Patient Profile: Patient is a 79-year old African-American female, 5’7” and weighs 160 lbs. Patient reports she has not had a dental check-up for several years.
Chief Complaint: “My teeth have not been cleaned in a long time and are in bad shape.”
Dental History: The patient had the mandibular right first molar extracted one year ago and has received no dental treatment since.
Medical History: The patient had a hysterectomy at age 62. She suffered a mild stroke four years ago, relies solely on a cane in order to walk and occasionally suffers with shortness of breath upon exertion. She recently underwent laser surgery on the retina in her right eye. Daily medications include: 81 mg aspirin, multiple insulin injections, (Omeprazole) Prilosec®, (Lovastatin) Mevacor®, (Atenolol) Tenormin®, (Ramipril) Altace® (Clopidogrel bisulfate) Plavix® and (Risedronate sodium) Actonel®.
Bleeding Index: 55%
Plaque Free Score: 35%