13.
For every problem listed on the Chart of Patient Needs, state the long term goals for
dental hygiene treatment that have been established by the clinician and the patient.
Under each long term goal, state at least 3 short term goals that will help the patient
attain the long term goals.
Plaque - Patient will continue to reduce plaque score by 0.3% until he reaches the plaque score
of under 0.2 by end of treatment.
Short term goals:
1) Patient will explain what plaque is and be able to relate back in his own words by next
appointment.
2) Patient will be able to use the Stillman's method by next appointment.
3) Patient will learn how to floss properly, and choose floss at least once a day by next
appointment.
Gingivitis - Patient will halt the progression of the disease gingivitis by their 6 months recall
appointment.
Short term goals:
1) Patient will describe what gingivitis is, and be able to relate back in his own words by next
appointment.
2) Patient will use the Stillman's method, and choose to brush twice a day by end of treatment.
3) Patient will demonstrate how to floss properly, and choose to floss twice a day by the end of
treatment.
Caries - Patient will incorporate fluoride into their daily routine from tap-water, fluoride
toothpaste, and mouth rinse by their 6 months recall appointment. Patient will also cut back on
his sugar intake.
Short-term goals:
1) Patient will describe the caries process by end of treatment
2) Patient will consult a DDS for checkup on the suspicious area before their recalls.
3) Patient will cut back on sugar intake, by having less than 2 sugary drinks a day by end of
treatment.
State the clinician’s assessment of the possibility of the patient’s goal attainment.
(Ex. excellent, good, fair, guarded, poor).
Explain your answer.
(Consider life-styles, financial ability, social/cultural background, etc.)
14.
The possibility of the patient's goal attainment is good. The patient is willing to improve his oral
health, and is cooperative with the patient ed. that I had given during his first appointment.
Patient was willing to learn how to floss and brush the proper way when I was demonstrating.
Patient stated he wanted to brush without his gum bleeding and is willing to strive to attain his
goal. Patient was also willing to cut back on soda consumption and has taken note to call his
dentist this summer.
15.
Outline the information to be presented in the three Patient Education Sessions.
Include the specific information that will be taught, the methods of presentation, and
what visual aids will be used.
Session 1 Plaque + Brushing
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present the patient's goals for reducing plaque.
define plaque - sticky, clear film that forms on teeth at all time. If not brush off, plaque
can harden into calculus, one of the main causes of gingivitis.
I will show the patient the flipchart
brushing and flossing everyday helps remove and control plaque, most importantly at
night, because you don't want the plaque to sit in your mouth all night when you sleep.
plaque contains bacteria, and the acids causes cavities in your enamel.
with repeated acid attack, enamel can break down and a cavity form.
plaque that is not removed can irritate the gums around your teeth leading to gingivitis,
periodontal disease, and eventually tooth loss.
I will show the patient how to brush using the Stillmans method, using a soft bristle
brush on the typodont. Then eventually have the patient brush themselves.
using circular motion, reaching under the gingiva at a 45* angle for two minutes.
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after brushing, the patient will be disclose.
flossing is also as important because it removes the plaque and debris that brushing
alone couldn't.(introduce topic of flossing, but save for session 2)
visual aids include 2 toothbrush, floss, typodont, flipchart, radiographs, patient's
paperwork, disclosing solution, a cup, and a cotton tip.
Session 2 Gingivitis + Flossing
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review plaque and brushing.
define gingivitis with flip chart - a bacterial infection that is caused by plaque and
confined to gum.
present the patient's goal for halting gingivitis.
the longer the plaque stays on your teeth, the more harmful they become.
gingivitis can be seen as red, swollen, and often bleeding of gums.
your gum may be tender and painful to touch.
gingivitis can cause bad breath.
gingivitis can be reverse.
the condition of the disease depends a great deal on how well you care for your teeth
and gum every day, from this point forward.
flossing removes the materials where the toothbrush's bristles cannot reach.
those material will decompose next to gum tissue, thus will cause the gum to bleed and
swell.
I will show the patient how to floss on the typodont, after he brush for 2 minutes.
patient will actually floss themselves using 18" of floss wrapped around the middle
finger, curving around each corner of tooth using a C shape.
patient will be disclosed.
preferable, floss after every meal. But at least once a day, before you sleep.
visual aids include floss, typodont, flipchart, radiographs, patient's paperwork, disclosing
solution, cup, and cotton tip.
Session 3 Caries
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review gingivitis and flossing.
use the flip chart to define caries.
present the patient's goal for caries.
show patient his suspicious areas on his Dental Charting sheets and patient's x-ray.
caries need four factors to work 1) susceptible tooth 2) sugar/carbohydrates 3) bacteria
4) time.
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bacteria consume sugars and produce an acids that dissolves the enamel of teeth,
creating holes.
left untreated, the decay will continue towards the pulp core, killing the tooth.
fluoride is prevention, as it will remineralized the enamel and strengthens it.
fluoride is the single most important cavity prevention.
fluoride comes in tap water, toothpaste, fluoride varnish from a dental professional, and
many over-the-counter mouthwash.
cutting back on daily sugar intake is important for reducing caries, as well as daily
flossing and brushing!
patient needs to consult his dentist to check up on suspicious areas by his recall.
aids includes patient's radiograph, dental charting sheets, and flipchart.