Caselet Two Mr. Matton presents as a new patient wanting to…
Caselet Two Mr. Matton presents as a new patient wanting to have his teeth cleaned. He takes captopril (Capoten) every morning and has allergies to bananas, kiwis, and tomatoes. You record his blood pressure at 155/92 mmHg, pulse at 74 beats per minute, and respirations at 16 per minute. He has not received any dental treatment for 5 years. He also says that he is having constant pain in tooth #30. Mr. Matton’s intraoral exam reveals generalized marginal inflammation, moderate biofilm accumulation, and subgingival calculus. Probing depths are 4 to 6 mm on the posterior teeth with bleeding upon probing. Radiographs show carious lesions on the mesial of #14; mesial, occlusal, and distal surfaces of #30; and mesial surface of #19. There is also a periapical pathology on tooth #30. There is horizontal bone loss in the posterior regions and Class II furcations on #3, #14, and #19. Question 3 of 4 To determine a care plan that is best for this patient, which of the following should be completed first?
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