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DENTAL HYGIENE CASE STUDY PRESENTATION

Transcript: DENTAL CHART REFERRAL LETTER Molars cannot be accessed because #19 & #30 are missing. Right and Left Canine: Class III Edge to Edge: 8 & 9 Open Bite: 1-7 & 10-16 Midline Shift: 1mm to the RIGHT Quadrant One- (02/6/2014) BP 130/85 R 20 P 66 Temp 97.5 Oraquix was discussed with patient and patient consented. Ms. MC wanted to try another route of anesthesia besides "with a needle". Oraquix was applied to quadrant one; above the gumline (both buccal and lingual) and then inside the sulcus. Prophylaxis began with cavitron and patient experienced tooth sensitivity on #3. After patient expressed her complaint, I handscaled the fine residual calculus after exploring. Quadrant one had generalized moderate subgingival calculus and light to moderate supragingival calculus with moderate bleeding. The patient took frequent breaks due to lower back pain. Quadrant Four- (03/04/2014) BP 122/78 R 16 P 66 Temp 98.2 Local (1 carpule of 2% lidocaine with epinepherine) was administered. Prophylaxis began with cavitron and was followed up by fine scaling with hand instruments. Patient had to be readjusted in chair several times with the addition of a pillow due to lowerback pain. Moderate generalized subgingival and moderate interproximal supragingival calculus (localized to anteriors) was removed with light to moderate bleeding. The patient tolerated the procedure with high sensitivity between 31 and 32 due to large carious lesion. Mesial Drift: #17 & #31 #14 super erupted Lamina Dura fuzziness between #29-#31 & #17-#20 30 DAY RE-EVALUATION "Numerous studies have reported positive associations between periodontal infections and clinical cardiovascular disease. Among these studies, a pattern has emerged in which findings are markedly stronger for stroke as compared to coronary outcomes. One possible explanation for these trends is that periodontal infections might contribute to clinical CVD through risk factors that are more strongly linked to stroke than to coronary pathophysiology. While both hypertension and abnormal cholesterol profiles are established risk factors for stroke and coronary heart disease, it is generally accepted that hypertension is a stronger risk factor for stroke while cholesterol profiles are more strongly linked to CHD. Therefore, if periodontal infections contribute to the development of hypertension but have little or no influence on lipid metabolism and cholesterol levels, one would expect periodontal infections to be more strongly associated with stroke, as compared to CHD. There is currently a need for more research on periodontal infections and hypertension to inform this hypothesis, although it is noteworthy..." INITIAL TREATMENT PLAN Host Factors PROCEDURES Dental Experiences & Symptoms COMPARISON Local Etiologic Factors Occlusion DENTAL HYGIENE CASE STUDY PRESENTATION PERIODONTAL SUMMARY Ms. MC never consumes alcohol or uses tobacco products. She uses: Breath Mints (2x daily) Chewing Gum (2x daily) Canned/Bottled Liquids (daily) Sugared Liquids (2x daily) Quadrant Three- (02/18/2014) BP 128/86 R 18 P 68 Temp 97.8 Local for quardrant three was set up but it was too late into the clinic time for this to be administered. The situation was discussed with patient and the patient consented to moving forward with quardrant three with only Oraquix. One carpule of Oraquix was applied to quadrant three; above the gumline (both buccal and lingual) and then inside the sulcus. Prophylaxis began and patient tolerated handscaling only in this quadrant with generalized moderate supragingival and subgingival calculus with moderate bleeding. The patient adjusted several times in the chair and took small breaks due to lowerback discomfort. DENTAL HISTORY Restorations present: 3, 14, & 15 Decay present: 1, 15, 17, 31, & 32 Extracted: 18, 19, & 30 Lingually displaced: 7 & 10 Mesial Drift: : 18 & 31 Super Erupted: 14 Mesially Rotated: 29 Ms. MC documented that her dental home care routine consists of a medium bristled toothbrush, fluoride toothpaste, and mouth rinse with fluoride. She estimates that she brushes for 3 to 5 minutes twice daily. She never flosses. She states that her busy schedule as a phlemotomist makes it difficult for her to brush as many times throughout the day as the would like. Overview Medical History Review Vital Signs Extra/Intraoral Exam Restorative/Hard Tissue Charting Complete Periodontal Evaluation Xrays Scaling & Root Planing (DOD III) Ultrasonic/Caviron Anesthesia: Oraquix (Quad 1) & Local (Quad 2, & 4) OHI: BASS method toothbrushing ASSESSMENT OF ETIOLOGIC FACTORS ...continued Oral Habits Bacterial Etiology BEFORE PROPHYLAXIS Extent of Plaque: Ms. MC has moderate generalized plaque intra-orally. Current homecare practices: She documents her dental home care routine of a medium bristled powered toothbrush, fluoride toothpaste, and mouth rinse with fluoride. She estimates that she brushes for 3 to 5 minutes twice daily. She never flosses. She states that her busy schedule as a

