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Mock Patient Case 27

Mock Patient Case 27. Reina Ligeralde DEH 11 Fall 2007. Daisy Fuentes. 59-year old Last dental x-ray: FMX at RCC in 2004 Allergic to penicillin Local anesthesia with vasoconstrictor makes her heart race Takes Estroven (soy) for menopause symptom relief

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Mock Patient Case 27

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  1. Mock Patient Case 27 Reina Ligeralde DEH 11 Fall 2007

  2. Daisy Fuentes • 59-year old • Last dental x-ray: FMX at RCC in 2004 • Allergic to penicillin • Local anesthesia with vasoconstrictor makes her heart race • Takes Estroven (soy) for menopause symptom relief • Takes NIFEdipine for pulmonary hypertension

  3. Daisy’s Gingiva • ASA II: Because of medication and penicillin allergy • Had deep pseudopockets with gingival embrasures covering proximal contacts • Plaque exacerbates gingival enlargement.

  4. Treatment Plan

  5. Treatment Plan

  6. Treatment Plan

  7. Treatment • 4 horizontal BWX • OHI: disclosing, toothbrushing - extra soft toothbrush using the Bass method but recommend electric toothbrush, and floss - Oral B Superfloss because she has bridges and a gap • 1 appointment for LL & UL scale, another appointment for LR & UR scale • Anesthesia (plain) because local anesthesia with vasoconstrictor makes her heart race • IA, PSA, GP, and AMSA nerve blocks due to localized periodontal probing of 5s & 6s

  8. More on Treatment • Selective polish: fine, cocoa mint flavor • 2% NaF due to restorations • 3-month recall due to her gingival hyperplasia

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