Free Response to Motion - District Court of Delaware - Delaware

Case 1:04-cv-01542—Gl\/IS Document 114-6 Filed 07/24/2007 Page 1 of 2
Dental Examination and Tentative Dental
Treatment Plan for Kevin C. Brathwaite,
#315294
On 7/23/2007, I performed a hard and soft tissue dental
examination on l\/lr. Kevin C. Brathwaite at DCC, Smyrna, DE.
Results of this examination are asfollows: (
Extra-oral exam: WNL (within normal limits), no abnormalities (
noted.
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Intra-oral soft tissue exam: WNL, no abnormalities noted.
Hard-tissue exam (dentition): Missing teeth: #'s 1,4,5, :
16,18 and 32.
( Filled teeth: 11
Decayed teeth: #8 (recurrent decay, filling needs replacement)
#10 (decay, needs filling)
3 #14 (recurrent decay, filling needs replacement)
` Periodontal (gum) exam: Oral hygiene, fair. I did not
perform a full mouth probing, but patient exhibits signs of generalized
mild to moderate periodontal disease requiring improved oral hygiene “
and regular dental scalings(cIeanings).
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Radiographs: 4 bitewing radiographs and 2 periapical
radiographs were taken. The bitewing radiographs did not reveal any
decay but did show some caIculus( hard deposits) between some
posterior teeth indicating need for a dental scaling. I
exim. €

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Case 1:04-cv-01542-GIVIS Document 114-6 Filed 07/24/2007 Page 2 of 2
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The periaplcal radiograph of tooth #9 (maxlllary left central
incisor) exhibited an area of chronic periapical pathology(PAP)
indicating a necrotic pulp and need for endodontic(root canal)
therapy or extraction. If left untreated, this asymptomatic lesion
could become acute and this patient could experience mild to severe i
pain and/or swelling (infection).
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This treatment plan is based on the dental treatment parameters l
that CMS has provided. Additional "ideal" treatment, such as fixed
crowns, bridges, and periodontal surgery,etc. are beyond the scope
of what CMS provides. g
Sincerely, }
Arnold B. Mann, DDS l
Dental Director,
CMS, Delaware

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