Case # DK -Delia Kardz is a 24 year old female new to the pr…
Case # DK -Delia Kardz is a 24 year old female new to the practice and is seeing you first for a “cleaning”. She is attending college full-time and working part-time at the casino. Medical history indicates no unusual findings. She is taking Ortho-novum for birth control and ibuprofen or acetaminophen (“whatever’s handy”) as needed for headaches. VS are BP 106/70, P 64, R 14. Intraoral exam reveals generalized severe edema and erythema of marginal gingival tissues, generalized bleeding on probing, pocket depths of 1-4 mm with no recession and generalized decalcification. Dental and radiographic exams indicate no previous restorations but carious lesions on three maxillary molars in the cervical 1/3, proximal decay on three posterior teeth, and decay on four occlusal surfaces. There is no bone loss evident. The patient admits she has not been to a dentist in several years and is embarrassed about that. She reports she brushes once daily with “whitening toothpaste”. Small subgingival spicules of calculus are scattered minimally throughout the lower arch with slight amounts of supragingival calculus present on the lower anterior lingual surfaces.QUESTION: Delia had not given any thought to her oral health before. This demonstrates what Stage of Change?
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