Patient Profile: Patient is a 35-year old White Caucasian male, 5’10” and weighs 160 lbs. He has been HIV positive for 10 years.
Chief Complaint: “My front tooth recently fell out and I would like to have it replaced. I have canker sores frequently which are painful and burn. My tongue sometimes has sores on it and I have a bad taste most of the time.”
Dental History: The patient is fearful and apprehensive about dental treatment and has not received dental care in the past fifteen years.
Medical History: The patient has a family history of depression, bi-polar disorders, suicidal attempts, alcoholism and hypertension. He has a weight loss greater than 10 lbs. over a period of three months. His recent CBC panel indicated: CD4 T-lymphocyte count at 350, platelet count was 20,000/mcl and neutrophils at 400 cells µL. He currently takes: (Acyclovir) Zovirax®, (Lorazepam) Ativan®, (Zidovudine) Retrovir®, (Indinavir sulfate) Crixivan®, (Clonazepam) Klonopin® and (Triazolam) Halcion®. His blood pressure was recorded at 130/80.
Bleeding Index: 55%