Your first patient in the spring has hypothroid and hyperten…

Your first patient in the spring has hypothroid and hypertension, both controlled with medications.  The vitals for today are 114/64, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: What would you note for these two sores on the labial mucosa and vestibule (whitish/yellow with red ring)?  

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: Where should you look up each of her medications to find the reason for taking them and any dental considerations?

Your 42 year old new patient presents in your new patient ex…

Your 42 year old new patient presents in your new patient exam (NPE) rotation and has not been to a dentist for 20 years.  He has a large amount of supragingival calculus and stain with generalized inflammation.  You check in your head and neck exam with the faculty and determine that there are not any pathological findings, just a variation of normal consisting of bony deposits on the buccal of the mandibular alveolar process and on the palate.  The faculty advises you to get a full series of radiographs and to use the ultrasonic throughout the mouth first since there is so much calculus, charging out a 4355 code, before you will be able to accurately complete periodontal assessments and restorative charting. On the radiographs you see that there is a generally moderate bone loss and radiographic furcation involvement as well as generalized radiographic calculus deposits.  Use this information to answer following questions. QUESTION: What is the term for the procedure (code 4355) of removing heavy calculus and debris before assessments can be accurately completed?

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: Which teeth have had endontic treatment?

Providing care in an emergency situation is intended to: pr…

Providing care in an emergency situation is intended to: prepare the injured patient for surgery  prevent further harm to the patient  preserve life place the patient into and unconscious state for transport  stabilize the patient until the appropriate medical assistance arrives