Before I commence any treatment, I will ensure that his diabetes is controlled and it is safe to provide dental treatment. Failing to do so can result in an acute medical emergency in chair resulting from coma and ketoacidosis (Carranza, 2015). Therefore, I will refer him to his general practitioner (GP) to assess his diabetes and readjust insulin regime if required. I will update his medical history prior to treatment at each appointment. I will also ensure that I obtain written informed consent by discussing with Ben as well as his parent/s the disease process, treatment options and expected outcomes, and any complications. I will also explain the consequences of choosing not to accept the treatment. I will provide appropriate instructions …show more content…
Hence, primary prevention is the key to control and regulate the ecological conditions of the oral cavity. The first and foremost step to preventive dentistry is home oral hygiene. Based on clinical finding, the preventative programme for Ben will comprise of a variety of mechanical and chemical plaque control along with diet advice and counselling. I will explain the importance of brushing and flossing with a demonstration of each. I will strongly recommend the use of Colgate Neutrafluor 5000ppm toothpaste once daily for 3 months, as well as 10ml chlorhexidine (0.12%) mouthwash at night for the first week of every month for 3 months. Chlorhexidine has been well known to reduce bacterial load in the oral cavity, and therefore reducing levels of plaque and gingival inflammation (Van strydonck, Slot, Van der Velden & Van der Weijden, 2012). The high concentration of fluoride toothpaste is recommended for patients with high risk of caries as it provides more protection against acid attack caused by bacteria in the mouth ( However, the result will be dependent on his ability and willingness to comply with the regime. This may be compromised as
Oral health practitioners must also advise and provide diet recommendations to patients as required. It is important for Ben to adhere to a healthy diet in order to control his diabetes. I will advise him to eat fibre rich but low in fat and sugar foods at regular