Integrative Care Approaches for Dental Rehabilitation in a Patient with Complex Medical and Social Needs
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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

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© 2024 The Authors

Notes

Integrative Care Approaches for Dental Rehabilitation in a Patient with Complex Medical and Social Needs
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