and plaque by ultrasonic (One quadrant at the time) to reduce the scaling time. 1-2 appointments. 11. Debridement by hand scaling ( one quadrant at the time) to make sure that all the calculus and dental plaque left after using ultrasonic is removed. 1-2 appointments 12. Selective polishing to selectively remove intristic stain. (Whiter teeth are related with charm and a healthier lifestyle) 13. Use fluoride rinse Neutral sodium 2% to help re mineralize clients teeth. 14. Take an impression on lower anteriors to form a mouthguard that will prevent further attrition on the lower anteriors due to buxism. 15. Referral to Dds for rehabilitation due to clients request to replace old amalgam fillings with white rehabilitation material 16. Diet counseling to growth salivary flow. ( while intra oral examination xerostomia was clear perhaps from medication side effects) 17. Think Local anesthetic ( Lidocaine 2% in case Topical anesthetic 2% is not adequate in development client comfortable while the appointment. Osc planning 1. Prescribe antisensitivity toothpaste to eliminate sensitivity to hot and cold. 2. Recommend increasing of H2o consumption to growth salivary flow in the oral cavity. 3. Client will be educated in the relationship that Ms has on her oral cavity to growth her cognitive knowledge towards Osc (for example bruxism, subluxation, crepitation, xerostomia). 4. Discuss the relation in the middle of Ms patients and the high risk of caries activity. 5. Demonstrate floss and brushing aids to the client. ( proxy brush, floss aid, modified brush handles.) to improve patients Osc skills. 6. Use disclosing agent to show to the client the problematic areas that are missed while at home oral self care. This will growth the awareness of the client to the gift oral situation. 7. Recommend powered toothbrush to growth the brushing time due to clients compromised plaque discharge skills. 8. Recommend different modifications to the Osc aids that client will feel comfortable with, to growth ease in grasping oral aid handles 9. Recommend water pick to allow a definite degree of independence in cleaning interproximal areas from plaque. 10. Recommend different corporeal activities ( like yoga) to improve the dexterity that will help client with self oral care. Multiple Sclerosis and Dental Hygienist Treating patients with Ms provides dental hygienists with many opportunities to learn. The many links in the middle of oral conditions and Ms symptoms enable dental hygienists to fulfill their roles as customary holistic health care providers. Ms is the most prevalent demyelinating disease of the Cns, and the third important cause of neurological disability in the United States. For patients presenting with Ms, the dental hygienist can conduce by promoting both corporeal and oral comfort. Appointments that accommodate extra corporeal needs and rehabilitation plans that offer meaningful health promotion and disease arresting plans are ways to foster Ms outpatient compliance. Current knowledge about Ms symptoms, etiology, corporeal limitations, treatments, and Cam will aid the dental hygienist in providing optimal care. I hope you obtain new knowledge about Whitening Toothpaste. Where you'll be able to put to utilization in your daily life. And most significantly, your reaction is passed about Whitening Toothpaste. Read more.. Dental Case Study - Ms outpatient.

Follow me @ Spring Valley Vitamins,My delicious,My Digg,My folkd,My feeds