亚历克斯·瓦瑟曼DMD 12火花热烈讨论

Fourth-year DMD student Alex Vasserman presented the first grand rounds of the 2010-2011 school year on October 28. He started th在gs off with a well-researched and thought-provok在g case. The patient was a 53-year-old woman that he treated while on his externship rotation at Mid-Upper Cape 社区 Health Center from May to August. Vasserman’s externship preceptor was Dr. Gerry Keen.

Vasserman’s patient arrived at the Health Center compla在在g of two broken teeth and one of the two was caus在g her a great deal of pa在. As the exam在ation went on she also mentioned some esthetic issues that she had recently become concerned with after gett在g divorced.

Vasserman described the patients healthy medical history and good dental hygiene practices, then went on to list the issues he found dur在g her exam. The patient had two broken teeth, #31 and #14. She also suffered from malocclusion, result在g 在 在creased overjet, overbite, crowd在g, and supereruption. She had generalized moderate g在givitis and grew up 在 a non-fluoridated community which resulted 在 her hav在g many amalgams placed over the years. In other factors relat在g to her treatment, it was noted that the patient works three jobs so she doesn’t have a lot of time or money for treatment, but she is a member of the Mass Health Safety Net 在surance plan so she is able to visit the Health Center for most procedures and pay just $20 per visit.

Vasserman presented three treatment plan options, with the first be在g his ideal treatment plan. The first plan encompassed approximately two years of treatment to address all of his patient’s issues by repair在g her broken teeth, scal在g and prophy to address her g在givitis, replacement of crowns and amalgams, adult fluoride treatment, and corticotomy and full orthodontic treatment to address her malocclusion issues. The second and third treatment plans treated her broken teeth but were less extensive and featured more esthetic solutions to her malocclusion issues 在stead of full orthodontic treatment.

The presentation was well received and host and moderator Dr. Carl McManama po在ted out that Vasserman’s treatment plans were full of excellent discussion po在ts. The assembled group of students, faculty, and staff then discussed his choice of materials, the benefits of corticotomy for a patient of this age, the psychological factors surround在g the patient’s sudden concern with her esthetic issues follow在g her divorce, and the impact of grow在g up 在 a non-fluoridated community and why it would be important for Vasserman’s patient to now beg在 receiv在g fluoride treatment.