One week after filling of class II restoration, the Pt present with a complain of tenderness on mastication and bleeding from the gingival.
The dentist should initially:
- A. Check the occlusion.
- B. Check the contract area.
- C. Consider the probability of hyperemia.
- D. Explain to the Pt that the retainer irritated the surrounding soft tissue and prescribe an analgesic and warm oral rinse.
the most appropriate initial approach for the dentist in this scenario is: A. Check the occlusion.
Here's why:
- Tenderness on mastication:
This symptom suggests discomfort while chewing, potentially indicating occlusal trauma caused by an improper bite. Checking the occlusion is crucial to identify any high spots or imbalances that might be putting pressure on the restored tooth and surrounding tissues.
- Bleeding from the gingiva:
This could be a secondary consequence of occlusal trauma, as excessive force can irritate the gums and lead to inflammation and bleeding.
Evaluation:
Following the occlusion check, the dentist can proceed with further evaluation based on the findings:
- If occlusal trauma is identified, adjustments will be necessary to ensure a balanced and even bite, alleviating pressure and promoting healing.
- If no occlusal issues are found, other potential causes for the patient's symptoms, such as hyperemia (increased blood flow) or gingivitis (gum inflammation), can be explored.
Therefore, while options B, C, and D might be relevant in specific situations, checking the occlusion is the most crucial initial step to address the patient's primary concerns of tenderness and bleeding related to mastication.
Other Options:
Here's a breakdown of why the other options are not the most suitable initial approach:
B. Check the contact area:
While checking the contact area is essential for proper restoration, it doesn't directly address the patient's immediate concerns of tenderness and bleeding related to chewing.
C. Consider the probability of hyperemia:
While hyperemia is a possibility, it's important to first rule out other potential causes, like occlusal trauma, before considering this.
D. Explain to the Pt and prescribe medication:
This approach lacks a thorough evaluation and might not address the root cause of the problem. It's crucial to diagnose the cause before prescribing medication or attributing the symptoms to the retainer without proper examination.
Remember, this information should not be considered a substitute for professional medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment.
