1. Mock Patient Case 27 Reina Ligeralde DEH 11 Fall 2007

2. Daisy Daisy Fuentes 59-year old Last dental x-ray: FMX at RCC in 2004 Allergic to penicillin Local anesthesia with vasoconstrictor makes her heart race Takes Estroven (soy) for menopause symptom relief Takes NIFEdipine for pulmonary hypertension

3. Daisy’s Gingiva ASA II: Because of medication and penicillin allergy Had deep pseudopockets with gingival embrasures covering proximal contacts Plaque exacerbates gingival enlargement.

4. Treatment Plan Treatment Plan Sequence StartDateFinishDate Appt 1 Assessments9.12.079.12.07 DDS Exam 9.12.079.12.07 BWX9.12.079.12.07 2 nd √ in 9.12.079.12.07

5. Treatment Plan Treatment Plan Sequence StartDateFinishDate Appt 2 PI & OHI 9.24.079.24.07 LL & UL scale 9.24.079.24.07 Anesthesia (plain) 9.24.079.24.07

6. Treatment Plan Treatment Plan Sequence StartDateFinishDate Appt 3 PI & OHI 10.8.0710.8.07 LR & UR scale 10.8.0710.8.07 Anesthesia (plain) 10.8.0710.8.07 Selective polish 10.8.0710.8.07 Fluoride10.8.0710.8.07 3-mo. recall 10.8.07

7. Treatment 4 horizontal BWX4 horizontal BWX OHI: disclosing, toothbrushing - extra soft toothbrush using the Bass method but recommend electric toothbrush, and floss - Oral B Superfloss because she has bridges and a gap 1 appointment for LL & UL scale, another appointment for LR & UR scale1 appointment for LL & UL scale, another appointment for LR & UR scale Anesthesia (plain) because local anesthesia with vasoconstrictor makes her heart raceAnesthesia (plain) because local anesthesia with vasoconstrictor makes her heart race IA, PSA, GP, and AMSA nerve blocks due to localized periodontal probing of 5s & 6sIA, PSA, GP, and AMSA nerve blocks due to localized periodontal probing of 5s & 6s

8. More on Treatment Selective polish: fine, cocoa mint flavorSelective polish: fine, cocoa mint flavor 2% NaF due to restorations2% NaF due to restorations 3-month recall due3-month recall due to her gingival hyperplasia to her gingival hyperplasia