Author: Anonymous

Case #4: You are seeing a new patient and are finishing their assessments by taking intraoral camera photos. Through your assessments, you have determined that the patient does not have recession, gingival inflammation, or periodontal pockets and has a .2 level of calculus. You are primarily going to be using the sickles for scaling their teeth today. Use this information to answer the following questions.  QUESTION: Which is the title of the template used for taking intraoral photos in AxiUm?

CASE STUDY #2: You are working with a 6 month recall patient that has a light amount of calculus, but several areas of recession/root surface that prevent you from using your sickles everywhere. Your instructor advises you to check out a Piezoelectric ultrasonic to get experience with it before graduation and after using the Piezo, you use the Universal Curets to fine scale the root surfaces.   You know that the Piezoelectric ultrasonics are similar to the magnetostrictive ultrasonics in their effectiveness, but you remember that they are adapted differently that the magnetostrictive inserts.  Use this information to answer the following questions. QUESTION: Why is exposed dentin a contraindication for using an ultrasonic instrument?

CASE STUDY #4: Your patient reports being HIV positive with a CD4 count of 420, a case of COVID about a month ago with an emergency room visit for difficulty breathing and a two day hospitalization.  They report that they are no longer having breathing issues. They have high blood pressure and is current vitals are 140/90, pulse 82 and respirations of 16. They haven’t had their teeth cleaned in about a year and these photos represent some of your clinical findings–deep probe depths and moderate to heavy calculus supragingival and subgingival. Use this information to answer the following questions. QUESTION: What contraindications to using the ultrasonic does this patient present with?

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You have completed all of the assessments and radiographs at an NPE (new patient exam) appointment on a 30 year old patient who has never has a dental hygiene procedure before. Today, you plan to check in the assessments with your instructor, create a treatment plan, complete a prophylaxis and get a dental examination.  He speaks English as a second language and has not requested an interpreter, but you are concerned that there may be a language barrier when discussing treatment and procedures, especially since this is the first dental office he has ever been to. You are preparing your instruments to treat this patient who has no signs of periodontal disease, but has a lot of supragingival and subgingival calculus.   QUESTION: During your appointment you discover that your instruments are getting dull.  What should you do?

CASE STUDY #1: You have completed your assessments on your patient and are getting ready to scale.  You don’t see a test stick in your cassette, so you are going to use the Visual Test using light to determine if your instruments are sharp or dull.  Once you have determined this, you sharpen several of your instruments using the technique that we practiced in class.  Once your instruments are sharpened, you decide to use the sickle scalers as your first hand instruments on your patient since they are periodontally healthy and do not have periodontal pockets to scale.  Use this information to answer the following questions.  QUESTION: Which sickle scaler at the College of Dentistry has a spoon end to scale stain in the lingual fossas?

You are treating a patient who reports a history of gastrointestinal issues, including irritable bowel syndrome and acid reflux. The patient is concerned that the acid reflux will cause cavities, so you assure them that you will complete a thorough exam. Below is a photo that you took as part of the exam for a baseline image of the state of the teeth and for patient education. Use this information to answer the following questions: QUESTION: What is the wear that you are seeing on the anterior linguals and posterior occlusals related to the acid reflux?

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CASE STUDY #1: Your patient presents for a periodontal maintenance appointment after being gone for 10 months due to the pandemic.  She is usually on a 4 month recall, so this is an amount of time that would usually have included two appointments.   She reports hypertension and diabetes, both of which she controls with medications, and her vitals today are BP 130/86, pulse 88, respirations 14. In doing your periodontal assessments and radiographs, you determine that she has 4mm probe depths in the anterior teeth, several 5-6mm probe depths in the posterior teeth with isolated furcation involvement and generalized moderate to heavy calculus.  She has several amalgam restorations and crowns and you notice several areas of demineralization and recurrent decay, but she is not having any pain or sensitivity.  Use this information to answer the following questions. QUESTION: What ultrasonic inserts would be recommended for use on this patient?

CASE STUDY #2: You are getting ready to see a difficult .3 periodontal maintenance patient. You want to verify that you are using sharp instruments throughout the appointment so you check and sharpen them carefully.  You work carefully during instrumentation to make sure that you are using accurate scaling strokes to avoid incomplete removal of the calculus. Use this information to answer the next 5 questions. QUESTION: How do you position the instrument to begin sharpening?