Oet Online Speaking

8/3/2019 Oet Online Speaking

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ABSCESS

Setting: Dental Clinic in City

Patient

You have gone to see the dentist suffering from a bad toothache. You have hadthis pain for some time but you have delayed seeing the dentist. It is particularlypainful when eating or drinking cold or hot foods and beverages or when bitingdown.

Task

Explain to the dentist why you have come today.

Answer dentists questions.

Express concern if dentist recommends referral to oral surgeon.

Request alternative treatment such as antibiotics and pain killers.

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Dentist

This patient has presented complaining of toothache. Examination reveals

abscess in 3.3 which you suspect originated from a carious lesion but has nowspread to gum. Recommended treatment: Pain killers to relieve pain, Antibiotics,Erythromycin 250mg to treat infection and surgical treatment due to severity ofthe condition.

Task

Ask the patient about the pain.

Explain your diagnosis to the patient.

Recommend treatment including referral to an oral surgeon.

Stress importance of proper treatment and describe the possibleconsequences of delaying treatment.

CRACKED TOOTH


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Setting: Dental Clinic in the City

Patient

You are a 45 year old office worker who rarely goes to the dentist. You arevisiting the dentist today because you have cracked one of your molars while

eating nuts. It is very painful especially to hot and cold stimuli.

Task

Ask dentist what is the best option.

Prefer another filling or if that wont work removal as you feel you can livewithout that tooth.

Consider options provided by dentist.

Be wary of expensive options.

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Dentist

Your patient is a 45 year old male. He has presented with a fissure in tooth 44.The previous restoration is loose. Examination reveals it is possible to save thetooth as it still vital and without carious lesions.

You believe a crown is the best option.

Task

Enquire about the cause of the problem.

Advise against extraction as you believe the tooth can be restored.

Describe the advantages and disadvantages of the following materials:Gold, Porcelain, Plastic.

Use persuasive language to convince patient that some form of crown isthe best option.


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ELDERLY PATIENT

Setting: Dental Clinic in Brisbane

Patient

You are a 79 year old man suffering from a toothache which you suspect is due toa filling which recently fell out. As a result the tooth is very sensitive to hot andcold stimuli. You would like the problem tooth to be repaired but are reluctant tohave any work done on the other teeth. You have a fear of dentists due aprevious painful experience and are concerned that this might happen again.

Task

Explain why you have visited the surgery today.

State that you only want basic treatment to fix the current problem.

Be reluctant to accept that there are other problemsmaybe the dentist isjust trying to make money!

Express fear of pain involved with treatment.

_____________________________________________________________________


Dentist

An elderly patient is presenting for the first time to your surgery complaining of

toothache. Examination reveals that a cusp on 1.6 has fractured off and that aprevious occlusal composite filling has fallen out. You also notice carious lesionson 3.7 & 2.2. General dental hygiene could be improved with regular scaling andcleaning.

Task

Enquire about the pain and take a detailed general history.

Explain the current situation and treatment options including saving 1.6and repairing the other teeth.

Explain the dental procedures in detail including pain relief options,amalgam options & number of visits required.

Stress the importance of regular follow up visits in order to maintainhealthy teeth.


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EXTRACTION


Patient

You are a 43 year old woman whose upper right molar is loose. The toothbecomes inflamed when the body immune system weakens, such as when youhave a cold or fever. You also suffer from sinusitis. After more than a year withthis condition you have finally decided to visit the dentist today because you feelthe condition is worsening.

Task


Express concern when dentist explains condition.

Ask for detailed information about the options available.

_____________________________________________________________________


Dentist

This 43 year old woman has presented to your clinic for the first time todaycomplaining of discomfort in upper right molar 1. You observe gingivitis in the

area associated with mobility of the tooth in question. X-ray reveals an alveolarbone resorption.

Task

Ask patient about their condition.

Explain diagnosis and that tooth may need to be removed but that a visitto a prosothodontist is recommended.

Explain the options available if tooth is extracted:o Bridge (best option but expensive)

o Denture (removable prosthesis)

o No replacement (cheap but may be uncomfortable when chewing)


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FLUORIDATION


Patient

You are a resident of Brisbane, where the local council has recently introducedfluoride to the water supply. You are concerned about the health impact fluoridemay have on the health of you and your children. Your kids have never hadfillings or dental problems. As you are worried about the negative effects offluoride you have brought a water filter which removes fluoride from the water.

Task

Ask the dentist about the benefits and drawbacks of fluoride.

Explain that you are removing fluoride from the water, is this okay?

Should you give the kids fluoride in another form? If so what forms areavailable?

Is fluoridated toothpaste sufficient?

Is excessive fluoride dangerous?

Will it discolour your childrens teeth?

_____________________________________________________________________


Dentist

The local government has recently introduced fluoride into the water supply. As aresult, many of your clients have expressed concern about possible risksassociated with fluoride. A regular patient of yours is making an enquiry today

about the possible benefits and drawbacks of this plan.

Task

Explain the benefits of fluoridation such as:o reduction of decay, particularly in children.

o improved dental health of the community.

The possible drawbacks such as:o increased risk of developing severe tooth enamel fluorosis, a

condition characterised by discolouration, enamel loss and pitting ofthe teeth.

Finally give your overall opinion on the introduction of fluoride into the

water supply.


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GUM DISEASE


Patient

You are a 55 year old woman with a limited income. You do not visit the dentistregularly. Your gums are bleeding and your teeth are loose. You are scared thatthey may fall out.

Task

Explain the purpose of your visit.

Ask dentist what can be done.

