EBL Scenario 12

Not Just a Mouth!

Student Notes

EBL Scenario 12
Not Just a Mouth!
During your next three EBL sessions you will be focussing on medical
conditions which you are likely to encounter during the course of your clinical
practise. You will already have some awareness of these from work you
carried out in years 1 and 2 and some of you may already have treated
patients with these conditions.
In each case you will need to develop a basic understanding of the medical
problems which each patient has, their treatment and the relevance of both to
the patients oral health and dental treatment.

Scenario 12a.
George Richardson is a 62-year-old retired builder. He stopped working
several years ago on medical grounds because of chest pains brought on by
exertion. A couple of months ago he spent some time in hospital after an
episode during which his chest pain came on without any warning. He has
had high blood pressure for many years but his tablets have recently been
changed and he cant remember the names of them. His doctor has also
given him some new tablets called nicorandil for his angina.

Scenario 12b.
Cara Sylvester is a 30-year-old bank clerk. She is a regular attender at your
practice and you have been treating her since she was a child. She has
always suffered from hayfever, asthma and excema. She uses two inhalers
and takes tablets during the hay fever season. When her asthma is
particularly severe her GMP usually prescribes a course of systemic steroids
for her.

Scenario 12c
Mrs Singh is 45 years old and has come to see you for her annual dental
check up. She is a little overweight and has recently had some blood tests at
her doctors. She was telephoned by the practice nurse yesterday who told
her that she needed to have some more tests done to check for diabetes as
her blood sugar was high. She tells you that she is very worried about this as
one of her 15 year old sons friends is a diabetic and has to give himself
injections on a regular basis. She is also concerned about the potential
impact of her diabetes on her dental health.


TMDP ILOs
This group of scenarios allows students to meet, in part or wholly the following
TMDP ILOs

Students should be able to:

demonstrate understanding of the mechanisms underlying diseases of the
human body at an advanced level relevant to the practice of dentistry.

demonstrate understanding of how disease is manifested and evaluate its
impact on the practice of dentistry.

demonstrate understanding of the principles of action of pharmaceutical
agents likely to be encountered in or used in patients attending for dental
treatment and an understanding of possible interactions.

demonstrate an understanding of how and why pharmaceutical agents likely
to be encountered or used in patients attending for dental treatment are
administered.

demonstrate that they can recognise how acute and chronic failure of body
systems may present in dental practice.

demonstrate an understanding of medical emergencies that may occur in
dental practice and demonstrate the ability to perform advanced life support
procedures