Caselet Two – 5 of 5 questions Bill, a 30-year-old patient,…
Caselet Two – 5 of 5 questions Bill, a 30-year-old patient, presents to the office for routine dental hygiene therapy. Bill has always reported that he has had seizures. This visit he indicates that he has been having a seizure about once a week. Since his seizures have been happening more frequently, his doctor has put him on phenytoin. The dental hygienist asks Bill about his seizures and he states that he usually notices very strong smells before his seizures. His seizures usually last about 10 seconds, he loses consciousness, and usually his eyelids twitch. He comes out of it quickly and usually does not remember what has happened. During the intraoral exam the dental hygienist notes that the gingiva in the upper anterior interdental area is enlarged and is somewhat fibrotic. Bill says he has noticed it, but it is not painful. The dental hygienist determines Bill has slight to moderate gingival enlargement. Which of the following is not part of the dental hygiene care plan?
Read DetailsCaselet Three – 4 of 4 questions Beth, a 16-year-old teenage…
Caselet Three – 4 of 4 questions Beth, a 16-year-old teenager, comes into the office complaining of tooth sensitivity. She has not been seen in the office for 3 years. When asked about her medical history she states that she has been diagnosed with an eating disorder and has had a lot of trouble with it over the past few months. Beth is of normal weight and the dental hygienist questions her further about the disorder. She states that she goes through phases of uncontrollable binge eating and then uses laxatives or self-induces vomiting after the binges. She says she thinks she is obese. Upon further assessment the dental hygienist notes that several teeth have been worn down and are very translucent. She also notes that the right parotid gland is swollen. The dental hygienist found a swollen parotid salivary gland on Beth. The following oral conditions also may be present, except:
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