What considerations will your operatory setup need? What instructions will the caregiver need? What dietary modifications should be made? Develop a homecare plan for Ms. Perry’s caregiver? What treatment will you deliver today? What is your long-term plan for this patient? CASE STUDY MS. PERRY Patient is confined to a wheelchair, requires assistance with daily activities, has difficulty swallowing EOE/IOE: Coated tongue Moderate biofilm generalized Slight supragingival calculus generalized Periodontal Findings: Generalized bleeding on probing Probe readings 3-4 posterior, 2-3 anterior Type I periodontitis moderate gingival inflammation Radiographic Findings: Stable dentition Dental Findings: Last dental exam 2 years ago. Last radiographs were 4 years ago. She rates her oral health as fair. She reports that her caregiver/husband tries to brush her teeth twice a day. No other aids are used. Caregiver reports that the patient often drools. She must sleep at an incline to prevent aspiration from saliva/ mucous Difficulty swallowing, sleeping, no dental exam in 2 years Medical History Current Medications Diagnosed with ALS 2 years ago Paxil for anxiety Propranolol – beta-adrenergic blocking agent to thin secretions Non-drinker, non-smoker Retired nurse
[Answered]: What considerations will your operatory setup need
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