Dental Comprehensive Clinical Case Presentation

Transcript: Goals of Treatment Overview of Treatment Plan The primary goals of the treatment plan are to restore oral function, enhance aesthetics, and ensure patient comfort. Clear objectives also include improving overall oral health and preventing future dental issues through proactive care. The treatment plan outlines the specific steps needed to address the patient's dental issues based on clinical assessments and patient preferences. It includes details of procedures, timelines, and expected outcomes tailored for the individual patient’s needs. Treatment Planning Post-Operative Review Effective treatment planning establishes a clear roadmap for achieving optimal dental outcomes. It involves assessing the patient's needs, preferences, and clinical findings to formulate a personalized approach. Critical assessment of post-operative outcomes highlights the effectiveness of the treatment plan and informs future patient care. This section provides a comprehensive review of photographs, evaluations, and recommendations for maintaining oral health following surgery. Post-Operative Photographs Post-operative photographs are essential for documenting the success of the treatment. These images allow for a visual comparison with pre-operative conditions, showcasing improvements and any necessary adjustments in follow-up. Follow-Up Recommendations Outcome Evaluation Follow-up recommendations are crucial for maintaining optimal dental health post-treatment. Regular check-ups and oral hygiene instructions help ensure long-term success and identify any issues early on. A thorough outcome evaluation assesses treatment success based on patient satisfaction and clinical results. This evaluation considers functionality, aesthetics, and overall improvement in the patient's oral health. Pre-Operative Assessment A thorough pre-operative assessment is essential for successful dental procedures. This phase typically includes a detailed examination and documentation of initial findings, which helps inform effective treatment planning. Dental Comprehensive Clinical Case Presentation Pre-Operative Photographs Pre-operative photographs capture the initial condition of the patient's oral cavity, aiding in treatment planning and providing a visual reference for post-treatment comparisons. These images also offer professional insights into the oral health status and help set patient expectations effectively. Intraoral Examination The intraoral examination is a critical part of the pre-operative assessment, providing valuable insights into oral health. This includes evaluating gum health, tooth condition, and identifying any areas requiring attention, which all inform the subsequent treatment strategy. An In-Depth Overview of Patient Care and Treatment Process Social History The patient is a full-time employee with a high-stress job, contributing to her concerns about oral health. She has a balanced diet and is non-smoker, with limited alcohol use, reflecting positive habits affecting her dental health. Dental History Historically, the patient has undergone restorative procedures but has avoided orthodontics. Recent visits highlighted increased dental sensitivity and desires for cosmetic improvements, underscoring the need for a comprehensive evaluation. Medical History Introduction of Patient The patient has a medical history that includes controlled hypertension and no known allergies. She is not currently on any medications that would affect dental treatment, making her a suitable candidate for various procedures. This section introduces the patient involved in the clinical case, detailing pertinent medical, dental, and social factors that influence treatment planning and outcomes. Understanding a patient's background is crucial for tailoring individual care strategies. Patient Overview The patient is a 35-year-old female presenting with multiple dental concerns that impact both aesthetics and function. Key issues include noticeable tooth wear, sensitivity in several regions, and a desire for improved smile aesthetics. Intraoperative Documentation Intraoperative photographs are taken at crucial points during treatment to illustrate the progress and techniques used. These images serve as an important reference for post-operative analysis and for improving future procedures. Treatment Procedure The treatment procedure consists of well-defined steps that ensure optimal patient care and efficacy. This section delves into each stage of the treatment, supported by visual documentation. Key Treatment Steps The treatment steps include anesthesia administration, preparation of the treatment area, and execution of specific procedures based on the treatment plan. Each step is meticulously documented to ensure precision and success in the overall clinical outcomes. Design at work... Fine-tuning... Go into detail about this subject. You can add images and GIFs to bring your presentation to life, too. Go into detail about this subject here. You can always

Dental Case

Transcript: Dental Case No. 54337: Zaldana, Mirna Lizbeth, RDA Case no. 54337: Zaldana, Mirna Lizbeth, RDA *On December 11, 1999 the Dental Board of California issued Registered Dental Assistant License No. 54337 to Mirna Lizbeth Zaldan. *Mirna was convicted of violating vehicle code section 23152, driving under the influence of alcohol not only once but multiple times. *The RDA License was in full force and effect at all times relevant to the charges brought. ???? Fifth and sixth Cause for Discipline *Mirna was Convicted of five separate misdemeanor alcohol-related criminal offenses. *Mirna was caught driving on a suspended license *She was caught shop lifting at a Mission Viejo Macy's department store, totaling $281.49. *On May 12, 2011, the Board received Mirnas RDA/EF Renewal Application, and she failed to tell the truth when item 4 of the application stated if she had been convicted of any crime in any state since she last renewed her license. Mirna checked No By: Vickie Reyes *Did Mirna get a fair punishment for all of her misdemeanors? *What would have been a fair punishment? PARTIES *Richard DeCuir, Executive Officer of the Dental Board of California *Karen M. Fischer, Executive Officer of the Dental Board of California *Kamala D. Harris, Attorney General of the State of California * Amanda Dodds, Senior Analyst First and Second Cause For Discipline *Driving under the influence with a Blood Alcohol Concentration over .08, a misdemeanor, not only once but several times. *As a result of her first conviction, on June 6, 2008, Mirna was granted 36 months summary probation, and ordered to complete a three month First Offender Alcohol Program. she was ordered to pay $1,546.38 in fees, fines and restitution. her probation was revoked twice for failing to comply with its terms. *As a result of her second conviction, on December 2, 2011, Mirna was granted five years formal probation, and ordered to serve 60 days in the Orange County Jail. she was ordered to complete an 18 month Multiple Offender Alcohol Program. Third and Fourth Cause For Discipline *Respondent has subjected her license to disciplinary action, for unprofessional conduct in that on March 7, 2008, September 24, 2010 and May 7, 2011 *Used alcohol and was impaired in a manner that was dangerous or injurious to herself and the public. Decision And Order *Mirna plead guilty for all of her misdemeanors and surrendered her license. *The Dental Board of California accepted the surrender of Mirnas RDA license. *Also, the Board decided that Mirna will have to pay $1,002.50 to the agency of investigation and enforcement for the costs of investigation. *She cannot apply for licensure or petition for reinstatement for three years from the effective date of the Dental Board of California’s Decision and Order which was on January 10, 2014.

Dental Hygiene Case Presentation

Transcript: DH: many restorations Major learning moment: get a completion check! Success: Completed patient HH: High BP, allergies (seasonal, processed meats), melanoma (right leg, removed 1994) Occlusion: class I bilateral, with a class II tendency from a canine relation. 4mm overjet, with a moderate overbite Subjective/Objective Implementation Treatment Planning IO/EO: WNL, bilateral linea alba, bilateral mandibular tori, exostosis near #20 and #21 Analysis Difficulties: Instrumenting while patient slept Patient was eager to learn about homecare, involved in her treatment and seemed very compliant. Dental Hygiene Case Presentation I learned to value the relationship and trust that is built between a patient and clinician. Through treatment, I was able to show my patient the improving indice scores, and it turn I think she began to trust me more. Appointment 2: HH, vitals, IO/EO, velscope, complete perio maintenance quads 3 and 4, and begin on quads 1 and 2, OHI flossing with recommended floss. Moderate caries risk Difficulties: Patient built calculus quickly Contributing factors: plaque biofilm, existing restorations, medications, and xerostomia. Therapy outcomes: prevent further bone loss, improve plaque biofilm scores, home care, and xerostomia, and reduce the plaque biofilm build up. Constraints: medications and compliance. Process: started on quads 3 and 4 due to heavy supra calculus build up. When patient returned at next appointment, it was all back. Patient Appointment 1: HH, vitals, IO/EO, assessment, nutritional counseling, perio maintenance on quads 3 and 4, OHI brushing. Recommend: Bass method 3 Mos. Perio maintenance interval Modifications: Due to not completing quads 3 and 4 at appointment 1, another appointment was needed. Biotene for patient's xerostomia was also added in. CC: 3 mos. perio maintenance recare Implementation 73.9% Plaque Indice I always tend to look at small details when treating a patient, and through this I was allowed to see how all of the pieces fit together. Gingival Health: Periodontitis Subjective/Objective Vitals: 4/16/14; BP 144/78, P 60, R 18 5/6/14; BP 130/70, P 58, R 16 5/13/14; BP 124/82, P 76, R 18 5/21/14; BP 126/76, P 64, R 16 Success: O'herir for supra calculus removal Med Alert: Allergic to some BP medications ASA:II Plaque indice scores started as 73.9% on 5/6/14, then 68.75% on 5/13/14, finally 56% on 5/21/14. PN: Retired DH Diagnosis: AAP Perio Case Type II, generalized moderate, localized severe in her molars. Self Assessment Appointment 3: HH, vitals, IO/EO, complete perio maintenance quads three and four, coronal polish, and fluoride. OHI with recommended ACT rinse. Subjective/Objective Instrumentation Many restorations 85 year old female 24 teeth present Evaluation

Dental Case Report Presentation

Transcript: Wrap up quickly class 1 caries treatment of class III a little deep caries in the occlusal surface class III preview and treatment the classes and treatment steps of treatment questions ? Introduction class III caries conservation focuses on preserving natural teeth and preventing decay and damage. Case Report types of clases most common type site proximal surfaces of central and lateral incisors and cuspid cause mostly bacteria and bad oral hygien treatment removal of caries and restoration presented by : suppervised by : mohamed alsgaier Dr . fatima Dr . mofida Dr . manal Dr . hanadi Dr . badr eldin more informations treatment of class I advanced cases we keep dry envoirment we keep it strellaized harder and more advanced case first step :anastesia second step :removal of caries third step :acid and bond forth step :restoration final step :finishing .

