Module I

Critical Thinking

PBL 10
Keyword
◦ Male, 60 Years Old
◦ Height: 170, Weight: 60
◦ Flatulance
◦ Dyspnea
◦ Difficulty Chewing and Swallow
◦ Extra Oral examination came out normal
◦ Has a Poor Oral Hygiene and a lot of Debris and Calculus
◦ Edentulous on 17,16,26,27,35,36,37,43,44,46
Poor Oral Hygiene
◦External Factor:
Lifestyle and brushing teeth habit
◦Internal Factor:
Xerostomia (Saliva Production)
Xerostomia

– Xerostomia is Characterized by a decrease in saliva

production that gives the dry sensation in oral cavity,
chapped and peeled lips , atrophy, red and slippery
tongue, thick, sticky, and frothy saliva.
Difficulty Chewing and Swallow
◦ Edentulous patient can cause trouble to chew so that
the food eaten by the patient can not be digested
properly.
 DEBRIS &
CALCULUS

POOR
Difficulty Chewing
ORAL
HYGIENE + and Swallow

XEROSTOMIA
◦Thus, the subsequent digestive organs work that
increases stomach and make gastric acid
secretion that cause acid reflux.

=
INCREASE
GASTRIC WORK
Flatulance
Food was stored in the stomach will cause fullness or full effect, causing symptoms of
abdominal bloating in patients with gastroparesis. Besides hoarding the food in the
stomach, will depress the diaphragm wall resulting in shrinking the chest cavity. Resulting
in less oxygen perfect inspiration resulting in shortness of breath in people.
 POOR
ORAL
HYGIENE

EXTERNAL INTERNAL
FACTOR FACTOR
? Dyspnea
BAD HABIT XEROSTOMIA

FLATULANCE
CALCULUS DEBRIS

DIFFICULTY INCREASE
EDENTULOUS CHEWING GASTRIC
WORK
Diabetic Gastroparesis

– Diabetic gastroparesis is a motility disorder of the

stomach muscles, resulting in a slowdown in food
in the stomach emptying.
Dyspnea

– Dyspnea, or shortness of breath, is perhaps the most common

accompaniment of lung disease. Dyspnea is the term generally
applied to sensations experienced by individuals who complain of
unpleasant or uncomfortable respiratory sensations.
What is causing Xerostomia &
Diabetic Gastroparesis

DIABETES MELLITUS
Diabetes Mellitus
◦ Diabetes mellitus is a disease characterized by an
increase in plasma glucose levels caused by decreased
insulin production or lack of insulin.
XEROSTOMIA DIABETES
MELLITUS
Saliva
Production Diabetic
Gastroparesis
Dry Mouth

Self Cleansing

ORAL
DEBRIS FLATULANCE
HYGIENE Pressing
Diaphragm
GASTRIC
DIFFICULTY
CALCULUS WORK
CHEWING
FOOD NOT CAUSE
PROPERLY ACID DYSPNEA
TOOTH DIGESTED REFULX
EDENTULOUS
DECAY
THANK YOU