Sclerosis Case Study Essay

The original dental hygiene diagnosis for patient number 12931 was a P4. A full mouth supplemented with bitewings were exposed to monitor and examine the extent of periodontal disease. This patient as you would expect is at a high risk for periodontal disease. While the patient’s caries risk is only considered to be moderate. Biofilm plaque score was low, but the patient could increase their flossing frequency as she admitted to rarely making the commitment. However, the patient did mention she had vision impairment, in which could add an extra obstacle to homecare.
At the previous appointment, the patient received education in regards to flossing more frequently and brushing more efficiently. Probing was completed to measure bone health,

The patient had no changes to her health history and is overall healthy despite vision impairment. After reviewing her probe depths in comparison to her last appointment, it was apparent there was no longer bleeding upon probing in the first quadrant. Her probe depths had also gone down generally by one mm in both quads one and two. The treatment therapies that were performed for this patient at recall included using the ultrasonic throughout all four quads. This patient did not handle the ultra-sonic well, so we took many breaks and touched up with hand scaling. The patient had multiple open contacts, so during patient education I showed her the proxy brush and how to adapt it within the embrasures. I emphasized the importance of flossing and using the proxy brush in regard to decrease the amount of plaque between her teeth and hindering her risk for continued bone loss and interproximal caries. I placed most of this education under the urgency that we would like to maintain the teeth and their surrounding bone structure. The plaque score was still low. I also explained to her the importance of brushing without added pressure and demonstrated the modified Stillmans method to prevent future gingival recession on the lower anteriors. Although the patient hadn’t showed much improvement in regards to homecare, I believe that sometimes hearing it over and over can help advance them up on the learning