As a patient begins to accept the inevitability of death, he…

As a patient begins to accept the inevitability of death, he or she may ask to discuss important circumstances that will affect the last moments of life. These concerns may include the administration of CPR techniques, organ donation, internment plans, pain control, and sedation. To formalize these wishes, patients will complete a(n)

In the process of preparing a German patient for an interven…

In the process of preparing a German patient for an interventional procedure, you discover the patient speaks no English. She has no family members with her and was escorted down by hospital transport. A necessary part of the examination is for the patient to complete an informed consent document. The best effective strategy you could use to accomplish this would be:

Your new patient has a lot of restorations to chart and is a…

Your new patient has a lot of restorations to chart and is also missing several teeth, so you use your visual clinical evaluation as well as the radiographs to determine all of the appropriate findings to chart. Use the following photographs and radiographs to help you answer the questions for this patient. QUESTION: What indicates that the crowns on the patient’s right maxillary sextant are not metallic?

Your patient had a kidney transplant 6 months ago and is tak…

Your patient had a kidney transplant 6 months ago and is taking cyclosporin and another immunosuppressive medication to prevent rejection of the new kidney. This is their first appointment since the transplant and they are presenting for a prophy and exam.  They indicate that they have been experiencing some changes in their mouth and want to you to evaluate them.  One is a cluster of vesicles on their lip that they say has been there for 4 days and is starting to heal and another is an enlargement of their gingival tissue, both related to their medication use. The patient has been paying closer attention to their tissues since they started to change and asks the dark brownish patches inside their lip and on the anterior gingiva. Use this information to answer the following questions. QUESTION:  Are these patches a variation of normal, abnormal or pathology?  

Kyle is a transgender patient who prefers male pronouns. He…

Kyle is a transgender patient who prefers male pronouns. He presents to the office for his 3-month recall appointment. His health history is unchanged with a history of current renal (kidney) disease that he has been dialysis treatment for since earlier this year and a history of breast cancer, in remission since 2018.  His dental history includes dry mouth and full-mouth Scaling and Root Planing (SRP) in 2014. Today’s periodontal charting is largely unchanged to compared to past visits, his periodontal condition is stable with very little bleeding and generalized 4mm pocketing in the posterior sextants. When visiting family out of state last month he broke a tooth and had an emergency root canal at a local office. Use this information to answer the following questions. QUESTION: What is the most appropriate explanation for the coronal polishing when the patient ask why it is done?  

Your new patient is a 38-year-old woman whose health history…

Your new patient is a 38-year-old woman whose health history shows that she is asthmatic, HIV positive, smokes hookah socially (between 1 and 3 days a week), has high blood pressure, and reports that all of her conditions are controlled with medications. She lists 5 medications that she takes that you look up to match with her conditions. Her last dental visit was approximately two years ago to have a tooth removed on an emergency basis, and she says she remembers them taking X-rays at that appointment. Her vitals today are BP 129/70, Pulse 54, Respiration 20. Use this information to answer the following questions. QUESTION: What infection control modifications are used for this patient?

You have a 57-year-old female patient report for her Periodo…

You have a 57-year-old female patient report for her Periodontal Maintenance appointment. She was running a few minutes behind schedule and missed her bus to get to your appointment, so she had to walk to the clinic. When you take her blood pressure, it reads 139/99. Her pulse is 95 BPM, and her respiratory rate is 22. After reviewing the patient’s medical history, she reports no new ER visits or hospital stays, but she is still having issues with her stent that was placed in 2019 from a previous heart attack, and is still taking the depressant drug, Valium for her generalized anxiety. During the dental history portion, you find out this patient has a 7/10 fear of the dentist due to past trauma. During assessments, you determine this patient is at high risk for caries. This patient has a lot of radiographic calculus subgingivally, especially on the distals of her 2nd molars. Use this information to answer the following questions. QUESTION: All of the following could impact her high pulse rate, except: