Podcast
Questions and Answers
What is the primary reason for Patient C's dental anxiety?
What is the primary reason for Patient C's dental anxiety?
- Irregular dental attendance
- Dislike of brushing teeth
- High sugar intake
- Teasing at school for crooked teeth (correct)
Which of the following is NOT a risk factor for dental caries in Patient C?
Which of the following is NOT a risk factor for dental caries in Patient C?
- Dental anxiety (correct)
- Use of children's toothpaste
- High sugar intake
- Irregular dental attendance
What is the most relevant aspect of Patient C's medical history in relation to her dental treatment?
What is the most relevant aspect of Patient C's medical history in relation to her dental treatment?
- Asthma (correct)
- Beclomethasone use
- Salbutamol use
- NKDA (No Known Drug Allergies)
Given Patient C's dental history and oral hygiene practices, which caries risk level would be most appropriate?
Given Patient C's dental history and oral hygiene practices, which caries risk level would be most appropriate?
Which of the following is a plausible component of a provisional treatment plan for Patient C?
Which of the following is a plausible component of a provisional treatment plan for Patient C?
Which dental professional would be most appropriate for managing Patient C's orthodontic needs?
Which dental professional would be most appropriate for managing Patient C's orthodontic needs?
Patient D's medical history includes hypertension and medication use. What is the most significant implication for dental treatment?
Patient D's medical history includes hypertension and medication use. What is the most significant implication for dental treatment?
What is the most likely reason for Patient D's pain with hot, cold, and sweet stimuli?
What is the most likely reason for Patient D's pain with hot, cold, and sweet stimuli?
What is a potential risk factor for dental caries mentioned in the text?
What is a potential risk factor for dental caries mentioned in the text?
Based on the provided information, which of these statements is TRUE regarding the patient's oral hygiene regime?
Based on the provided information, which of these statements is TRUE regarding the patient's oral hygiene regime?
What is the primary reason for recommending radiographs in this case?
What is the primary reason for recommending radiographs in this case?
Which of the following is NOT a direct factor that contributes to the relevance of the patient's medical history in this case?
Which of the following is NOT a direct factor that contributes to the relevance of the patient's medical history in this case?
Based on the limited information provided, which dental professional is MOST likely to manage this patient's case?
Based on the limited information provided, which dental professional is MOST likely to manage this patient's case?
What is a key factor influencing the patient's dental caries risk in Case 1?
What is a key factor influencing the patient's dental caries risk in Case 1?
How does Sjogren’s syndrome affect oral health?
How does Sjogren’s syndrome affect oral health?
What is the appropriate action regarding the patient's medication history?
What is the appropriate action regarding the patient's medication history?
Which aspect of the patient's social history is likely to affect treatment outcomes?
Which aspect of the patient's social history is likely to affect treatment outcomes?
What is an essential part of a comprehensive personalized treatment plan for the patient?
What is an essential part of a comprehensive personalized treatment plan for the patient?
Which dental history factor is significant for the patient's current situation?
Which dental history factor is significant for the patient's current situation?
What could be a potential consequence of the patient's dry mouth due to Sjogren’s syndrome?
What could be a potential consequence of the patient's dry mouth due to Sjogren’s syndrome?
What clinical finding might indicate the need for operative dentistry in this patient's case?
What clinical finding might indicate the need for operative dentistry in this patient's case?
Which of the following increases the risk of dental caries for Patient Y?
Which of the following increases the risk of dental caries for Patient Y?
Which of the following is NOT a risk factor for gingivitis for Patient Y?
Which of the following is NOT a risk factor for gingivitis for Patient Y?
What is the relevance of Patient Y's medical history to their dental care?
What is the relevance of Patient Y's medical history to their dental care?
Patient Y's oral hygiene regime would be considered :
Patient Y's oral hygiene regime would be considered :
What is the most appropriate caries risk level for Patient Y?
What is the most appropriate caries risk level for Patient Y?
Which of the following would be a suitable treatment option for Patient Y, given their history and concerns?
Which of the following would be a suitable treatment option for Patient Y, given their history and concerns?
What is the relevance of the patient's anxiety towards dental treatment?
What is the relevance of the patient's anxiety towards dental treatment?
Which dental professionals are able to manage parts of this case?
Which dental professionals are able to manage parts of this case?
Flashcards
Dental Caries
Dental Caries
Decayed areas of teeth caused by bacteria and acid.
Sjogren’s Syndrome
Sjogren’s Syndrome
An autoimmune disorder decreasing saliva production, leading to dry mouth.
Rheumatoid Arthritis
Rheumatoid Arthritis
An autoimmune disease affecting joints, causing pain and swelling.
