Past dental history and oral hygiene practices Ben regularly attended dental appointments with an oral health practitioner until three years prior to this consultation. He underwent orthodontic treatment to achieve space closure from missing upper lateral incisors in the upper arch and to relieve maxillary and mandibular crowding of teeth. 12 months prior to this consultation, fixed braces were removed and fixed lingual and palatal wire retainers were placed on the anterior teeth. Ben reports a dislike for flossing as this induce gum bleeding. Using motivational interviewing to elicit a response, I will ask Ben what methods he employs to deal with the gum bleeding and cleaning when he still had his braces and now that he has his fixed wire
…show more content…
Knowledge of his lifestyle can be used to tailor health care messages to enable him to incorporate oral health into his daily routine. For example, Ben currently resides with his mother during the weekdays and his father on the weekends as his parents separated two years previously. This coincides with the loss of stability of his glycaemic control and may also explain why he stopped going to an oral health professional regularly. I will take this into consideration when obtaining informed consent for treatment and in giving oral health advice. This is because informing the mother of Ben’s needs would not necessarily mean the father would have the same information. This may result in a conflict in oral health practices from one household to the next and affect Ben’s overall …show more content…
The lymph nodes in the area of his head and neck are palpated including the pre-auricular and postero-auricular area, sub-mental and submandibular area, along his sternocleidomastoid muscles and the supra- and infra-auricular lymph nodes. I will examine his temporomandibular joint is by placing my fingers over the condylar area anterior the ears bilaterally. Thereafter, I will ask him to open and close his mouth several signs to detect deviations in opening and closing and while listening to crepitus. Extra-oral examination did not reveal anything remarkable other than the very unpleasant oral malodour or “halitosis” (Wilkins, 2013, p. 374) noted while interviewing
Knowledge of his lifestyle can be used to tailor health care messages to enable him to incorporate oral health into his daily routine. For example, Ben currently resides with his mother during the weekdays and his father on the weekends as his parents separated two years previously. This coincides with the loss of stability of his glycaemic control and may also explain why he stopped going to an oral health professional regularly. I will take this into consideration when obtaining informed consent for treatment and in giving oral health advice. This is because informing the mother of Ben’s needs would not necessarily mean the father would have the same information. This may result in a conflict in oral health practices from one household to the next and affect Ben’s overall …show more content…
The lymph nodes in the area of his head and neck are palpated including the pre-auricular and postero-auricular area, sub-mental and submandibular area, along his sternocleidomastoid muscles and the supra- and infra-auricular lymph nodes. I will examine his temporomandibular joint is by placing my fingers over the condylar area anterior the ears bilaterally. Thereafter, I will ask him to open and close his mouth several signs to detect deviations in opening and closing and while listening to crepitus. Extra-oral examination did not reveal anything remarkable other than the very unpleasant oral malodour or “halitosis” (Wilkins, 2013, p. 374) noted while interviewing