TYPE: House Call to Hospital
GENDER: Female
AGE: 85
SPECIAL NEED: advanced dementia
MEDICAL HISTORY: Hypertension, hip replacement, osteoporosis, iron deficiency anemia, 12 Daily medications taken
CHIEF COMPLAINT: n/a (required a regular dental check up)
MAINTENANCE CARE: RDHAP (mobile hygienist)

BACKGROUND:  Francis lived in a retirement community and her last dental visit was unknown. Francis’ conservator found our office in the yellow pages and requested a housecall visit. A soft  foam bite stick was used to help the patient open her mouth and obtain the necessary x-rays.

CLINICAL FINDINGS:
Generalized moderate horizontal bone loss
Root tips #4, 12, 13, 14
Caries #6, 7, 19, 22, 23
Missing crown #19

CLINICAL TEAM:
Prosthetics and Oral Surgery: David Blende, D.D.S. & Erica Haskett, D.D.S.
Primary Care Physician: Guido Gores, M.D.

TREATMENT SUMMARY:
3 Quadrants scaling and root planing
Composites #6, 7, 22, 23
Extraction #4, 12, 13, 14, 19
Alveoplasty

TREATMENT DETAILS: Francis’ dental treatment was completed in the operating room at California Pacific Medical Center due to extensive caries and advanced dementia.