CASE STUDY #3: You are seeing a patient for a  4 month perio…

CASE STUDY #3: You are seeing a patient for a  4 month periodontal maintenance appointment.  She had full periodontal charting 10 months ago and bitewing radiographs taken then.  She reports that she was diagnosed with diabetes and she’s having a hard time managing it so far.  When you look in the mouth to begin your charting, you see that there has been some gingival changes and that her probe depths are deeper than at her last appointment.  You also take some photos and show the patient the changes that you are seeing. Use this information to answer the next 5 questions.  QUESTION: What type of exam would you choose on your periodontal chart?

CASE #4: Your new patient presents with a chief complaint of…

CASE #4: Your new patient presents with a chief complaint of “I want to get established as a patient and I think I may have some gum issues going on”. During the health history and dental history, the patient reports high blood pressure and diabetes that he takes medications for and that he is a current daily cigarette and e-cigarette/vaping user.  He used to have regular dental hygiene appointments, but has not been in a dental office since the COVID pandemic started in 2020. During the head and neck exam you identify that they have a white and yellow lesion on their side of their tongue, 3 teeth that appear to have decay and gingiva that is swollen, red, and blunted. When you ask about the tongue, the patient says that it has been there for about a month and has not healed. During the periodontal and clinical examination you detect 4-6mm probe depths on all of the posterior teeth, furcation involvement on several molars and generalized bleeding. Use this information to answer the following questions: QUESTION: When you ask follow up questions about his health history and complete vitals, which set of numbers would indicate a need for a medical consult before we should treat him?

CASE STUDY #1: You have completed your assessments on your p…

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: How should the lower/terminal shank of the sickles be positioned when you are completing scaling strokes?