Patient: Betty Kouns
Type: At Home to Asleep
Referral Source: Darren Wallace, Family Fiduciary
Medical Profile: Alzheimer’s disease (late stage)
Chief Complaint: Severe oral pain and trouble eating
Mrs. Betty Kouns is an 83-year-old woman with late-stage Alzheimer’s disease. Due to the fact that she wouldn’t open her mouth for regular brushing and care by her skilled nursing facility staff, she suffered significant oral decay. Upon getting a glimpse of bleeding and infected gums, her son went to work finding specialized resources to care for his mother.
Dr. Mathai and a dental assistant drove thirty-five miles from their office in San Francisco to Mrs. Kouns facility in the South Bay. Equipped with a mobile X-Ray machine they were able to show Betty’s son the images on their laptop and explain exactly what the issues were. Thomas was more than impressed by Dr. Mathai’s approach and her excellent communication around the complexities of his mom’s case. He said “Blende Dental Group was by far the most professional and courteous team I spoke to. You could sense that special needs dentistry wasn’t just a job, but that they were truly passionate about the health and well-being of their patients.”
Betty Kouns’ procedures were performed at Kaiser Hospital San Francisco, where Dr. Blende (practice founder) is Chief of the Dental Division. Over the course of less than five hours, Betty’s first procedure was performed by Dr. Blende and the second by Dr. Mathai. Thomas was further reassured that his mom was in excellent hands, when he witnessed the relationship between the Blende Dental Group doctors and their extended team. Thomas recounted how “both Dr. Blende and Dr. Mathai seemed to know and have worked with every anesthesiologist, MD and nurse in the entire hospital. Mom’s Kaiser anesthesiologist even told me my mother was in very good hands with Dr. Blende and his staff during the initial operation.”
Thomas was relieved and excited that everything went seamlessly. Most surprising to him, and others familiar with Betty’s case, is how the procedure improved her overall health. According to her son, “she now has more energy, a stronger appetite and appears happier and healthier than before. It made me realize that there is a strong correlation between the health of our teeth and gums and our overall health and well-being”.
Dental Team: David Blende, D.D.S. (performed the treatment), Rosa Mathai, D.D.S. (did initial exam, FMX and consultation via house call and 2nd stage of treatment at Kaiser), Victoria Cameron & Kiki Brice – Registered Dental Assistants, Elisabeth Wong – Sedation Care Coordinator
4 quads SC/RP
7 teeth extracted
1 tooth decoronated
1 upper anterior bridge
6 composite fillings