Your patient, Sherry, is a 26 year-old single mother and a graduate student.  She tells you that she had a previous negative dental experience, and that it has been many years since she has had professional dental care.  Her chief complaint is tooth pain on the right side of her mouth.  Her medical history indicates that she is taking Lorazepam (a benzodiazepine) and Ambien, but is otherwise healthy.  During the appointment you notice that Sherry has become flushed, appears to be sweating and she begins to choke.  She tells you that she is having trouble breathing and is having chest pains.  Based on her symptoms, social and medical history, which of the following conditions is the probable cause?

What is the International Normalized Ratio (INR) range for a patient on coumarin therapy that generally permits routine dental hygiene care (e.g., scaling and root planing) without requiring the physician to alter the medication dosage?

What is one oral clinical sign of Anorexia Nervosa?

A 65 year old female presents with mucositis on the right buccal mucosa. Her health history is significant for squamous cell carcinoma removed from the right lateral border of the tongue less than 1-year ago. She is currently undergoing chemotherapy. The mucositis is a side effect of the chemotherapy. The patient is interested in mouth rinse to treat the pain caused by mucositis. What should you suggest? 

For a patient who has experienced a non-emergency CVA (stroke), non-emergency dental treatment should be deferred for a minimum of:

For a patient who has experienced a non-emergency CVA (stroke), non-emergency dental treatment should be deferred for a minimum of:

Oral health conditions that can arise from mental illness and its treatment include: Bruxism Erosion Xerostomia

What is a common oral risk factor listed for both Anorexia Nervosa and Bulimia Nervosa?

A common oral clinical finding associated with the long-term use of anticonvulsant drugs like Phenytoin (Dilantin) is:

A 35-year old male with cerebral palsy presents for his initial dental hygiene visit. A FMX, FMP, and exam was complete prior to the dental hygiene appointment. Due to CP, the patient has a hyperactive gag reflex and bite reflexes during treatment. Which two modifications are most appropriate for managing this patient?