Orthodontic Dental Case Presentation

Transcript: Institution/Organization [Your Institution/Organization Name] Date of Presentation [Insert Date Here] Presenter Name [Your Name], Orthodontist and Case Presenter Introduction to Orthodontics Presentation Title Purpose of Presentation Understanding the foundational concepts of orthodontics sets the stage for appreciating the specific case presented. This section highlights the significant role of clinical cases in the field and their contribution to both practitioners' knowledge and patient outcomes. Title Slide The purpose of this presentation is to provide a comprehensive overview of an orthodontic case, including the assessment, treatment plan, and outcomes. By sharing this case, insights are offered into practical applications and methodologies used in real-life scenarios. Orthodontic Dental Case Presentation This presentation outlines a comprehensive orthodontic dental case report, detailing the patient journey, treatment plan, and outcomes in the field of orthodontics. Overview of Orthodontics Importance of Case Sharing Orthodontics is a specialized field within dentistry focused on the diagnosis, prevention, and correction of malpositioned teeth and jaws. Treatment methods can include braces, aligners, and other devices, aiming for functional and aesthetic improvements in patients' smiles. Case sharing in orthodontics is crucial for advancing knowledge and improving treatment outcomes. By examining various patient scenarios, practitioners can learn effective techniques, anticipate challenges, and refine their treatment strategies, ultimately benefitting their own patients. Patient Profile Patient Demographics The patient profile encapsulates essential details that guide orthodontic diagnoses and treatment planning. Understanding patient demographics, medical history, and dental history helps in formulating personalized and effective treatment strategies. The patient is a 15-year-old female, attending high school. She lives in an urban area and represents a diverse ethnic background. Understanding her age and lifestyle is critical for tailoring orthodontic treatment to her specific needs. Radiographic Evaluation Radiographic evaluation utilizes X-rays to obtain images of the dental structures, including the positioning of teeth and the relationship between jaws. Common types include panoramic and cephalometric radiographs, which are crucial for diagnosing skeletal discrepancies and planning treatment. Presenter Background Personal Information Medical History Dental History The presenter has a diverse background in dental care, specializing in orthodontics. With a passion for improving patient outcomes, experience has been cultivated through various roles within clinical settings and educational institutions. Understanding the presenter's expertise provides insight into the case at hand. A solid background, coupled with relevant qualifications and experience, enhances the credibility of the information being presented. Occlusal Analysis The patient has a history of orthodontic treatment at age 12, which involved initial braces for crowding. Regular check-ups indicate good oral hygiene but occasional issues with compliance in wearing retainers, impacting treatment outcomes. The patient reports no significant medical conditions. Past illnesses include mild asthma, which has been well-managed. No allergies or chronic medications are noted, ensuring a lower risk for treatment complications. Professional Experience Occlusal analysis assesses how the upper and lower teeth meet during biting and chewing. Evaluating occlusion helps in identifying malocclusions such as crossbites and open bites, which can inform necessary treatment approaches to correct these issues and improve function. Educational Qualifications With over five years of professional experience, the presenter has worked in various clinical settings. Roles include treating patients, conducting research, and mentoring dental students, contributing to a well-rounded practical understanding of orthodontics. Visual Assessment The presenter's educational journey includes a Doctor of Dental Surgery (DDS) degree and specialized training in orthodontics. Continuous education through workshops and conferences reflects commitment to remaining current in orthodontic advancements. Visual assessment involves a comprehensive inspection of the patient's oral cavity, identifying irregularities in tooth position, alignment, and gingival health. Key indicators include overbite, overjet, and any signs of wear or damage to the enamel that could indicate underlying issues. Clinical Examination A thorough clinical examination is critical for diagnosis in orthodontics, encompassing visual assessments, radiographic evaluations, and occlusal analysis. These components collectively inform the development of tailored treatment plans for patients. Treatment Phases Initial Phase Effective orthodontic treatment unfolds in three critical phases: Initial, Active, and Retention.

Dental Case Presentation

Transcript: Case History Medical History case presentation IntraOral Examination there is No medical Condition patient info and Evaluation chief complaint Dagnosis Treatment plan Procedure performed result Acute Phase Chief Complaint Control Phase 1- Caries removal of active lesion of upper central and ltaeral incisors and restore esthetics ( class V , III composite restorations . Problem List Treatment Plan The patient came with pain and sensetivity with cold and he was upset from color of his anterior teeth Dental History 1- caries removal related to upper right 6 2-subgingival scaling and prescribition of clorohexidine mouth wash for 2 week to treat gingivitis 3- eliminate risk factor as bad diet habits 4- improve oral hygine 4. 2. Control Phase Acute Phase Definitive Phase Manitainance phase 1- calculus and stains 2- Class III caries related to upper right lateral and central 3- class III and class v caries related to upper left central and class III lateral incisor 4-class I upper right first molar 5-unerupted upper Right cannine and partially erupted first premolar 6- Class III Malocclusion 3. 1. Definitive Phase Extra Oral Examination The patient had class 1 composite Restoration 1- Orthodontic treament 2- gingival depigmentation Diagnosis Of Chief Complaint Carious Lesions Related to upper right lateral and central incisors and upper left central and lateral incisors Case Presentation By : Passant Mahmoud Abd Elazim Under supervision Of Prof Dr. Iman El sayyad Maintainance phase 1-Follow up every 3 month 2-Educate patient about healthy oral condition Topic Topic

