Bill Smith, a 28-year-old healthy male, reports that he is c…

Bill Smith, a 28-year-old healthy male, reports that he is concerned with his health. He works out daily and has a diet filled with fruits and vegetables. At his six-month recall, Mr. Smith’s chief complaint is the stain on his teeth. Mr. Smith reports that he smokes two packs of cigarettes a day. He has been a smoker for the past 10 years and is aware of its impact on his health and he is “ready to quit.” He has no medical concerns. He does not take any medications. The clinical exam reveals a stable periodontal status with generalized 2- to 3- mm probing depths. The gingival tissue appears fibrotic. Moderate tobacco stain is present on all lingual surfaces. Which stain removal procedure would you select for Mr. Smith?

You have discussed the cause of Mr. Benson’s “sensitivity to…

You have discussed the cause of Mr. Benson’s “sensitivity to cold since his first quadrant was scaled”, and he now understands that your plan of care was indeed appropriate. You are, however, concerned today with your findings on #19. Which of the following is most appropriate for addressing your findings on this tooth?

New Patient Visit: You have educated Genevieve using her rad…

New Patient Visit: You have educated Genevieve using her radiographs and periodontal charting and stated that removing the unsightly stains without removing the subgingival calculus would do her more harm than good. Both you and Genevieve understand the limited prognosis for most of her teeth. Still, after consulting the dentist, it has been determined that scaling and root planing with local anesthetics could be performed. What can you tell Genevieve to prepare her for, and what may she experience after completing scaling and root planing procedures?