This is part of a series of case studies that depict various types of oral health care coordination. The series is designed to illustrate how individuals may interact with the health care system, demonstrate communication between providers, and highlight the importance of oral health information exchange.
Dr. Vasquez is the primary care provider for Elena Thompson, a 42-year-old woman with a history of hypertension and opioid use disorder (OUD). She lives with her two young daughters and her husband. She is prescribed amlodipine 5mg for her hypertension and buprenorphine/naloxone 8mg/2mg which she takes three times daily for her OUD. At their quarterly visit, Elena's BMI is 24, HR 67, BP 128/84 and temperature 97.8. Her urine toxicology screen is positive for buprenorphine but no other substances. Elena tells Dr. Vasquez that she would like to return to work as a paralegal but feels very anxious about interviewing for jobs because of her "bad teeth."