"Integrative Care Approaches for Dental Rehabilitation in a Patient wit" by Stephen McRae, Essie Love et al.
 
Integrative Care Approaches for Dental Rehabilitation in a Patient with Complex Medical and Social Needs

Files

Download

Download Full Text (83.3 MB)

Description

This case involves a 35-year-old female patient presenting with chronic dental pain and poor oral health, expressing a desire for complete tooth extraction and denture placement. The patient reports a 5-year history of worsening tooth pain primarily affecting her maxillary teeth, with a background of abscesses and previous mandibular molar extractions due to decay. She experiences constant pain, gum inflammation, and significant difficulty chewing, with over-the-counter pain relief measures proving ineffective. The patient acknowledges a lack of regular oral hygiene practices, attributed to limited access to clean water, and reports a diet consisting mainly of coffee. Her dental health is severely compromised, necessitating consideration for extraction and prosthetic rehabilitation. The patient is insured through MaineCare and is currently unemployed. She has a history of substance use (methamphetamine), along with comorbid conditions including anxiety, depression, anorexia nervosa, and psoriasis. Given the patient's significant dental issues, socioeconomic factors, and underlying health conditions, a multidisciplinary approach is warranted to address her immediate dental needs and long-term health outcomes. Future dental visits are planned, with transport arranged through her caseworker to ensure continuity of care.

Publication Date

11-2024

Disciplines

Interprofessional Education | Medicine and Health Sciences

Access/Rights

© 2024 The Authors

Notes

  • Stephen McRae (College of Osteopathic Medicine) smcrae@une.edu
  • Essie Love (College of Dental Medicine) elove1@une.edu
  • Mallory Kingsley (Public Health) mkingsley@une.edu
  • Stephanie Merrill (College of Osteopathic Medicine) smerrill4@une.edu

Integrative Care Approaches for Dental Rehabilitation in a Patient with Complex Medical and Social Needs
Files over 3MB may be slow to open. For best results, right-click and select "save as..."

Share

COinS