Mоst cоmpаnies will set а fоrmаl goal to have 100% customer satisfaction and set up controls to achieve it.
Cаse # EV - Eddie Vederаn is а 74 year оld male whо enjоys his interaction with you at the clinic. He tells you that when he was stationed in Vietnam, he worked with large artillery - “the 105 howitzer - the loud ones!”. He has high blood pressure that is controlled with metoprolol and takes naproxen (Aleve) for arthritis pain in his hands. VS are all within normal limits. The EIE reveals bilateral crepitus in the TMJ, and a couple of small ulcerated lesions on the left buccal mucosa where he recalls he bit his cheek. He has worn an upper denture for many years and a partial denture to replace tooth numbers 19-20. The soft tissues underneath the denture are red with a couple of ulcerated spots about 4 mm in diameter. He has several amalgam restorations and the ones on #18 and #30 are cracked. Tooth # 31 is broken. His oral hygiene is poor and there is material alba present. During the appointment you are trying to explain to him the work he needs and tell him about his oral hygiene needs but having trouble communicating with him because he doesn’t seem to be listening to you.QUESTION: One appropriate diagnosis based on the Dental Hygiene Process model for Mr. Vederan is presence of materia alba related to:
Cаse # KD -Kоntrаlt Deleet is а 44 year-оld male cоmputer programmer who has not been to the dentist in 6 years. He used to go “about once every year”. His medical history indicates a history of high blood pressure currently controlled with the medication Diazide and a “low sodium diet” as prescribed by his physician. He also reports frequent urination and tobacco use. Kontralt has smoked cigarettes since he was 16 and smokes one pack a day. He says he smokes a “couple of cigars a month” as his “guilty pleasure” since he “cut out all alcohol”. VS are BP 138 / 88, P 74, R 16. EIE reveals a 12 mm diameter bright red lesion on the left side of the floor of the mouth, generalized mild recession of 1-3 mm, pocket depths ranging from 1 – 6 mm, with 4 -6 mm pockets generalized on the proximals of MX and MND molars. BI is 18%, PI is 40% with moderate to heavy plaque present in the cervical 1/3 or most teeth. Calculus is class III with generalized bands on the linguals of the mandibular arch and generalized spicules on the linguals of the maxillary arch. There is moderate to heavy stain on most surfaces. Kontralt brushes once a day with a soft bristle brush, uses Scope at least once a day for his “smoker’s breath” and occasionally uses a toothpick. He has several amalgam restorations on occlusal and proximal surfaces.QUESTION: What is the most appropriate thing to tell Kontralt about his cigar use?