Your new patient is a new mother with a 2 month old baby who…

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 y…

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?

You are scheduled to complete a periodontal maintenance on y…

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…

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…

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?