Patient Management

In February 2013 I participated in Give Kids A Smile Day where we had to do a thorough evaulation of elementary students, which included evaluation of caries lesions, eruption patterns, and any abnormal lesions.  We also preformed a prophylaxis on each student. I had an 8 year old patient that had rampant decay on all her primary molars and permanent first molars. The student needed urgent care.  I gave the teacher a referral to give to the parent to have her child’s teeth examined as soon as possible.

In October 2012 I saw a 44 year old male patient that was a type II with localized type III perio case. His probing depths ranged from 4-7mm. I suggested the patient receive Arestin, which is an effective antibiotic treatment for periodontal disease used to reduce pocket depths for patients with periodontal disease. I placed the Arestin in teeth numbers 2(MB), 2(ML), 3(DL), and 31(DB).  The following chart shows the difference between the initial depth and the final depth.

 

 

In April 2013 a patient came in to get a cleaning and it was suggested that the patient have a full mouth series and a panoramic radiogragh done. After examining the pan, there was a radiopacity found at the apex of tooth number 28. We tested the patient to see if she had any pain to percussion, in which she did not. We told the patient that it could be hypercementosis told her that we would evaluate the area and take routine radiographs to make sure radiopacity doesn’t increase in size.

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