ie-mgds-rcsi case studies
ie-mgds-rcsi · Put your knowledge to work in context.
The MGDS (Membership in General Dental Surgery) is a professional dental qualification associated with the RCSI Faculty of Dentistry, the dental faculty of the Royal College of Surgeons in Ireland, whose main campus is at 123 St Stephen's Green, Dublin 2. It is intended for dentists working in general dental practice who wish to demonstrate a structured, assessed level of professional knowledge and clinical judgement beyond their primary dental degree. The ie-mgds-rcsi case studies are 5 cases and about 2,479 words.
1Post-extraction bleeding on warfarin in a rural clinic
A 68-year-old man attends a single-chair rural practice for extraction of an unrestorable 46. He takes warfarin for atrial fibrillation; his INR was checked two days ago at the anticoagulation clinic and was 3.4 (target range 2.0-3.0).
493 words, about 2 min2Antibiotics requested for a fluctuant swelling in a patient on bisphosphonates
A 74-year-old woman presents with a three-day history of a painful, tender swelling of the left buccal space associated with the 36, which has a large carious cavity. She has trismus (interincisal opening 25 mm), a temperature of 37.9 °C, and no dysphagia or floor-of-mouth swelling.
530 words, about 3 min3Crown or extraction on a heavily restored first molar in a bruxist
A 42-year-old man attends with a cracked 16. The tooth has a large existing MOD amalgam, a distal cusp fracture extending subgingivally on the palatal aspect, and is tender to percussion but vital and not mobile.
523 words, about 3 min4Managing a child's first permanent molar with a poor prognosis
A 9-year-old girl attends with her mother. The 46 has a large occlusal cavity with a history of pain lasting a few seconds after sweet foods, settling spontaneously; there is no spontaneous or night pain and no swelling.
488 words, about 2 min5A patient on an anticoagulant requesting a scale and polish before surgery
A 60-year-old woman attends for routine scaling. She has a mechanical mitral valve and takes warfarin (INR 2.6, checked yesterday, within her target range).
445 words, about 2 min