ppt
preiou5
medical_hx_faculty_presentation.docxMedical Hx Faculty Presentation
1. I have Donna D. Doi who is a 27 year old female who is here today for a periodontal evaluation inflammation/px full bleeding gums/ &checkup (possible Gingivitis). Last dental visit was 6 months ago. New to town (moved from Alpine, Colorado) Previous dentist was Dr. Glasscoe. Trying to establish as a new pt. at our office. Found our office through yellow pages.
The pt’s B/P is 110/70_____ mm/hg.
Pulse is _63___ bpm.
The pt is ASA category 2.
2. The pt has answered “YES” to having:
Pt is pregnant (20 weeks gestation; 5 months), pt’s first child
Pt complains of migraines, hay fever, as well as frequent heartburn during pregnancy
Pt has been hospitalized for knee replacement; has an artificial joint (did not indicate whether knee was left or right); was 3 years ago
Pt has informed me that x-rays of her teeth have been taken recently
Pt has had complains of bleeding gums (inflammation/px full)
Pt stated she has more than 2 caffeinated drinks daily (diet sodas 1); candy bars or/energy bars she consumes daily is less than 2-3 a week.
3. The pt is taking :
Prenatal vitamins Assure (due to pregnancy; unknown dosage)/ category: vitamins; Date/time of last dosage: began on August, 2014 ongoing; side effects: abdominal px, constipation, dark stool, diarrhea, and vomiting
No significant effects or complications reported (dental treatment)
Saline Nasal spray OTC (Afrin) (for dry nose; unknown dosage)/ category: Electrolyte Supplement, Date/time of last dosage: began 01/30/2015 ongoing; side effects: Hypersensitive to sodium chloride, CHF, HTN, nausea and vomiting
Metamucil; dosage: 1 TSP. per day (for constipation also cause of constipation could be pt’s prenatal medication)/ category: Fiber Laxative Date/time of last dosage: began 01/30/2015 ongoing; Side effects: Gastrointestinal: Abdominal fullness
What Causes Gum Disease?
Plaque is the primary cause of gum disease. However, other factors can contribute to periodontal disease. These include:
· Hormonal changes, such as those occurring during pregnancy , puberty, menopause, and monthly menstruation, make gums more sensitive, which makes it easier for gingivitis to develop.
· Gingivitis (gum inflammation) usually precedes periodontitis (gum disease). However, it is important to know that not all gingivitis progresses to periodontitis.
· In the early stage of gingivitis, bacteria in plaque build up, causing the gums to become inflamed and to easily bleed during tooth brushing. Although the gums may be irritated, the teeth are still firmly planted in their sockets. No irreversible bone or other tissue damage has occurred at this stage.
· When gingivitis is left untreated, it can advance to periodontitis. In a person with periodontitis, the inner layer of the gum and bone pull away from the teeth and form pockets. These small spaces between teeth and gums collect debris and can become infected. The body's immune system fights the bacteria as the plaque spreads and grows below the gum line.
