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I have a dental case study that needs to be written, management of a patient with specified problem lists. I need a dentist or dental hygienist to write up a treatment plan, including why each "plan" or "treatment" is done.
PART 1: Develop and discuss oral care plans for ALL of the following prescribed cases
PART 2: For any ONE of the cases, explain how the oral health care plan for the patient is an example of quality care and how it is aligned with your personal practice philosophy.
( LO 6)
(100 – 200 words)
Case One: (maximum of 1000 words, related to LO's 1, 9 and 11)
A 9 year old girl, the oldest of three children,presents in your clinic because her mother is most concerned about her daughter’s upper midline diastema (2 mm) and generalised spacing of her upper front teeth. She feels the spacing has worsened over the last few months. On examination you notice the 53 and 63 are firm with no apparent buccal bulge, a very low fleshy upper midline frenum is present, the 12 and 22 are fully erupted but smaller than normal, tooth 75 is submerged 1.5mm and tooth 36 is mildly impacted against tooth 75.
Discuss your management of this patient, indicating what aspects of your findings are of immediate concern. Include an outline of the comments you might make to relieve the mother’s concerns.
Case Two: (maximum 1500 words, related to LO's 4, 9 and 11)
A 14 year old boy reluctantly attends for an oral health assessment. He has not seen an oral health practitioner since he was 10. He has no pain or discomfort.
Medical history: NAD, although there is a family history of Type 2 diabetes.
He remembers: “having lots of fillings in my baby teeth – but I haven’t had any fillings for ages”
His assessment reveals:
All permanent teeth are present and fully erupted except the 45, 17 and 27 and 3rd molars.
The 85 is present and has a moderately sized MO amalgam restoration and a cavitation on the distal surface.
There are Class 2 amalgam restorations on the mesio- occlusal surfaces of the 16 and 26.
No other restorations are present.
37 and 47 are partially erupted.
The lower incisors are mildly crowded. He has a Class 1 molar relationship, with an overjet of 1mm and an overbite of 20%.
Fissure sealants are present on all first molars, although some appear deficient.
Numerous white spot lesions are evident clinically.
A number of C1 and C2 lesions are evident on the bite wing radiographs, his bone levels are normal.
The 36 mesial has a C4 lesion radiographically which is not evident clinically (borderline C3/C4).
The 46 mesial has a C4 lesion radiographically, which is evident clinically as a discolouration underlying the mesial marginal ridge.
The gingivae are generally inflamed and bleed easily when touched.
His plaque control is poor, he brushes once a day with a fluoride toothpaste, (when he remembers), and never uses dental floss. He lives in a fluoridated area.
He admits he enjoys fizzy drinks and lollies and has both daily.
His breath smells strongly of cigarettes, but he hasn’t revealed he is a smoker.
Develop and discuss an oral care plan for this patient. Your care plan should comprehensively address the patient’s presenting oral health condition and risk status and encompass strategies to prevent further disease progression and initiation.
Please note: all of the information required to make an accurate diagnosis and assessment of risk may not be provided in the above description of findings. You should state what further information needs to be gathered, and your discussion should address possible diagnoses, risk status and options for care, based on presented and potential findings.