TYPE: House Call to Hospital
GENDER: Female
AGE: 87
SPECIAL NEED: Non-ambulatory, confined to bed
MEDICAL HISTORY: breast cancer, Parkinson’s, failed hip replacement
CHIEF COMPLAINT: Two missing crowns and chipped front teeth
MAINTENANCE CARE: RDHAP (mobile hygienist)

BACKGROUND: Donna Kohler’s daughter in law contacted our office when Donna lost two crowns. She stated that Donna may have swallowed them and she could feel a “post.” Donna lived at home with a caregiver and was recently told she may start bisphosphonate therapy.

CLINICAL FINDINGS:
Radiographic calculus
Generalized moderate horizontal bone loss
Caries #2 ,5, 7, 8, 9, 10, 11, 22, 28, 30
Root tips #15, 31
Periapical pathology #30, 31

CLINICAL TEAM:
Oral Surgery: Erica Haskett, D.D.S.
Primary Care Physician: Jurgita Pupeikienne, M.D.

TREATMENT SUMMARY:
Extractions #15, 30, 31

TREATMENT DETAILS: The patient elected to only treat the teeth requiring extraction.