Patient is a 75-year old White Caucasian female who has been treated in the dental hygiene clinic for several years.
At her six month recall/recare appointment, she reported sensitivity between the maxillary right first and second molar.
Two years prior, the patient reported sensitivity around her bridge in the lower left quadrant. She had been receiving regular dental care until her dentist retired and currently does not have a dentist.
The patient has suffered from hydronephrosis since her young adult years. She was hospitalized two years ago with bleeding diverticulitis. Seven years ago, polyps were discovered during a routine colonoscopy and a hysterectomy was performed many years prior. She reported no complications from either procedure. Cataract surgeries have been performed on each eye and no complications were reported. The patient suffers with emphysema as a result from smoking two packs of cigarettes daily for fifty-two years. She currently takes (Acetaminophen) Tylenol®, (Omeprazole) Prilosec®, (Methenamine) Urex®, 2 puffs 4 times daily of (Ipratropium bromide) Atrovent® and (Cephalexin) Keflex® as needed for kidney infections. The patient reports frequent arthritic pain. Her blood pressure was recorded at 156/82.
- Bilateral crepitus was reported in the TMJ and a large nevus was present on her right cheek.
- A scrubbing technique was demonstrated throughout the mouth.
- brushes twice daily but does not floss.
- Occasionally, a phenol mouthrinse has been used and burning sensations were reported on the inside of the lips, cheeks and tongue after its use.