Ideally, the midpoints of the nose, the lips, and the chin are on the midfacial line. These in-depth case studies have been designed specifically for dental hygiene students. The interpupillar line (a) defines the … A thorough case history and clinical examination is not only mandatory at the child’s first visit to the dentist, but just as important at the start of later recalls and new treatment periods. Since child dental services in the Nordic countries cover the entire child population, the dentist is in many areas one of the health professional who sees the child most often; dentists should be aware of signs and symptoms of the most common acute and chronic conditions and diseases in childhood and adolescence in order to make appropriate referrals to other health professionals. Figure 7.4 Inflamed tonsils in 13‐year‐old girl. The palate is inspected using a mirror. Relevant Social History Married, 1 son aged 27. During and after the intraoral examination, the dentist should take the opportunity to show parents what has been found. Figure 7.6 Fistulae and abscesses due to caries in the primary dentition can vary from (a) a small sinus on the buccal mucosa, which can easily be missed during the clinical examination to (b) small abscesses, and (c) large swellings. Deviations in the vertical position (infra‐ or supra‐position) of single teeth in relation to the occlusal plane are noted. Aware of dental treatment need and wants to improve the situation but not in pain at the moment. No swollen lymph nodes 1st visit - dd. Analyze and interpret the assembled clues to reach the provisional diagnosis. The developmental characteristics include the number and types of erupted teeth, which has to be related to the chronologic age of the child. This paper presents a case history that illus-trates some specific oral needs and problems in the clinical oral care of a frail, older adult. Such findings will often indicate the need for radiographic examination (Figure 7.6). cameronvillagedentist.com. Steps in case history taking 1. File Format. This assessment may indicate growth disturbances, central nervous system disorders, neuromuscular disorders, or orthopedic problems worthy of further examination. The examination of the face should also include an assessment of the length of the upper lip, the morphology of the lower lip, including the supramental groove, and the activity of the mentalis muscle. 10+ Patient Case Study Examples. In the lateral aspect, the overall facial profile is assessed (as straight, concave or convex), and the degree of mandibular prognathism is characterized as normal, retrognathic, or prognathic. Examination revealed a nonhealing ulceration of the lower lip. Thus, it is important to remember to update the anamnesis at recall visits. WARNING! Metallic objects should be removed before the clinical examination (Figure 7.5). Details. As mentioned earlier, the pediatric dentist is, in many cases, the medical professionals who see the child most frequently. The general medical history includes information about pregnancy, delivery, the neonatal period, and early childhood. A written dental ... For example, some patients feel more comfortable sharing their concerns with an assistant or hygienist. Most parents welcome explanations and discussions on their children’s dental conditions. For the young child, the intraoral examination may be the first experience of intraoral manipulations and the first contact with dental instruments. Asymmetry in the eruption of teeth (right versus left or upper versus lower jaw) may indicate impaction of teeth or other dental anomalies (Figure 7.7). 1. Case Studies for Dental Hygiene Patient Care 2020. The kind of dental treatment received previously, including pain control measures and acceptance of earlier dental treatment, gives the dentist important background for the evaluation of the child’s past behavior in the dental situation and may reveal treatment procedures which have been especially demanding for the child. However, their main purpose is to show the doctors valuable information about the patient health history, care requirements and the risk factors. Non-smoker. The quality and the shape of the nails should be assessed. It should review hospitalizations, illnesses, traumatic injuries, and previous and current medical treatment. A thorough case history and clinical examination is just as important for decisions on prescribing, for example, radiographic and laboratory examination and arriving at a proper diagnosis and an appropriate treatment plan in the pediatric dental patient as in the adult (Box 7.1). In the case presented, the patient was a known tobacco chewer and alcohol user, who eventually died in his thirties of oral cancer. Assemble all the available facts gathered from statistics, chief complaint, medical history, dental history and diagnostic tests. The examination can almost always be performed with the child in the dental chair. Figure 7.5 Piercing has become a part of teenage culture. A complete periodontal examination of all teeth for loss of attachment is hardly feasible on a routine basis. Each case includes the patient documentation (Patient History and Periodontal Charting) and images (Radiographs and Intraoral images). The dentist should always note obvious deviations in the child’s face and head posture. Working with state dental directors to advocate for expanded benefits to fill Access! ) should be removed before the clinical examination, the dentist ` s opinion on their teeth. 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