Dental Decks Part II Case Studies Booklet www.dentaldecks.com 800.633.4743 Acknowledgements The Case Studies in this booklet were used with permission from the following individuals: Nicole Kelleher, RDH Jaime Stobodjian, RDH, BSCase I Age: 33 Sex: Female Height: $°2 ‘Weight: 130 Ibs BP: 140/90 Chief Complaint: “I get headaches daily and my teeth in the upper right hurt Medical History: Type II Diabetes and Hypertension ‘Current Medications: Insulin Lispro (Humelog®) Insulin NPH (Humulin N®) Labetalol (Trandate®) 200 mg bid ‘Allergies: Latex and Benadryl Dental History: The patent has severe dental anxiety, but maintains 6 month recalls, Social History: Patient is single and isa school teacher Patient reports having a glass of wine at night. Case [Case I Case I ight Side Left SideCase I Age: 28 Sex: Male Hight: 60 BP: 126/82 Chief Complaint: “My gums are pully and bleed when I brush.” Medical History: Anxiety (Current Medications: None Allergies: Penicillin Dental History: The patients lat cleaning was $+ years ago, Social History: The patient is single and works forthe city fulltime, He smokes a pack of Marlboro Reds a day and social drinks on the weekends. Case Il Right Right Left LetCase II Case II Letsde Right sideCase TIT Age: 79 Sex: Female Height: 5°6 Weight: 170 Ibs. BP: 126/72 (Chief Complaint: "I have a hard time chewing my food! ‘Medical History: Hearing impairment, Hypertension, Kidney disorder, and Arthritis Current Medications: Sotalol (Betapace®) 80 mg b.id, Pravastatin (Pravacho!®) 40 mg daily Amlodipine and Valsartan (Exforge®) 160 mg bid Baby aspirin (Bayer*) 81 mg daily Vitamin D 2000 unite daily, Caleium, Multi Vitamin daily Magnesium chloride (Slow-Mag*) 2 tabs daily Allergies: None Dental History: The patient maintains 6 month recalls. Social History: The patient isa retired widow. She is on a fixed income and ops for extractions vs. treatment {depending on costs. The patient smokes approximately 4 cigarettes a day. Right Right LestCase II ‘Weight: 160 Ibs BP: 150/94 Chief Complaint: “My gums hurt and bleed easily Medical History: Left hip replacement, Hypertension COPD, Coronary Artery Disease, Acid reflux, andthe patient has a history of lang eancer along with radiation ‘and chemotherapy. Patient has been in remission since May 2014, Current Medications: ‘Atorvastatin (Lipitor®) 40 mg daily Esomeprazole (Nexium®) 40 mg daily Left ight Atenolol (Tenormin®) 50 mg daily Baby aspirin (Bayer*) 81 mg daily Chlorthalidone (Thalitone®) 25 mg daily Telmisartan (Micardis*) 40 mg daily Ezetimibe (Zeti) 10 mg daily Potassium chloride (Klot-Con*) 40 mq daily Aspirin (Eeotrin®) 325 mg daily Amlodipine (Norvase*) 5 mg daily Prednisone (Prednisone Intensol®) 40 mg daily Allergies: None Dental History: The patient use to maintain 6 month recalls until he was diagnosed with lung cancer and. started radiation and chemotherapy. He stopped taking care of his mouth due to fear he was not going to make it Social History: The patient has been married for $0 years and is retired, He has a prior history of smoking cigarettes ‘when ke was in his twenties, but no longer smokes.Case V Case V Age: 41 Sex: Male Height: 6'2 Weight: 250 Ibs, BP: 190/90 (Chief Complaint: “My gums ere swollen on the lower right and ache Medical History: Hypertension and Asthma Current Medications: Losartan (Cozars*) 50 mg daily Diltiazem (Cardizem*) 240 mg daily Allergies: Peanuts Dental History: The patient is a new patient tothe office. He states that he usually maintains 6 month recal however, he recently moved and is 2 years overdue Social History: The patient is a martied police officer. He has two todalers and reports being under alot of stress with work, The patient has also used smokeless tobacco for years but has quit fortwo years nowCase VI Age: 29 Sex: Female Height: 5°4 ‘Weight: 130 Ibs, BP: 100/70 Chief Complaint: “I fecl like I am constantly chewing my cheeks and my gums bleed when I brash and floss Medical pressure istory: The patient hae psoriasis and low blood Current Medications: None Allergies: Mint and Gluten Dental History: The patient maintains § month recalls Dut reports not keeping up with her flossing. She also states that thee is a family history of periodontal disease Social History: The patient is ina steady relationship and works flrime in a medical office. She smokes 1/2 pack. ‘of cigarettes a day and drinks on the weekends. 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Answers to Case Studies Case I woceom Case IT 1A £B 9A 1A LD 1c 13.¢ Case A 15.8 16.D 11.8 18.8 19.€ 20.4 2.8Case IV 2A 2.0 25.0 26.4 2.8 2.6 Case V 29.8 30. BLA, 3A 33.8, 34.8 35. 36.0 Case VI 32.8 BRA 39.D 40.D aL ap B.A Answers to Case Studies www.dentaldecks.com 800.633.4743