"Imagine you are a young oral hygiene student about to see your dental patient who turns out to have carious lesions on their teeth, the patient informs that the problem runs in the family. Patient X (20 years old, identifies as other) complains of dull pain on the posterior teeth. They describe the pain as sharp but sometimes dull. The pain comes and goes depending on the weather. Patient is asthmatic, lactose intolerant, allergic to penicillin and pollen, uses corticosteroid inhaler, the last asthma attcack was last month triggered by flu. On examination patient has plaque index of 80% and bleeding index of 95%, gingiva appears edematous, red, stippled and consistency is firm. Hard tissue examination- questionable caries on 46, carious lesion involving the dentine (not painful) on 37 and painful 26 with deep and large carious lesion. Deep fissures on 16, 25, 47, 44. The question is how would you approach the problem highlighted in the scenario and how would you manage (treatment plan) the problem.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter42: Basic Microbiology
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"Imagine you are a young oral hygiene student about to see your dental patient who turns out to have carious lesions on their teeth, the patient informs that the problem runs in the family. Patient X (20 years old, identifies as other) complains of dull pain on the posterior teeth. They describe the pain as sharp but sometimes dull. The pain comes and goes depending on the weather. Patient is asthmatic, lactose intolerant, allergic to penicillin and pollen, uses corticosteroid inhaler, the last asthma attcack was last month triggered by flu. On examination patient has plaque index of 80% and bleeding index of 95%, gingiva appears edematous, red, stippled and consistency is firm. Hard tissue examination- questionable caries on 46, carious lesion involving the dentine (not painful) on 37 and painful 26 with deep and large carious lesion. Deep fissures on 16, 25, 47, 44.

The question is how would you approach the problem highlighted in the scenario and how would you manage (treatment plan) the problem.

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