Your new patient, Mrs. Gingi Va is seated in your chair. Sh…
Your new patient, Mrs. Gingi Va is seated in your chair. She is 55 years old and recently retired from the school district. She appears to be a little apprehensive and uncomfortable being at her appointment. Her medical history indicates high blood pressure and a heart murmur. She says her heart murmur is okay and that she has had it for 21 years. Additionally, she has a pace maker, and shows you documentation from her cardiologist that it is shielded and was placed five years ago. Mrs. Gingi Va’s last medical exam was last month as she has recently had her left hip replaced. She takes no medications presently by prescription. She used to smoke one pack of cigarettes per day but no longer smokes due to successful acupuncture therapy. Her last cleaning was over five years ago. When Mrs. Gingi Va has had her teeth scaled in the past, it has been painful, and she has experienced post treatment sensitivity. She also states apprehension because she is worried about her “gums hurting while the scraping happens”. She loves her Starbucks and drinks vanilla lattes all day long. She states she has all of her teeth with the exception of an implant that is replacing tooth #9. She wears a nite guard appliance that is designed to reduce night-time occlusal forces on the implant. After reviewing your patient’s medical history, you recognize the priority from the following choices is:
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