Future Care and Recommendations
Indications for Referrals
Mr. J. should be referred to regular dental checkups, periodic periodontal treatment with a 3 month recare interval, dental hygiene education, smoking cessation, regular primary physician care, diabetic educator, and nutritional counselor among other possible referrals.
Active Therapy Continued
After implementing all the procedures recommended for surgical phase II, Mr. J., the restorative dentist, and the oral and maxillofacial surgeon have to work as a team and follow a careful plan for the success of treatment. Also, Mr. J. should be considered for an evaluation including x-rays, a comprehensive examination, and a consultation with the implant team.
Final Thoughts
Patient does not show ability of maintaining good oral health habits after having received oral hygiene instructions and does not show significant positive changes to the dental hygiene care. In addition, patient is not motivated to keep his diabetes under control, eat a balanced diet, or stop smoking. All of these are major factors that put him at risk for periodontal disease progression and failure of phase II surgical phase.
A Dental Hygienist could play an important role in educating Mr. J by providing:
Indications for Referrals
Mr. J. should be referred to regular dental checkups, periodic periodontal treatment with a 3 month recare interval, dental hygiene education, smoking cessation, regular primary physician care, diabetic educator, and nutritional counselor among other possible referrals.
Active Therapy Continued
After implementing all the procedures recommended for surgical phase II, Mr. J., the restorative dentist, and the oral and maxillofacial surgeon have to work as a team and follow a careful plan for the success of treatment. Also, Mr. J. should be considered for an evaluation including x-rays, a comprehensive examination, and a consultation with the implant team.
Final Thoughts
Patient does not show ability of maintaining good oral health habits after having received oral hygiene instructions and does not show significant positive changes to the dental hygiene care. In addition, patient is not motivated to keep his diabetes under control, eat a balanced diet, or stop smoking. All of these are major factors that put him at risk for periodontal disease progression and failure of phase II surgical phase.
A Dental Hygienist could play an important role in educating Mr. J by providing:
- Assessment of oral health conditions
- Removing local
factors such as hard and soft deposits from all surfaces of the teeth
- Applying
preventive materials to the teeth such as fluorides
- Teaching Mr.
J. appropriate oral hygiene strategies to maintain oral health such as brushing,
flossing and nutritional counseling
- Counseling Mr.
J. about good nutrition and its impact on oral health