Ask about specialists cost..resist suggestion to see a specialist.

Ask about possibility of antibiotics or mouthwash.

What will happen if you do nothing?

Finally accept dentists advice

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Dentist

A 55 year old woman has presented at your clinic with the complaint of someloose teeth. On examination you find severe gum disease. This requiresspecialized treatment if teeth are to be saved. It is obvious that patient the doesnot attend dentist on regular visitsRecommendation: Specialist treatment from a periodontist.Cost: $800~1200

Task

Answer patients questions.

Convince patient that without treatment tooth loss will occur.

Indicate that it is the best option for the future.


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MOUTH GUARD

Setting: Dental Surgery

Patient

You are a father whose 12 year old son has hurt his front teeth in a backyardrugby game. Although not loose you are worried that there may have been somepermanent damage.

Task

Establish whether any permanent damage has been done.

Ask for details of best method of protecting sons mouth from futuredamage.

Consider options provided by dentist.

Ask whether there are any special cleaning requirements for a mouthguard .

____________________________________________________________

Setting: Dental Surgery

Dentist

Your patient is a 12 year old male accompanied with father.Condition: Painful front teeth after recent backyard rugby game.Examination reveals no permanent damage.

Task

Recommendation custom mouth guard (and not stock mouth guard).

Explain benefits such as:o Best fit

o Comforto Maximum protection

Respond to any questions.


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PAIN TOOTH 36


Patient

You are a 60 year old man who has severe pain in one of your teeth on the lowerleft side. The pain has been steadily getting worse over the past week, and youwere not able to sleep last night.

Medical History

Cardiovascular problem Ischaemic heart disease

You take 3 kinds of medication every day. Aspirin in the morning, Atacand4 mg to control BP, Lipex, once a day 10mg at bedtime to lowercholesterol.

Task


Resist to have the tooth extracted and that you would like it be saved.

Demand to know why it cant be filled or replaced with a crown.

____________________________________________________________________


Dentist

This 60 year old male patient has presented with pain associated with tooth 36.

Examination reveals that there is deep decay and therefore impossible to save histooth.

Medical History

Cardiovascular problem

Ischaemic heart disease

The patient takes 3 kinds of medication every day. Aspirin in the morning,Atacand 4 mg to control BP, Lipex, once a day10mg at bedtime to lowercholesterol.

Task

Ask the patient about his current condition.


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Question patient to confirm medical history & medication.

Explain the necessity of extraction.

Explain complications of surgery related to medication and patientcondition.

SNORING


Patient

Your doctor has referred you to a dentist for treatment options regarding yoursnoring condition. You are desperate to find a solution to this problem as it isaffecting your sleep, causing tiredness and disturbing your partners sleep.

Task


Answer dentists questions.

Ask detailed questions about the treatment options provided including:safety of use, comfort and effectiveness.

_____________________________________________________________________


Dentist

This patient has been referred to you by his doctor requesting treatment for hiscomplaint of chronic snoring. Your dentistry has had considerable success (85%)with a custom made device which is worn at night.

Task

Recommend the benefits of this device to your patient including:o Excellent and comfortable fit

o No interference with breathing through mouth

o Promotion of deeper and more restful sleep

Respond to patients concerns.


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BRACES

Setting: Suburban Dental Clinic

Patient

You are the father of a 15 year old girl who has irregular lower front teeth andslightly protruding upper front teeth. You are considering braces for yourdaughter and would like more information about it. You would like to know howeffective braces would be and what the costs would be.

Task

Ask the following questions:

How are modern braces different from your generation?

How long would your child have to wear them?

Will they be effective in straightening the teeth?

What is the cost?

Who does the dentist recommend to do the treatment?

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Setting: Suburban Dental Clinic

Dentist

The father of a 15 year old girl has presented with their daughter. The girl hasirregular lower teeth and protruding upper teeth. The father is enquiring aboutorthodontic treatment in the hope that it will realign the upper teeth andstraighten the lower teeth. Your examination indicates that the appearance of the

teeth and dental hygiene will be improved after orthodontic treatment.

Task

Explain what the treatment options are and the positive outcomes.

The necessity of a referral to an orthodontist and possible cost ($4000).

Respond to the fathers questions and give detailed information about:o what impact braces will have on your daughters teeth.

o length of treatment.

o general maintenance and hygiene requirements.


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ELDERLY PATIENT


Patient

You are a 79 year old man suffering from a toothache which yoususpect is due to a filling which recently fell out. As a result thetooth is very sensitive to hot and cold stimuli. You would like the

problem tooth to be repaired but are reluctant to have any workdone on the other teeth. You have a fear of dentists due aprevious painful experience and are concerned that this mighthappen again.

Task

Explain why you have visited the surgery today. State that you only want basic treatment to fix thecurrent problem.

Be reluctant to accept that there are other problemsmaybe the dentist is just trying to make money!

Express fear of pain involved with treatment.

_____________________________________________________________________


Dentist

An elderly patient is presenting for the first time to your surgerycomplaining of toothache. Examination reveals that a cusp on1.6 has fractured off and that a previous occlusal compositefilling has fallen out. You also notice carious lesions on 3.7 & 2.2.General dental hygiene could be improved with regular scalingand cleaning.

Task

Enquire about the pain and take a detailed generalhistory.


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Explain the current situation and treatment optionsincluding saving 1.6 and repairing the other teeth. Explain the dental procedures in detail including painrelief options, amalgam options & number of visitsrequired. Stress the importance of regular follow up visits inorder to maintain healthy teeth

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