47 yo. Male's Teeth Gigantic Tartar Removal - Scaling

Teeth Tube
15 Nov 202205:47
EducationalLearning
32 Likes 10 Comments

TLDRA patient with a fear of dentists and poor oral hygiene underwent dental treatment after a long period of neglect. Due to anxiety, multiple anesthetics were administered before cleaning began, revealing inflamed and bleeding gums. Several teeth, including molars, were extracted, and temporary bridges were installed. Post-treatment, the patient was educated on daily hygiene, and a follow-up is scheduled to assess the possibility of implants. The patient expressed happiness with the temporary outcome and promised improved care.

Takeaways
  • πŸ˜” The patient had a significant fear of the dentist, which contributed to neglecting their oral health for a long time.
  • 🚢 Frequent work-related travel and staying in different places made it difficult for the patient to maintain a regular oral hygiene routine.
  • πŸ’‰ Multiple anesthetics were administered to ensure the patient felt numb and comfortable before starting the dental treatment.
  • 🦷 The initial dental cleaning involved breaking up and removing large chunks of tartar, especially affecting the anterior teeth.
  • πŸ” Post-tartar removal revealed red and sore gums, indicating underlying gum issues.
  • πŸ˜– The patient's anxiety increased during the cleaning process, requiring frequent pauses to help them relax.
  • 🦷 The dental team decided to clean all teeth before extractions to minimize bacterial exposure in the mouth.
  • πŸ‘€ The patient was concerned about accidentally swallowing tartar pieces during the cleaning.
  • 🩸 Gum inflammation and bleeding occurred as a result of the cleaning process, indicating the severity of the tartar buildup.
  • 😒 Unfortunately, some teeth, including a molar, were lost during the treatment due to the poor condition.
  • 🌟 The dental team performed six extractions and provided the patient with a bridge for both the upper and lower jaw.
  • πŸ“… A follow-up appointment was scheduled for 4-6 months to monitor the patient's progress and oral hygiene practices.
  • 🌱 The patient was taught daily hygiene practices to improve their oral health and was open to the possibility of dental implants if conditions improved.
  • πŸ˜ƒ The patient was satisfied with the temporary outcome and committed to being more careful with their oral health.
Q & A
  • Why hadn't the patient visited the dentist for a long time?

    -The patient had been avoiding the dentist due to fear and anxiety, which led to a decline in his oral health.

  • How did the patient's work affect his oral hygiene routine?

    -The patient's work required him to travel frequently, resulting in irregular brushing habits and poor oral hygiene.

  • What measures were taken to alleviate the patient's anxiety before the treatment?

    -Several anesthetics were administered to ensure the patient felt numb and comfortable before starting the dental procedure.

  • What was the initial approach to the patient's dental cleaning?

    -The cleaning began by dividing and removing large chunks of tartar, starting with the anterior teeth.

  • How did the patient's gum condition appear after tartar removal?

    -The gums underneath the removed tartar were red and sore, indicating inflammation.

  • Why were pauses necessary during the patient's dental cleaning?

    -Pauses were necessary to help the patient relax and feel better, as he became more anxious during the cleaning process.

  • What was the strategy for managing the patient's dental extractions?

    -The decision was made to clean all teeth first before starting extractions to minimize bacterial exposure during the procedure.

  • What was the patient's concern during the cleaning process?

    -The patient was worried about potentially swallowing pieces of tartar during the cleaning.

  • How did the dental treatment affect the patient's teeth and gums?

    -The treatment resulted in some teeth being lost due to movement and gum inflammation, which also caused bleeding.

  • What dental work was done on the patient's upper jaw during the second session?

    -The upper jaw had less tartar than the lower jaw, but extractions were still necessary, and a lot of anesthetic was administered prior to the procedure.

  • What long-term care instructions were given to the patient after the treatment?

    -The patient was taught about daily hygiene practices and was scheduled for a follow-up in 4-6 months to assess his progress and consider implant possibilities.

  • What was the patient's reaction to the temporary dental situation after the treatment?

    -The patient was happy with the temporary situation and promised to be more careful with his oral hygiene.

Outlines
00:00
😬 Dental Anxiety and Treatment

The first paragraph describes a patient's fear of the dentist, which led to poor oral health due to irregular dental visits and inconsistent oral hygiene. The patient's work-related travel further complicated his dental care routine. The dental cleaning process was challenging, requiring multiple anesthetics to manage the patient's anxiety. The cleaning revealed severe tartar buildup, inflamed and bleeding gums, and significant tooth mobility. Despite the patient's fear, the dental team proceeded with cleaning and extractions to address the immediate issues, with a focus on removing as much bacteria as possible before creating open wounds through extractions. The situation was dire for the molars as well, resulting in multiple extractions.

