Smoking
Mock Case Study
Name: Irene
Age: 57
Gender: Female
Race: Mexican American
Physical Assessments: Complains of being tired
Mental Assessments: Has been stressed since taking on her new job of babysitting her grandkids
Social Assessments: She is single. Her grandchildren stay with her 3 nights a week while her daughter goes to school.
Medical Assessment: Is overall in great health. She eats a healthy diet and is currently not on any medications
Dental History: Has composite restorations on # 2, 14, 15, and 30. Her probing depths have increased since she started smoking (3-5mm). FMX- taken 2 years ago
E/O and I/O Assessment: No significant findings.
Communication: * Ask if patient is willing to quit
* Explain possible side effects of smoking - The negative side effects include cancer, cardiovascular disease, stroke, and respiratory disease. Smoking can also affect their oral health. With smoking they increase their chances of developing periodontal disease. They can have lesions on their mucosa and recession on their gums. They will have a higher chance of getting cavities, tarter, and impaired taste and smell. They can even lose teeth.
* Recommend they quit
* Provide information ( ex: brochures, websites, and hotlines) for smoking cessation
* Ask if you can follow up with the quiting process at future appointments
Appointment Planning: SRP every 3 months
Client Positioning: Supine/ semi-supine (depending on patient's tolerance)
DH Procedures: * Medical History- Verbally ask about tobacco use
* E/O - I/O ( cancer screening)
* Assessments: Probing to monitor pocket depths
* Radiographs: To be taken as needed
* Treatment: SRP
* Tobacco Cessation
Safety Precautions: Use lead apron if taking radiographs
OHI: Recommend fluoride products, and mouthwash for halitosis
Personal Reflection: My mom is an occasional smoker. She tends to smoke more when she is stressed. She is helping me with my kids while I go to school. I know this causes more stress in her life. I really worry about her health.
Additional Information: Your eyes may fool you. In smokers, a lack of bleeding on probing or no signs of inflammation does NOT indicate healthy tissue as it does in nonsmokers. People who smoke have little gingival inflammation or edema. Their gums have a tendency to develop a fibrotic appearance and reduced bleeding is due to decreased vascularization. Bleeding on probing (BOP) will resume 4 to 6 weeks after a person quits smoking. Smokers commonly have deep pockets, attachment loss, and bone loss.
Age: 57
Gender: Female
Race: Mexican American
Physical Assessments: Complains of being tired
Mental Assessments: Has been stressed since taking on her new job of babysitting her grandkids
Social Assessments: She is single. Her grandchildren stay with her 3 nights a week while her daughter goes to school.
Medical Assessment: Is overall in great health. She eats a healthy diet and is currently not on any medications
Dental History: Has composite restorations on # 2, 14, 15, and 30. Her probing depths have increased since she started smoking (3-5mm). FMX- taken 2 years ago
E/O and I/O Assessment: No significant findings.
Communication: * Ask if patient is willing to quit
* Explain possible side effects of smoking - The negative side effects include cancer, cardiovascular disease, stroke, and respiratory disease. Smoking can also affect their oral health. With smoking they increase their chances of developing periodontal disease. They can have lesions on their mucosa and recession on their gums. They will have a higher chance of getting cavities, tarter, and impaired taste and smell. They can even lose teeth.
* Recommend they quit
* Provide information ( ex: brochures, websites, and hotlines) for smoking cessation
* Ask if you can follow up with the quiting process at future appointments
Appointment Planning: SRP every 3 months
Client Positioning: Supine/ semi-supine (depending on patient's tolerance)
DH Procedures: * Medical History- Verbally ask about tobacco use
* E/O - I/O ( cancer screening)
* Assessments: Probing to monitor pocket depths
* Radiographs: To be taken as needed
* Treatment: SRP
* Tobacco Cessation
Safety Precautions: Use lead apron if taking radiographs
OHI: Recommend fluoride products, and mouthwash for halitosis
Personal Reflection: My mom is an occasional smoker. She tends to smoke more when she is stressed. She is helping me with my kids while I go to school. I know this causes more stress in her life. I really worry about her health.
Additional Information: Your eyes may fool you. In smokers, a lack of bleeding on probing or no signs of inflammation does NOT indicate healthy tissue as it does in nonsmokers. People who smoke have little gingival inflammation or edema. Their gums have a tendency to develop a fibrotic appearance and reduced bleeding is due to decreased vascularization. Bleeding on probing (BOP) will resume 4 to 6 weeks after a person quits smoking. Smokers commonly have deep pockets, attachment loss, and bone loss.