Correlate Conclusions With Question & Answer Guide (With Explanation)
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Original Question
Correlate conclusions with evidence shown in current primary professional referred 4 journal articles. The patient I saw was poorly flossed, was deficient in vitamin D, had an obesity index of 31.1, and was malnourished due to excessive weight loss goals. All of these conditions are linked to oral health. I want to say this by linking my writing to the evidence from the journal article. But I don’t know how to attach the evidence from the journal article. Please include the 4 journal articles I found in my writing. A 33-year-old female Asian patient’s baseline of vital signs was BP: 129/78 P:72 R:16 O2: 98% T: 96. 4 F and BMI was 31.1. According to medical history, the patient was ASAII due to an allergy to latex, WLAC Calculus Code: 2 Light, and AAP Stage I (P-1) and Grade A due to Generalized 1-2mm with horizontal bone loss. The patient’s overall treatment outcome improved from the initial visit. The patient presented improvement with MBI 0%, a significant reduction of 16%. However, there was little difference between before and after evaluated plaque management and recording. Between tooth and tooth area was the least managed. Probing depths improved generalized 2mm and 3mm with less localized 4mm. Surface of improvement from 4mm pockets to 3mm or 2mm pockets include teeth #3, #13, #15, #20, and #30. The probing depths were taken 5 weeks after the last scaling appointment. The Patient had a thorough understanding of nutrition pre and post-treatment. After re-evaluation on May 17, 2022, the BMI was 25.6, indicating that the patient’s weight falls into the category of overweight adults for the patient’s height. The patient worked hard to lose weight. The patient currently weighs 140 pounds, so losing an additional 4 pounds will put the patient in a healthy weight range. After consultation, the total amount and percentage of macronutrients increased. However, the patient’s total macronutrients were still below the essential recommended dietary allowance (RDA). The patient is taking a women’s multivitamin daily. In general, intake of vitamins and minerals that were insufficient should be taken in the recommended amount. But vitamin E and minerals: calcium and magnesium still need to be increased. The patient increases consumed 7-9 cups of water per day for 3 days and tried to control sodium intake. As a result, they did not exceed the recommended daily intake of sodium. The patient is required to have 4 appointments to remove of accumulation of plaque biofilm and calculus. The patient received one scaling appointment to remove light sub and supra interproximal calculus and plaque biofilm removal. The only modification recommendation would be to allow more healing time in between the last scaling appointment and the reassessment appointment, to obtain more accuracy in the healing of the tissues. Fluoride varnish was provided at the last scaling appointment with the polishing of the teeth. In addition, every 3 months periodontal maintenance is required for the patient to maintain periodontal conditions and control plaque biofilm. The goals for this patient was to remove light sub and supra interproximal calculus and plaque biofilm removal, reduce pocket depths. During the re-evaluation appointment, the oral hygiene has been improved due to the great cooperation of oral hygiene instruction. Probing depths improved generalized 2mm and 3mm with less localized 4mm. Surface of improvement from 4mm pockets to 3mm or 2mm pockets include teeth #3, #13, #15, #20, and #30. Post MBI index calculated at 0%. The patient improved 16% from initial MBI index. However, there was little difference between before and after evaluated plaque management and recording. Between tooth and tooth area was the least managed, and the importance of OHI to patients should be known once again. The patient followed my recommendations daily to use an electric toothbrush and dental floss. However, the use of dental floss was still inexperienced, so training in flossing technique was necessary once again. It was a small change, but it has significantly reduced bleeding gums with these changes. This result means that the patient’s gum health has improved and the inflammation in the gums has disappeared. Referred 4 journal articles Botelho, J., Machado, V., Proença, L., Delgado, A. S., & Mendes, J. J. (2020). Vitamin D Deficiency and Oral Health: A Comprehensive Review. Nutrients, 12(5), 1471. https://doi.org/10.3390/nu12051471 Sambunjak, D., Nickerson, J. W., Poklepovic Pericic, T., Johnson, T. M., Imai, P., Tugwell, P., & Worthington, H. V. (2019). WITHDRAWN: Flossing for the management of periodontal diseases and dental caries in adults. The Cochrane database of systematic reviews, 4(4), CD008829. https://doi.org/10.1002/14651858.CD008829.pub3 Velsko, I. M., Fellows Yates, J. A., Aron, F., Hagan, R. W., Frantz, L., Loe, L., Martinez, J., Chaves, E., Gosden, C., Larson, G., & Warinner, C. (2019). Microbial differences between dental plaque and historic dental calculus are related to oral biofilm maturation stage. Microbiome, 7(1), 102. https://doi.org/10.1186/s40168-019-0717-3 Deshpande, N. C., & Amrutiya, M. R. (2017). Obesity and oral health – Is there a link? An observational study. Journal of Indian Society of Periodontology, 21(3), 229-233. https://doi.org/10.4103/jisp.jisp_305_16
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