Preventative Care
Preventative Care
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Patient Compliance
Patient Compliance
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Diet Influence on Oral Health
Diet Influence on Oral Health
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Clinical Findings
Clinical Findings
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Case-Based Discussions
Case-Based Discussions
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Charcoal Toothpaste
Charcoal Toothpaste
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ICDAS Grade
ICDAS Grade
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Caries Risk Level
Caries Risk Level
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Provisional Treatment Plan
Provisional Treatment Plan
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Medical History Relevance
Medical History Relevance
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Oral Hygiene Regime
Oral Hygiene Regime
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Diet Impact on Oral Health
Diet Impact on Oral Health
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Caries Risk Factors
Caries Risk Factors
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Referral to Dental Professionals
Referral to Dental Professionals
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Age of Patient C
Age of Patient C
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Medical History of Patient C
Medical History of Patient C
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Dental Anxiety
Dental Anxiety
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Risk Factors for Dental Issues
Risk Factors for Dental Issues
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ICDAS Grading
ICDAS Grading
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Referral for Orthodontics
Referral for Orthodontics
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Patient D's Age
Patient D's Age
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Study Notes
Dental Caries Case Studies
- Case studies are presented for dental caries.
- Experts, Dr. Neel Sethi and Dr. Annika Hindocha, are involved.
- Eastman Dental Hospital education centre is involved and the London South Bank University (LSBU).
GDC Learning Outcomes
- Describe oral and dental diseases, diagnosis, prevention, and treatment.
- Explain preventative care in a personalized treatment plan.
- Underpin patient care with a preventative approach, considering compliance and self-care, for long-term oral and general health .
- Explain the influence of diet and nutrition on oral and general health and how to offer suitable advice and support.
- Detail the etiology and pathogenesis of oral and maxillofacial diseases.
- Explain delegating responsibilities and limitations to other dental team members.
Intended Learning Outcomes
- Apply dental caries theory to real-world scenarios.
- Describe a systematic method to assess dental caries risk.
- Explain how clinical and historical data affects the decision for operative or preventative dentistry.
Case Based Discussions
- Students will participate in discussions based on presented cases.
- Task involves grouping, discussion (30 minutes), and spokesperson presentation of individual cases.
Case 1
- Background: Patient X, 26 years old, dissatisfied with the appearance of her front teeth.
- Medical History: Sjogren's syndrome, rheumatoid arthritis. Ibuprofen PRN (as needed) medication. No known drug allergies.
- Social History: Professional swimmer. Non-smoker. Does not drink alcohol.
- Dental History: Irregular dental attendance. Last visit more than 5 years ago. Previous orthodontic treatment as a child.
- Diet: Reports a "sweet tooth". Brushes once daily with charcoal toothpaste, rinsing with water after.
- Radiographs: Included (images).
Case 2
- Background: Patient Y, 17 years old, desires braces due to overlapping teeth.
- Medical History: Type 1 diabetes mellitus (T1DM). Insulin medication. No known drug allergies.
- Social History: Apprentice pastry chef. Non-smoker. Does not drink alcohol.
- Dental History: Regular dental attendance every 6 months. Anxious about dental treatment.
- Diet: Does not consume regular meals. Snacks frequently and prefers snacks and fizzy drinks rather than water.
- Oral Hygiene: Brushes twice a day with aloe vera toothpaste. Inter-dental cleaning is not done. Mouth rinsing water.
- Radiographs: Included (images).
Case 3
- Background: Patient C, 12 years old, accompanied by her mother. Teasing at school about crooked teeth.
- Medical History: Asthma. Beclomethasone and salbutamol medication. No known drug allergies.
- Social History: High schooler
- Dental History: Irregular dental attendance. Last dental visit over 3 years ago. Dentally anxious.
- Diet: High sugar intake, both in frequency and amount.
- Oral Hygiene: Occasional brushing with children's toothpaste due to taste preference.
- Radiographs: Included (images).
Case 4
- Background: Patient D, 55 years old, experiencing tooth pain with hot/cold/and sweet foods.
- Medical History: Hypertension. Amlodipine, amoxicillin medication.
- Social History: Carer
- Dental History: Hasn't been to a dentist for some time due to COVID infection.
- Diet: Primarily snack-based, dislikes water, eats sugary foods.
- Oral Hygiene: Brushes once a day with a manual toothbrush. Does not do inter-dental cleaning.
- Radiographs: Included (images).
Questions
- Case 1: Risk factors for caries and tooth loss, carious lesion identification/ICDAS grading, the relevance of the patient's medical history, caries risk level, provisional treatment plan, referral considerations.
- Case 2: Risk factors for caries and gingivitis, identification of carious lesions, the relevance of the patient's medical history, caries risk level, provisional treatment plan, recommendations from NICE guidance, orthodontic referral considerations.
- Case 3: Risk factors for caries and tooth loss, identification of carious lesions/ICDAS grading, the relevance of the patient's medical history, caries risk level, provisional treatment plan, referral considerations.
- Case 4: Risk factors for caries and tooth loss, identification of carious lesions/ICDAS grading, the relevance of the patient's medical history, caries risk level, provisional treatment plan, referral considerations.
Bibliography
- Includes various research papers and guidelines.
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