Susan

TYPE: House Call to Hospital
GENDER: Female
AGE: 57
SPECIAL NEED: Non-ambulatory, bed bound
MEDICAL HISTORY: Obese (320+ pounds), breast cancer, chemotherapy, pulmonary hypertension, hip replacement, arthritis, vertigo, sciatic nerve damage, 17 daily medications taken.
CHIEF COMPLAINT: Lost crown and occasional pain on the lower left
MAINTENANCE CARE: RDHAP (mobile hygienist)

BACKGROUND: A friend of Susan’s told her about an article on house call dentists in the Nob Hill Gazette. Susan explained she had been non-ambulatory since 2006 and was unable to see her dentist. Her main concern was a crown that had dislodged.

CLINICAL FINDINGS:
Generalized moderate horizontal bone loss
Caries #2, 3, 6, 7, 8, 9, 10, 11, 12, 13, 14, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 ,30
Root tips #5, 15, 13, 31
Missing crowns #3, 18
Periapical pathology #18

CLINICAL TEAM:
Prosthetics: David Blende, D.D.S. & Erica Haskett, D.D.S.
Oral Surgery: Len Tolstunov, D.D.S. M.D.
Primary Care Physician: Neal Miyasake, M.D.
Dental lab: Dental Concepts

TREATMENT SUMMARY:
4 Quadrants scaling and root planing
Extraction #2, 3, 5, 13, 14, 15, 18, 19, 20, 24, 25, 29, 30, 31
FPD #5(cantilever)-7, 23-26
Crown #8, 9
Composites #10, 11, 12, 21, 22, 27, 28

TREATMENT DETAILS: Susan started her dental treatment in the operating room at California Pacific Medical Center due to extensive caries and her past medical history. The fixed prostheses were cemented at her home.