New guidelines case discussions

[Guest guest]

Hi,

I am sure everyone preparing for part 2 must have gone thru the new guidelines

for Dtp.. There are 5 major changes for which we need to practice..

1. Taking history with Note making.

2. Written provisional diagnosis.

3. Written justification of radiograph.

4. Written description of a radiograph.

5. Written treatment plan.

Starting today, I will be posting a series of cases that we've all probably

discussed before, but have not covered, these finer aspects, on which, we'll now

be marked..

So.. Lets start!

Case 1. (ORE CASE JAN 2008)

patient complains of loose lower anteriors,(assuming, due to lack of feedback-

31,32 grade 3 mobile, from last 1 year,BPE 222/342) and lump in palate (assuming

from 1 year), incidental finding-multiple radiolucencies in mandible.

I'll start with the history notes.. Please add or correct if required..

Name: Kathy Brown

DOB: 5th jan 1967

Add: #XYZ Street, London

Occ: Newsreader

Marital status: Married, 2 children- living separately.

C/o: Patient complains of 1. loose lower front teeth since 1 yr.

2. lump on roof of mouth - 1 yr

HOPI: 1. noticed 1 yr bk, increase since last 4 mnths, no pain, sensitive to

heat & cold +nt, no sour taste/smell or pus, bleeding on brushing +nt, no F/H of

gum disease, no h/o trauma.

2. Lump on palate since 1 yr, no sudden increase, no pain, no

ulceration/bleeding/discharge. hard, no colour change, no h/o of similar

swelling mouth or elsewhere.

PDH: irregular attender, brush 1/day, no m/w or floss, no dental t/t in past.

PMH: h/o diabetes 5 yrs- metformin 500mg BD.

SH: Smokes 10 cig/day last 10 yrs,

Alc- 10 units/week- beer

No Parafunct habit.

Sugar/carb intake-low

Fizzy/citrus intake- low

Regards,

Smriti

P.S Please add to these notes if required and your opinion in general. Will

continue with the provisional diagnosis in some time.. Please add new cases as

well for discussion.. It might be a good idea to use the same subject or heading

so that we can find them easily while revising..