Your last patient of the day is Luana G., a 16 year old girl, who has Down syndrome. She presents with moderate mental retardation. This is the first dental appointment in her life, as she has a fear of clinical settings, and her parents have not wanted to frighten or upset her. Your clinical exam reveals substantial plaque, biofilm and calculus formation, deep periodontal pockets, and extensive gingival inflammation. Radiographs show severe alveolar bone loss around most of her teeth. There is furcation involvement and some mobility present. There is also extensive cervical decay present on all of her mandibular anterior teeth. Due to Luana’s mental deicis, it is difficult to determine if she experiencing oral discomfort. Half way through your appointment, however, Luana refuses to open her mouth, starts to cry, and rocks back and forth. Her parents say this is her typical behavior when she is upset. How would you classify Luana’s periodontal condition? What ethical principles are in conflict in this dilemma? What is the best way for you to handle this ethical dilemma?
Answer: Ethically the healthcare professional can not force the patient to perform the activity but he can only make them understand that the checking procedure is necessary and what is the benefit of it.
Your last patient of the day is Luana G., a 16 year old girl, who has...
I wonder if someone can help me with these questions! Thank you. Your small private dental practice, which is within an urban city, has many long-standing patients. A number of patients within the practice are on public assistance and struggle with money issues. Dr. Gordon is very generous and understanding about her patients’ limitations and often provides free dental services. Your next patient of the morning is Jason S, a 14-year-old junior high school soccer player. His mother has made...
Your next patient, Josiah S, has recently relocated to your town, approximately 6 months ago, and is a new patient to your practice. He is a 45 year old divorced male, who admits to smoking approximately 15 cigarette per day, and drinks a night alcoholic cocktail. He works in sales, and due to his hectic travel schedule, tells you that he has had to cancel his last few dental hygiene appointments. Your intraoral exam reveals that Josiah presents with moderate...
Your first day at on Monday morning is joyce Robbins. she is new to your practice. She has filled out a parodontal assessment questionnaire to assist you and determining her assessment. She states that she has never filled one out before and is concerned that she has received poor quality dental work as a result. As she entered your operatory you notice that she is very petite well-dressed woman her medical history and periodontal assessment questionnaire reveals about Joyce is...
Lily E, a 17 year old high school senior, who is a routine 6-months recall patient, is your first patient of the afternoon. She received her driver’s license 3 months ag, and has driven herself to today’s appointment. You review her medical history, and she states there are “no changes,” and she has no “chief complaint.” As you are performing your intraoral examination, you notice that the tissue between the maxillary central incisors does not appear to be normal. You...
Your next two patients are identical twin sisters who are new to the practice, mary and Katherine. They request that you review their health histories together. You learn that they are 68 years old, both widowed, and live together. They have received routine dental care from their longtime friend and dentist Dr. Lipman, who just retired at 80, so they have decided to become patients in your dental office. They inform you that their mother is still alive at 90,...
You have just recently married and moved across the country to the city where your husband was raided. His parents helped you secure a full-time dental hygiene position with their family dentist, Dr. Ramos. You are quite happy working with the office staff, as well as meeting and getting to know many of your in-law’s family and friends, who are patients of the practice as well. Today, your mother-in-law, June, is scheduled for her 6 months recall appointment. This is...
Philomena C is your first patient of the morning. SHe was born in Italy, and moved to the united states with her family when she was 10. She is a 60 year old homemaker, who appears slightly overweight, and admits to high blood pressure and high cholesterol, both controlled by medication. She has been a patient in the practice of your dentist’s sister, Dr. Lynne, who has an office across town, for the last 30 years. She recently decided to...
Mrs. E, is the first patient of the afternoon in your periodontal office. She is new to the practice. She is a 50 year old lady who has only lived in the United States for the last 3 years. Her English skills are minimal, but she works as a medical researcher, so you assume that she understand medical terminology. Mrs. E has generalized moderate chronic periodontitis with generalized horizontal bone loss on her posterior teeth. You determine that periodontitis instrumentation...