Scenario 4

Scenario 4

aged 75
arthritis in hands
1. limited dexterity
  1. inadequate plaque removal
    1. studies show oral health improves once adequate plaque removal recommences
previous nursing home
1. biscuits
2. residents cleaned own teeth
  1. arthritis
    1. limited dexterity
      1. inability to effectively clean teeth alone
3. when did she move into her new home?
  1. oral health should improve with better care
white plaque
1. after antibiotics
  1. possible cause?
2. when did she first notice the white plaque build up?
3. possibly oral candidiasis?
  1. possible causes:
    1. denture wearing
    2. diet
    3. diabetes
    4. antibiotics
  2. possible treatment
    1. antifungals
    2. denture hygiene
denture
1. loose adjacent tooth
  1. which tooth/teeth are loose?
  2. possibly due to inability to effectively clean teeth
    1. limited dexterity (arthritis)
2. how long has she maintained a denture?
3. possibly toothbrushing instruction specifically related to dentures
  1. refer to oral candidiasis
tooth sensitivity
1. how often does she experience tooth sensitivity?
2. incisal wear?
  1. possibly due to old age?
  2. possibly due to vigorous brushing?
3. receding gingiva?
diabetic
1. oral candidiasis cause?
recent medical and dental history?
1. recent periodontal chart/radiograph?
current oral hygiene routine?
dietary intake?
are finances an issue?

Resource summary

	Created by Roslyn Callaghan about 9 years ago