DENTAL THERAPY CASE STUDY PRESENTATION

Transcript: Prognosis Special Testing Air sensitivity on drying first permanent molars with the triplex. Thermal and percussion tests within normal limits for all other teeth. Short-Term Prognosis: Good, provided immediate sensitivity and gingivitis are managed effectively. Long-Term Prognosis: Fair to good, dependent on adherence to preventive measures and long-term orthodontic management. Critical Considerations: Peter’s age, potential lifestyle influences (vaping), and his cognitive ability to understand and implement preventive advice are pivotal in maintaining positive oral health outcomes. Clinical Examination Extra- Oral No abnormalities Reported. Facial symmetry and muscle function normal. No signs of trauma, swelling, or lymphadenopathy. Intra - Oral Gingival inflammation around lower molars. Evidence of plaque accumulation, especially on the posterior teeth. Generalised dental demineralisation, noted on the first permanent molars and incisors. indicative of molar-incisor hypo-mineralisation (MIH). These areas appear as “chalky” and have a white or yellow-brown discolouration. Occlusion Incisor relationship: Class II, Division II with anterior open bite and 6mm over-jet. Molar relationship: Class II. Hard Tissue Caries: Watch: Restorations: Periodontal Status Periodontal Screening and Recording (PSR): 111/121. Mild gingivitis present around lower molars. Maintenance Phase Ensure long-term health and prevent disease recurrence. Patient's Concerns 01 Regular follow-up appointments every 3-6 months for professional fluoride application, monitoring of enamel integrity, and assessment of orthodontic development. 02 Continued reinforcement of preventive strategies, including daily fluoride use (toothpaste, mouthwash) and proper dietary habits. Appearance of "Chalky" teeth Sensitivity on maxillary central incisors as well as molars Pain present surrounding gingiva of mandibular molars. 03 do nothing Hard Tissue Charting Definitive Phase: Provide conclusive care to stabilise and improve oral health. Medical History Fissure sealants on molars to protect hypo-mineralised enamel and reduce caries risk. 01 Medical Status: Peter is fit and healthy, with no significant medical conditions reported. Medications: Ritalin for ADHD Liquid iron supplement Composite resin restorations on severely affected MIH teeth to reduce sensitivity and improve aesthetics. Dietary Habits Restorations present: 3, 14, & 15 Decay present: 1, 15, 17, 31, & 32 Extracted: 18, 19, & 30 Lingually displaced: 7 & 10 Mesial Drift: : 18 & 31 Super Erupted: 14 Mesially Rotated: 29 02 Peter consumes three meals daily and snacks on juice, fruit, and muesli bars. He is lactose intolerant. Referral to an orthodontist to assess malocclusion, with potential future need for orthodontic intervention given Peter’s age and dental development. Molars cannot be accessed because #19 & #30 are missing. Right and Left Canine: Class III Edge to Edge: 8 & 9 Open Bite: 1-7 & 10-16 Midline Shift: 1mm to the RIGHT Lifestyle Do Nothing Active in AFL, playing on weekends and training twice weekly. 03 Social History: Mother suspects potential exposure to vaping through older friends RADIOGRAPHIC EVALUATION PHOTOGRAPHIC EVALUATION Disease Control Phase Control active disease and reduce risk factors. 01 Professional dental cleaning and plaque control, particularly around sensitive and affected areas. INTRODUCTION 02 Oral hygiene education tailored to Peter’s developmental stage, focusing on proper brushing techniques and interdental cleaning. Dietary advice to reduce the frequency of acidic and sugary snacks, emphasising the replacement of juice with water or non-acidic alternatives. Discuss the potential risks associated with vaping and establish a supportive environment to discourage use. Mesial Drift: #17 & #31 #14 super erupted Lamina Dura fuzziness between #29-#31 & #17-#20 2 Bitewings (LHS + RHS) Bitewing radiographs reveal enamel hypo-mineralisation of molars and incisors 24MO Radiolucency 34MO Radiolucency Patient Profile 03 Do Nothing Peter Age: 14 years Presenting with: mother Reason for Visit: Routine examination; concerns about "chalky" teeth and sensitivity. Risk Assessment Caries Risk: TREATMENT PLAN High due to MIH, frequent snacking on sugary items (juice and muesli bars), and enamel defects. Systemic Phase: Manage systemic factors impacting oral health. Liaise with Peter’s general practitioner regarding the effect of medications (Ritalin and liquid iron) on oral health, including dry mouth and staining. Nutritional counselling with a dietitian for lactose intolerance, emphasising calcium-rich alternatives to support dental health. Periodontal Risk: Low to moderate, with localised gingivitis due to plaque buildup.c Acute Phase: Address immediate concerns such as pain or sensitivity. Behavioural Risk: Desensitising treatment for sensitive teeth using fluoride varnishes or other desensitising agents. 01 Possible risk from vaping exposure. Application of casein

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