Three members of the Henry M. Goldman School of Dental Medicine (GSDM) Class of 2020 presented cases as part of Grand Rounds during the 2019-2020 academic year.
Taylor Paek, Stephanie Bont and Melissa Ferguson each presented a case from their respective 10-week externships, with Paek presenting on October 8, 2019, Bont presenting on December 11, 2019, and Ferguson presenting on February 26, 2020.
“Ms. Paek, Ms. Ferguson and Ms. Bont’s presentations displayed a commitment to their patients and are a testament to GSDM’s strong externship program,” said Dean Jeffrey W. Hutter.
During their fourth year, all DMD students at GSDM complete a 10-week rotation at an external site, where they provide patient care. Each student collects photographs and develops a comprehensive diagnosis and treatment plan for one of the patients they treated during the rotation and creates a “case presentation,” which includes a description of the following: patient’s medical & dental history, results of clinical examinations and radiographs and digital images, analysis of the patient’s occlusion (bite), a summary of all findings (diagnoses), a logical “recommended” treatment plan, a good “alternative” treatment plan, and a description of any completed treatments with photos.
When students return to GSDM, they each do an in-class presentation to a small number of faculty who critique and evaluate each presentation. A few of these presentations are selected, based on quality and complexity of the treatment, for “Grand Rounds,” during which the selected students present their respective cases to the school community.
Below are some highlights from the presentations:
Taylor Paek DMD 20
Paek’s presentation focused on a 17-year-old female who suffered a gunshot wound to the face with a laceration of her nose in July 2017. The patient was a pediatric patient with Post Traumatic Stress Disorder and reported anxiety, limited appetite, and intrusive memory of events. She presented with a partially edentulous maxilla (teeth #’s 9, 10 and 11 missing), an anterior hard palate defect, severe vertical and horizontal bone loss in the edentous area, remaining shrapnel, and diastemas between #’s5|6, #’s6|7 and #’s7|8 as well asa tongue thrust.
Paek designed a four-part treatment plan which included an interim upper partial denture, and bone augmentation and implant surgery for #’s9 and 11. Paek also recommended an implant supported fixed partial denture. Rather than compromising treatment, the patient and her family agreed to wait one year, then resume the recommended treatment plan.
Stephanie Bont DMD 20
Bont’s presentation focused on a 63-year-old male who had broken the crown off of a tooth. The patient reported having many painful experiences at previous dental offices, and needed short appointments due to his severe anxiety and heart health, as well as using an anesthetic without epinephrine. He was ultimately diagnosed with three fractured/chipped teeth with necrotic pulps and Chronic Apical Periodontitis, six arious teeth and defective restorations on three teeth. Bont designed a treatment plan that included extractions, a root canal treatment, ceramic crowns for four teeth, PFM survey crowns for four teeth, amalgam restorations for two teeth, and fabrication of upper and lower cast metal RPDs. The patient accepted a treatment plan including a simple extraction (#6) root canal treatment (#10), enameloplasty (#’s 12, 13), PFM crowns (#’s7,10), composite restoration (#9) and amalgam restorations (#’s 3MOD, 12MO, 13MO) as well as a Class V amalgam restorations (#’s22, 29), and an upper and lower acrylic RPD.
Melissa Ferguson DMD 20
Ferguson’s grand round presentation focused on the complexity of providing treatment care to a patient with financial limitations and high levels of dental anxiety in a limited timeframe. The patient’s presentation focused on her unstable occlusion in which implants were suggested as the recommended treatment plan to restore her edentulous spaces. However, due to the patient’s high level of dental anxiety and limited time frame before moving to another country, Ferguson ultimately recommended partial dentures as an alternative treatment plan to provide stability to her posterior occlusion. The partial dentures would act as an interim prosthesis if the patient later decides that she would like to have implants placed.