John Brookshire, a 55-year-old morbidly obese male who smokes. He presents as the next recare patient after having been away for several years. He is interested in getting his teeth “cleaned” and he has just been seated in the dental hygienist’s operatory. The dental hygienist has a 60 minute appointment set aside for him and the hygienist is about to begin a medical history review. Here are her preliminary findings:
Significant Medical History Findings
John’s blood glucose level was obtained following the health history with a reading of 55 mg/dL.
Pertinent Oral Findings
Significant findings in the intra and extra oral exam:
Significant findings from the periodontal exam:
Significant findings from the dental charting:
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