Jane Doe Case Study.docx
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School
University of the People *
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Course
109
Subject
Medicine
Date
Dec 6, 2023
Type
Pages
2
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Case Study – Jane Doe
Jane Doe, a 28 year old female, presents for prophylaxis. Her last dental visit was at Open Door Health
Center in Mankato about 10 years ago. She has noticed some bleeding lately when she’s brushing. She
has also noticed a “pimple” in the LR molar area. She notices a dull ache there from time to time. In
general she has some sweet sensitivity. She’s been using a sensitive toothpaste for the last 6 months but
it hasn’t been helping. She said she brushes maybe 1 time per day and sometimes uses the flossers.
Jane lives outside of Mankato with her unemployed mother and her unemployed boyfriend. She also
has two younger brothers she helps care for. She stated that home life is a bit stressful at times but is
thankful for her family.
Jane works the night shift at a nearby gas station. She stated she came to MSU
to get her teeth cleaned as it was hard to find a dentist who takes her insurance which is Medical
Assistance.
Jane’s main concern is the ache that she’s been experiencing lately. She stated that both her parents lost
their teeth before they were 30 years old and feels that because of this she will also lose her teeth at an
early age. They lost them because of abscessed teeth due to large cavities. She would really like to keep
her teeth and also asked about how to care for her baby’s teeth.
She is under the care of a physician, Dr. Peterson, for her pregnancy. She is 5 months pregnant with her
first child. She also stated that recently she took a gestational diabetes test and didn’t pass it so she is
now taking daily insulin injections. She is also taking her daily prenatal vitamins. She’s aware she should
quit smoking but has cut back to 1-3 cigarettes per day since she found out she was pregnant. Because
of her work schedule and helping her family, she tends to grab fast food most days and drinks a lot of
soft drinks during the day and especially during her night shift at the gas station to keep awake. She
mentioned that her employer lets her fill her cup for free while she’s on duty.
During the assessment, you find the patient d has a draining fistula in the area of #30 along with a visible
advanced carious lesion. You also notice several other areas of moderate to advanced caries. She has
mod-heavy plaque throughout (DI-S score of 2.3) and is a DHI 2 for calculus. She has generalized 3-4mm
pockets with localized 5mm lingual of #30 and #31. She has 1-2 mm of recession in the premolar/canine
area. Her radiographs exhibit localized mild bone loss around the molars. Her gums were very sensitive
when probing.
Complete the ADA Caries Risk Assessment
●
Identify how many risk factors you marked in each category
Category
Risk
Factors
Low
Moderate
High
Identify 2 dental hygiene interventions for both the caries risk level and perio risk level.
Caries Interventions:
Perio Interventions:
Fill out the patient notes identifying the OHI Options and Instructions that would best suit the patient.
Caries Risk Assessment:
Factors:
Perio Risk Assessment:
Factors:
P: Education:
Current OHI habits:
OHI Options:
OHI Instructions:
To turn in this exercise:
1.
Open a word document or use this template and save as your own copy.
2.
Fill out the necessary sections.
a.
Copy the above portion of clinical notes and intervention into your word document and
fill out about the case study.
3.
Save the document and upload to the corresponding Assignment folder in D2L.
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