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Your new patient is a new mother with a 2 month old baby who just went back to work and is struggling to find time for self-care and isn’t brushing daily. She reports no medical history issues except anxiety, for which she takes a medication. Her vitals today are blood pressure 130/84, pulse 86 and respirations 20. Through the dental history, you determine the has not had a dental appointment in 3 years, is having some issues with sore and bleeding gums and has a 4/10 fear of the dentist. As you complete her assessments and radiographs, you determine that she has generalized bleeding and inflammation with 4-5mm probe depths, but no bone loss. You use the risk assessment rankings and Motivational Interviewing to try to help her establish goals/objectives to improve her oral health. Use this information and the photo below to answer the following questions. QUESTION: What would be the recommended procedure for this patient?  

You are scheduled to complete a periodontal maintenance on your patient.  They last had complete periodontal charting and head and neck exam at their last appointment 4 months ago.  When assessing your patient with a head and neck exam, you determine that they have a lesion on their lip from an accidental bite and that there are two large nevi on their face that were not noted before. While doing your periodontal assessments you determine that there are scattered 4-6mm probe depths, isolated areas of mobility and both generalized recession and furcation involvement. QUESTION: Which reply about the nevi would be concerning and indicate that a pathology consult would be warranted?

  The muscle labeled as “6” is called the . Its origin is the .

You are scheduled to complete a periodontal maintenance on your patient.  They last had complete periodontal charting and head and neck exam at their last appointment 4 months ago.  When assessing your patient with a head and neck exam, you determine that they have a lesion on their lip from an accidental bite and that there are two large nevi on their face that were not noted before. While doing your periodontal assessments you determine that there are scattered 4-6mm probe depths, isolated areas of mobility and both generalized recession and furcation involvement. QUESTION: What furcation classification would be noted for #19 when your probe goes completely from buccal to the lingual, but could not be seen clinically?

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 treatment planning, the patient is fearful that the prophylaxis you are recommending will harm his teeth. What should you do?

Your new patient is a new mother with a 2 month old baby who just went back to work and is struggling to find time for self-care and isn’t brushing daily. She reports no medical history issues except anxiety, for which she takes a medication. Her vitals today are blood pressure 130/84, pulse 86 and respirations 20. Through the dental history, you determine the has not had a dental appointment in 3 years, is having some issues with sore and bleeding gums and has a 4/10 fear of the dentist. As you complete her assessments and radiographs, you determine that she has generalized bleeding and inflammation with 4-5mm probe depths, but no bone loss. You use the risk assessment rankings and Motivational Interviewing to try to help her establish goals/objectives to improve her oral health. Use this information and the photo below to answer the following questions. QUESTION: Based on the what can be seen in the photo of this patient (generalized inflammation and plaque), which classification would be given for the periodontal risk assessment for this patient?  

Your new  patient is a mechanical engineer who has been away from the dentist for a few years.  He had been going to an older dentist who retired and hadn’t been up on newer technology in the dental office.  His very interested in learning about what and how you are doing  the procedures of the appointment and asks a lot of good questions.  Choose the right answer to each of his questions.   QUESTION: At what angulation do you hold your hand instruments to get the calculus and stain off?

You are seeing a new patient.  Through the dental history you determine that they have a broken tooth, would like to get established as a patient and have a 7/10 fear of the dentist.  When completing their medical history they report hypertension, type II diabetes and anxiety, all of which they take medications for.  They report their latest diabetes numbers from 6 months ago as 9.2 and 180.  They indicate that they are overdue for their medical visit and blood test.  The vital signs you get are BP: 180/102, Pulse: 102 and Respiration: 18.  QUESTION: Write a summary of the health assessment that would be on the second tab of the medical history (sentence summarizing their health)?

Which of the following contrast agents is used with MRI because of its magnetic properties?

ASHA suggests 5 anti-troll tactics, they include Starve the Troll, Kill the Troll with Kindness and Facts, Ban the Troll and which other 2?