05:01
πŸ› οΈ Post-Treatment Care and Future Planning

In the second paragraph, the focus shifts to the patient's post-treatment care and future dental health. Despite the extractions, the patient's remaining teeth were not guaranteed to be saved. The dental team not only provided cleaning but also educated the patient on daily oral hygiene practices. They constructed a bridge for both the lower and upper jaw to aid in maintaining dental function. The patient was scheduled for a follow-up in 4-6 months to assess his progress and adherence to the care regimen. If the patient's condition improves and he maintains good oral hygiene, the possibility of dental implants will be considered. The patient expressed satisfaction with the temporary outcome and committed to being more diligent with his dental care.

Mindmap
Keywords
πŸ’‘Dentist
A dentist is a healthcare professional who specializes in the diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. In the script, the patient's fear of the dentist is a significant factor contributing to his poor oral health, as it has prevented him from seeking regular dental care.
πŸ’‘Oral Health
Oral health refers to the overall condition of a person's mouth, including teeth, gums, and the tissues surrounding them. The script emphasizes the patient's compromised oral health due to his long-term neglect of dental care and irregular hygiene practices.
πŸ’‘Anxiety
Anxiety is a feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome. The patient's anxiety is a central theme in the script, as it affects his dental treatment, necessitating multiple anesthetics and frequent pauses to ensure his comfort.
πŸ’‘Tartar
Tartar, also known as dental calculus, is a hardened deposit of plaque that can form on teeth if not removed through regular brushing and flossing. In the script, the buildup of tartar is a clear indicator of the patient's poor dental hygiene and contributes to gum inflammation and tooth mobility.
πŸ’‘Gum
Gums are the soft tissue surrounding the base of the teeth, and they play a crucial role in holding teeth in place. The script describes how the gums were red, sore, and inflamed due to tartar removal and the patient's lack of dental care.
πŸ’‘Cleaning
Dental cleaning is the process of removing plaque, tartar, and stains from the teeth to prevent cavities and gum disease. The script details the cleaning process, which was challenging due to the patient's anxiety and the extent of tartar buildup.
πŸ’‘Extraction
Tooth extraction is the removal of a tooth from its socket in the bone. The script mentions several extractions, which were necessary due to the advanced decay and mobility of the patient's teeth, a consequence of his poor oral health.
πŸ’‘Molars
Molars are the large, grinding teeth at the back of the mouth, used for chewing. The script indicates that the patient's molars were also in poor condition, requiring extractions, which is a significant aspect of his overall dental health issues.
πŸ’‘Anesthetic
An anesthetic is a substance that causes a loss of feeling or sensation in a part of the body. The script describes the use of several anesthetics to ensure the patient felt numb and comfortable during the dental procedures, reflecting his high anxiety levels.
πŸ’‘Hygiene
Hygiene refers to the set of practices performed to maintain health and prevent disease, especially through cleanliness. The script concludes with the teaching of proper hygiene practices to the patient, which is essential for his long-term oral health improvement.
πŸ’‘Implants
Dental implants are artificial tooth roots that are placed into the jaw to hold a replacement tooth or bridge. The script suggests the possibility of dental implants in the future if the patient's oral health improves and he maintains good hygiene, indicating a potential long-term solution for his dental issues.
πŸ’‘Bridge
A dental bridge is a fixed dental restoration that replaces one or more missing teeth by joining an artificial tooth to adjacent teeth or dental implants. The script mentions the placement of bridges on both the upper and lower jaw, which serves as a temporary solution to replace the lost teeth and restore function and aesthetics.
Highlights

Patient had not visited the dentist for a long time due to fear and poor oral hygiene.

Patient's job required frequent travel, disrupting regular dental care routines.

Anxiety was managed with multiple anesthetics before starting the dental treatment.

Tartar removal revealed red and sore gums, indicating advanced periodontal disease.

Cleaning was paused frequently to ensure patient comfort during the procedure.

Significant tooth movement was observed, especially in the right lateral incisor.

Tartar removal from the vestibular surface revealed the extent of dental neglect.

Patient was concerned about accidentally swallowing tartar fragments during cleaning.

Gums were inflamed and bled as a result of the aggressive cleaning process.

Several teeth were lost due to severe mobility and periodontal damage.

A two-session cleaning approach was taken, with extractions following thorough cleaning.

Upper jaw had less tartar compared to the lower jaw but still required extractions.

A total of six teeth were extracted during the dental treatment sessions.

Daily oral hygiene education was provided to the patient to prevent further deterioration.

Bridges were constructed on both the lower and upper jaw as part of the treatment plan.

A follow-up appointment was scheduled in 4-6 months to assess the patient's progress.

Implants were discussed as a potential treatment option if oral hygiene improves.

Patient expressed satisfaction with the temporary outcome and commitment to better care.

Transcripts
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