Introduction of patient (without any identifying information)
Dental Hygiene Patient Background- all assessments including medical, dental, social and cultural histories, chief complaint, habits that affect oral conditions, and oral hygiene habits.
Discussion of research topics
Dental Hygiene Assessment- gingival description, radiographic findings, hard tissue, periodontal findings, periodontal classification, caries risk, ASA level, DHD’s.
Treatment Plan- Discuss the recommended sequence of treatment with interventions from DHDs.
Patient Motivation- Explain why the patient is here and list their goals. Describe how they feel about change/compliance with recommendations. Describe the patient’s attitude, aptitude, and abilities with OHI.
Implementation- describe implementation of all treatment provided to the patient including OHI at each appointment and plaque index score comparisons.
Problems encountered- Explain if there were any changes needed to the treatment plan and note if the treatment plan was completed.
Expected Outcomes and Actual Results of Treatment- Describe the expected outcomes and actual results of treatment.
Evaluation- Describe the post treatment gingival description and comparison of periodontal data [pre-treatment & post-treatment].
Patient’s Reaction to the Results of Treatment
Learning Ladder- Explain your interpretation of movement or lack of movement on the learning ladder.
Personal Reaction- Describe what you learned from treating this patient and discuss how you would have done things differently if you were to have the opportunity to do it again
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