Assignment 18/04/2021, 19:28
Dentists: Writing Course
Task 5 Case Notes: Return to: Writing
Task 5 !
Bernard Miller
WRITING SUB-TEST: DENTISTRY
TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES
Read the case notes and complete the writing task that follows.
Notes:
You are a dentist in a private practice. Your patient has been attending your
clinic over the past 4 months following a car accident.
Today's date: 21/08/2019
Patient Details:
Name: Bernard Miller
DOB: 31/12/1970
Reason for Presenting: Car accident- Fractured front teeth
Dental History: Good oral hygiene – 6/12 scale and clean
Fillings 26, 46, 47
No extractions
Medical History: GP Dr John Ackers Ph 3749 2487
Asthma
Medication - Noten 4mg daily, Ventolin inhaler
PRN
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Assignment 18/04/2021, 19:28
Family History: Married - Wife Sally - 3 children
Profession Accountant
Examination
21/04/2019 Car accident (2 hrs before)- Fractured front
teeth
Accident Details: Patient was sitting on a passenger seat. His
wife was driving and stopped suddenly. Not
wearing seat belt. No other head trauma, no
memory loss.
Orthopanogram (OPGand periapical
radiographs taken: alveolar bone intact, small
fragment in the upper lip.
Wound Examination: Cuts and bruises of the lips and cheek. Tooth
fragment found in upper lip. Sutures required.
Management: Injectable Lidocaine (1%), saline for irrigation
using a syringe with an attached 19-gauge
needle, irrigation volumes of 50 to 100 ml per
cm of laceration length, debridement to
remove devitalized tissue with scalpel to
facilitate improved wound closure. Primary
wound closure with sutures.
Referral to the patient’s GP for Tetanus
diphtheria vaccine (Td) and evaluation of
healing process.
Dental Examination:
Tooth 11 mesio-distal fracture, middle third length of
tooth. Pulp exposure less 1 mm, Subluxation,
pathological mobility grade 2, hemorrhage
from periodontium
Tooth 21 mesio-distal fracture, occlusal third, near
pulpal exposure 1-2 mm of the pulp,
subluxation, pathological mobility grade 2.
Tooth 22 mesial edge of tooth missing, 2 mm in width.
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Assignment 18/04/2021, 19:28
Treatment of fractured
Calcium hydroxide dressing to 11,21
teeth:
Polishing edges
Composite restoration 11, 21, 22
Treatment record:
10/05/2019 11, 21, 22 PA x-rays; no changes in the bone
No changes in the colour. No Mobility
Cold test negative, percussion test positive
8/08/2019 Percussion test positive
Pus exudation from periodontal pocket
Periodontal assessment: probing depth 11 M 12
mm, 21D 10 mm
Methylene blue colouring for detection of
vertical fracture on 11 and 21
PA X-rays. Impression for P/ immediate
denture
21/08/2019 Extract 11, 21
Fit upper denture
Plan: Refer to Oral Surgeon
Request placement implants for 11, 21.
WRITING TASK
Using the information in the case notes, write a letter requesting
implants to oral surgeon, Cheyne Bartholemew, 128 George Street,
Brisbane 4001. Include relevant history.
In your answer
Expand the relevant case notes into complete sentences.
Do not use note form.
Use letter format.
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Assignment 18/04/2021, 19:28
The body of your letter should be approximately 180~200 words.
Submission status
Submission status Submitted for grading
Grading status Graded
Last modified Sunday, 20 September 2020, 8:03 PM
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Letter: Paul Letter: Bernard
Beattie Miller ▶︎
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