Clinical Overview Template ( Dental Pain )

I plan to take this Orofacial Pain Program as a cornerstone in my profession to indulge a career in academics, teaching, and research. Upon completing this residency, I intend to utilize the experience and skill-set I gained to improve patient care outcome, train the future leaders in healthcare, and engage in increasingly relevant research. This program would enhance my ability to contribute to the profession, and deepen my skill in providing care to those who need it most. My next step would be to seek the National Institute of Dental and Craniofacial Research (NIDCR) R90 Interdisciplinary Research Training Award in order to pursue PhD in Clinical

I decided to use oraqix because the patient had a few pockets depths between 6-7 mm, and was very sensitive during the power instrumentation. It helped me to effectively remove the plaque and the calculus from the pockets with the hand instruments, but I found that it was not as effective when I used the Cavitron. After the removal of plaque and calculus I reviewed OHI with my patient Evelyn and reinforced the proper use of dental floss and have the patient practice in her mouth. During the afternoon section, I worked on the mandibular arch and as before I started with the power instrumentation. However, I was not able to use it in all the mandibular teeth because some of them had recession, and the patient was extra-sensitive. The good thing was the mandibular arch had only one area with 6-7 mm of pocket depth. I also used Oraqix in this area, but did not help with the recession because the pain was related to the pulp and not to the gingiva, in where Oraqix works. After finishing with debridement, my patient expressed having pain on the distal surface of tooth # 17. We decided to take a PA of the area because that part of the tooth was not visible in the HBW I

Other factors that play a role in poor oral care is being disabled and homebound because this also leads to not seeking any oral care. There is Medicaid for individuals 65 and above to get insurance for dental care, however the reimbursements for care are very low and does not cover the entire cost of the treatment. According to the Division of Oral health (2013), “About 25 percent of adults 60 years old and older no longer have any natural teeth.’’ The elderly being toothless indicates a problem with nutrition because being toothless affects mechanical digestion of food. Toothlessness causes the elderly to prefer soft chewable foods and might not prefer to eat essential foods such as fruits, lean meats, poultry, fish, and legumes. Additionally, according to the Division of Oral health (2013), “Oral and pharyngeal cancers, which are diagnosed in some 31,000 Americans each year, result in about 7,400 deaths each year.” The elderly make up the majority of these diagnosed cancers, and these cases are related to smoking and the use of alcohol. The prognosis for this type of cancer is low, with a five-year survival rate for whites being about 56% and African americans being only about 34%. In addition, many older Americans are have polypharmacy therapy, and medication can cause dry mouth. “The reduction of the flow

The prudent dentist must be aware of the mechanisms and clinical symptoms of referred pain, peripheral sensitization, central sensitization, and convergence. This knowledge will aide the clinician to be able to properly diagnose non-odontogenic oro-facial pain in order to treat the patient properly and to avoid doing irreversible harm to the patient, such as extractions or endodontic treatment on healthy

The dental health of an individual is related to the society in which they live. Levels of dental education; expectations of dental services; income; mobility and social support all have an effect on dental health.

Periodontal disease, which is an infection of the tissue that surrounds the teeth, has been linked to an increased risk of cardiovascular diseases. Those who had periodontal disease were two times more likely to suffer from coronary artery disease, one study has found. Good oral hygiene can prevent periodontal disease from occurring.

Reversible pulpitis produces a quick, sharp, pain response that subsides when the stimulus is removed. Any irritation to the pulpal tissue may produce this response like caries, cracks, or broken restorations. Teeth often react to heat and cold stimuli or sugar contact. Normally, the tooth is not tender to percussion and radiographic evaluation does not show any radiographic changes. Removal of the cause is essential to prevent the inflammation from spreading, and eventually leading to irreversible pulpitis. Irreversible pulpitis: Pain associated with irreversible pulpitis is usually spontaneous. Patients report waking up at night with moderate to severe pain. Electrical and thermal pulp tests produce severe

4. Receding gums – gums have pulled away from the teeth (possibly exposing the roots of the affected teeth).

In this article, the theory that African Americans and Hispanics are less likely to seek dental care than Whites, was tested conducting telephone interviews between August 14th and September 27th, 2010 in Ohio. They utilized the Greater Cinnati Community Health Status Survey(GCCHSS) in order to conduct the interviews and the target population was adults whose age range was 45-75 years of age. The survey was done to determine not only lack of dental care, but also access and patient’s perceived needs. During the survey, people were asked if they visit a specific dental office or institution, how they perceived their oral health, as well as what conditions they already have in their mouth (ex. Dentures, fillings, etc.) Other questions asked were

in all ages which makes these individuals more likely to suffer from dental caries, gum

According to paper published by Eke, Wei, Thornton-Evans, and Genco in 2012, about 47% of the sample representing 64.7 million adults aged 30 yr and older had periodontitis. Not only that, adults aged 65yr and older had higher percentage

In an attempt to compare the status of oral health between the African American, American-Indian communities and the white population, the researchers carried out their research in the rural counties of North Carolina. The participant pool consisted of 635 people who were aged 60 and above. They carried out their research using different methods like oral examination, cross sectional studies and self reports from the participants. Through their findings, the researchers came into the conclusion that the participants from ethnic minority groups showed significantly poor oral health as compared to the white population. This included results from the oral examinations that the researchers conducted as long as the self reports from the participants. They also concluded that although most of the oral health conditions were related to the socioeconomic status of the participants, the oral health deficits in these populations were also related to the chronic diseases and their risk factors.

As individual’s age, one becomes more susceptible to several different types of ailments as the immune system becomes less able to fight infections. One of these ailments also includes periodontitis, which is inflammation of the gingival tissue caused by bacterial infection.

•Overbite – This is when the upper teeth extend over the lower teeth. When left untreated, an overbite may cause gum irritation and other problems. It could also result in excessive lower tooth wear and jaw pain.

root canal treatment can completely solve your pain caused by such an infected tooth pulp. It certainly should not be a frightening or agonizing procedure but sort of the solution to get rid of your pain and to have a convenient night’s sleep!