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    Ohi Case Study

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    An elderly woman with periodontal disease came for periodontal maintenance. At her first appointment, she was diagnosed with Type II generalized slight horizontal bone loss. She received oral homecare instruction, including proper brushing technique, using interdental cleaners, and chewing sugar-free xylitol gum. At her second appointment, her plaque score had improved significantly and her homecare was going well. She was motivated to improve her oral hygiene habits and manage her periodontal disease.

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    Ohi Case Study

    Uploaded by

    api-308499727
    258 views11 pages
    An elderly woman with periodontal disease came for periodontal maintenance. At her first appointment, she was diagnosed with Type II generalized slight horizontal bone loss. She received oral homecare instruction, including proper brushing technique, using interdental cleaners, and chewing sugar-free xylitol gum. At her second appointment, her plaque score had improved significantly and her homecare was going well. She was motivated to improve her oral hygiene habits and manage her periodontal disease.

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    An elderly woman with periodontal disease came for periodontal maintenance. At her first appointment, she was diagnosed with Type II generalized slight horizontal bone loss. She received oral homecare instruction, including proper brushing technique, using interdental cleaners, and chewing sugar-free xylitol gum. At her second appointment, her plaque score had improved significantly and her homecare was going well. She was motivated to improve her oral hygiene habits and manage her periodontal disease.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    258 views11 pages

    Ohi Case Study

    Uploaded by

    api-308499727
    An elderly woman with periodontal disease came for periodontal maintenance. At her first appointment, she was diagnosed with Type II generalized slight horizontal bone loss. She received oral homecare instruction, including proper brushing technique, using interdental cleaners, and chewing sugar-free xylitol gum. At her second appointment, her plaque score had improved significantly and her homecare was going well. She was motivated to improve her oral hygiene habits and manage her periodontal disease.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 11

    OHI CASE STUDY

    Jesse Grossman
    Clinical Dental Hygiene DH 220A

    PATIENT:

    Elderly woman with periodontal disease; came to clinic for periodontal


    maintenance.

    FIRST APPOINTMENT

    Dental Hygiene Diagnosis- Periodontal Case


    Type II (Generalized slight horizontal bone loss)
    Clinical Assessment Markers- Recession,
    furcations, and IAG
    Color- generalized normal with localized
    hyperemia around crown margins
    Contour- generalized recession with localized
    festooned marginal gingiva on posterior
    linguals

    FIRST APPOINTMENT
    Consistency- generalized slight fibrotic with
    generalized slight edematous
    Statement of Inflammation- generalized slight
    marginal and papillary inflammation
    Plaque Score- 40% plaque free, moderate
    plaque at gingival third and interproximal
    Deposit Evaluation- 1.5/1.5

    FIRST APPOINTMENT

    OHI

    (Oral Homecare Instruction)


    I recommended the patient brush for a full 2
    minutes with her Oral B electric toothbrush.
    (She did not realize her toothbrush had a timer on it.)

    I showed the patient how to clean her


    interproximal spaces in the posterior using soft
    picks.

    The Bass method is widely


    accepted as an effective
    method for dental biofilm
    removal adjacent to and
    directly beneath the gingival
    margin.

    FIRST APPOINTMENT

    OHI

    (Oral Homecare Instruction)

    I explained the importance


    of proper brushing and the
    importance of removing all
    of the plaque

    (Bass Method)

    FIRST APPOINTMENT

    OHI

    (Oral Homecare Instruction)


    After finding out the patient likes to chew gum, I
    recommended that she chew sugar-free gum that has
    xylitol listed as the first ingredient.
    I suggested Ice Breakers Cubes gum and Mentos gum,
    as well as Ice Chips xylitol candy.

    FIRST APPOINTMENT

    OHI

    (Oral Homecare Instruction)


    Risk Factors I explained to the patient that she had periodontal disease
    and sent her home with a pamphlet about periodontal
    disease.
    I told her that interproximal cleaning is important and must
    be done daily, even if it hurts or causes her gums to bleed.

    I explained that once her gums became healthy that they


    would no longer hurt or bleed while cleaning interproximally.

    Patient before first appointment.

    SECOND APPOINTMENT
    Patient Assessment-

    Plaque Score- Patient went from 40% plaque free to 84%


    plaque free between first and second appointments.
    Extent of plaque- light interproximal
    Home Care- patient was doing a great job with OHI. She had
    bought and used xylitol products and was using the soft picks
    from the first appointment.
    Home Care Modifications- sent patient home with a new Oral B
    toothbrush head, more soft picks, and added Biotene to be
    used nightly for xerostomia. Demonstrated and told the patient
    to make sure to brush systematically, cleaning each surface of
    each tooth.

    Patient at second appointment.

    Patient Motivation At the first appointment patient was apprehensive about using
    soft picks due to pain and bleeding.
    She had given up on using a xylitol gum after a
    recommendation for Spry in the past, and she did not like the
    taste.

    Her brushing was okay, but not great, as she was missing the
    gingival third.
    By the second appointment, the patient was chewing xylitol
    gum several times daily because she found a brand that she
    liked.
    She was using soft picks regularly, and was brushing much
    better than before, by getting the gingival third.

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