ppt 2
preiou5
case28hospice.pptCase #28
Hospice
I provided an example of how the ppt is suppose to be however using THIS case
Demographics
- 87yo Caucasian male who resides in Angela Hospice Center
- Asked his dental office if he could have his teeth cleaned before he died.
- RDH is sent to the center to treat the patient.
Medical History
- History of severe cardiac problems and pulmonary disease.
- High blood pressure and difficulty breathing.
- He also has a very constricted aortic valve.
- As a patient of a hospice center he is not being treated for his blood pressure or pulmonary problems but is being kept comfortable.
Medications
- Ativan
- Roxanol™ (Morphine Sulfate 20 mg/mL).
- Past history of multiple blood pressure and respiratory medications but is no longer taking them.
Dental History
- The patient has not been a regular patient at his dental office.
- He has not been to the office for 5 years except a visual exam since he has been a resident of hospice.
- His missing teeth are. #1, 3, 4, 5,12, 13, 14, 16, 18, 19, 21, 30 and 32.
- He has a full gold bridge on #30-31 with an occlusal rest on fractured and decayed #29.
- Tooth #17 is horizontally verted and coated in calculus
Pictures
Radiographs
Periodontal History
- The patient had a high plaque level and OHI was poor.
- He has 4-5mm pockets on all posterior teeth
- Tissue is erythematic
- Moderate bleeding when his teeth are brushed.
Periodontal Charting
- No charting done. The patient is in the active phase of dying with no good prognosis of oral healing.
- Visual diagnosis indicates severe periodontitis.
