This assignment aims to describe and discuss the case of a six-year-old male Maori, Rangi Whaka, who was brought in by his mother, for the management of a severe toothache that has been of significant concern over several days. An outline of past dental, medical and social history that are significant for assessment of the patient will be related. Thereafter, I will describe and rationalise the examination procedures which I will conduct to properly evaluate and manage this case. I will detail how I will present my diagnosis and treatment planning for this patient to my patient’s mother to educate her about her son’s oral health and for me to obtain her informed consent. Lastly, I will relate when I intend to recall Rangi and what I intend
…show more content…
Rangi appeared shy and so did his mother who would not look at me directly and would cover her mouth as she speaks. This is an indication of shyness and possibly, anxiety towards dental treatment. Considering that Rangi is already is in pain, hence they made this appointment, I welcomed them warmly as I introduced myself with a smile. Studies have shown that the prospect of attending a dental appointment is a cause for anxiety in one out of six people and the clinician’s friendliness is a big factor in allaying dental anxiety (Armfield & Heaton, 2013). According to The consequence of reinforcing, or introducing fear of dental treatment pose numerous problems for both the patient and the clinician who has to manage it. Problems include frequent cancelled or failed appointments and, as patients further delay appointments, the severity of oral diseases escalate which require more complicated procedures or, lessens the choices of treatment, along with increased financial cost to the patient (Armfield & Heaton, 2013; Berggren, Carlsson, Hakeberg, Hägglin, & Samsonowitz, 1997). I asked Rangi if he would like to sit in my …show more content…
However, I still checked Rangi’s medical history by asking Mrs. Whaka some questions. For example, it is important to know if Rangi has any heart condition because some cardiac problems would require the use of premedication with antibiotic cover for bacterial endocarditis prior to any invasive dental procedures (The National Heart Foundation of New Zealand Advisory Group, 2008). It is also important to know if there any bleeding tendencies such as haemophilia because, according to Anderson et al. (2013), management may include the need for clot factor replacement. In which case, some invasive procedures such as the extraction of abscessed teeth will need to be coordinated with the medical doctor and the procedure performed in a
Rangi appeared shy and so did his mother who would not look at me directly and would cover her mouth as she speaks. This is an indication of shyness and possibly, anxiety towards dental treatment. Considering that Rangi is already is in pain, hence they made this appointment, I welcomed them warmly as I introduced myself with a smile. Studies have shown that the prospect of attending a dental appointment is a cause for anxiety in one out of six people and the clinician’s friendliness is a big factor in allaying dental anxiety (Armfield & Heaton, 2013). According to The consequence of reinforcing, or introducing fear of dental treatment pose numerous problems for both the patient and the clinician who has to manage it. Problems include frequent cancelled or failed appointments and, as patients further delay appointments, the severity of oral diseases escalate which require more complicated procedures or, lessens the choices of treatment, along with increased financial cost to the patient (Armfield & Heaton, 2013; Berggren, Carlsson, Hakeberg, Hägglin, & Samsonowitz, 1997). I asked Rangi if he would like to sit in my …show more content…
However, I still checked Rangi’s medical history by asking Mrs. Whaka some questions. For example, it is important to know if Rangi has any heart condition because some cardiac problems would require the use of premedication with antibiotic cover for bacterial endocarditis prior to any invasive dental procedures (The National Heart Foundation of New Zealand Advisory Group, 2008). It is also important to know if there any bleeding tendencies such as haemophilia because, according to Anderson et al. (2013), management may include the need for clot factor replacement. In which case, some invasive procedures such as the extraction of abscessed teeth will need to be coordinated with the medical doctor and the procedure performed in a