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This case study contains pictures that you would use to make notations on a head and neck examination form.  Choose the right description for each picture.    

Adduct means to lead away from the middle

Your 62 year old new patient presents with generalized calculus and periodontal issues including deep probe depths, mobility and furcation involvement. The patient had a massive stroke 2 years ago that left them with some cognitive impairment, speech impairment and reliance on a wheelchair for mobility. He has not been to the dentist since. He relies on his partner to drive him to appointments and to help him with completing medical paperwork. The patient also has some trouble speaking clearly and the partner helps you to understand what he is saying. QUESTION: What is the main ethical principle that pertains to obtaining an informed consent?

CASE STUDY #1: Your patient presents for a periodontal maintenance appointment after being gone for 10 months due to the pandemic.  She is usually on a 4 month recall, so this is an amount of time that would usually have included two appointments.   She reports hypertension and diabetes, both of which she controls with medications, and her vitals today are BP 130/86, pulse 88, respirations 14. In doing your periodontal assessments and radiographs, you determine that she has 4mm probe depths in the anterior teeth, several 5-6mm probe depths in the posterior teeth with isolated furcation involvement and generalized moderate to heavy calculus.  She has several amalgam restorations and crowns and you notice several areas of demineralization and recurrent decay, but she is not having any pain or sensitivity.  Use this information to answer the following questions. QUESTION: Which insert(s) should be used to access the deep probe depths and furcation areas of the posterior teeth?

You and your classmates are participating with a dental screening event at a local health fair for immigrant and refugee families that have recently relocated to central Ohio. As part of this screening, you are using your magnification loupes and headlight, and have access to shepherd hooks explorers, periodontal explorers, probes and mirrors. On any willing participate, you are completing a head and neck oral cancer screening, an abbreviated PSR screening using one tooth in each sextant, and identifying any clinical visible areas that you are suspicious of decay. You chart all of this information and present a summary form and referral to the OSU dental clinic for each of the participants.   QUESTION: Which type of lymph nodes would indicate a need for a pathology referral?

You are beginning the periodontal treatment on this patient which includes full quadrants of scaling and root planing on the mandibular arch and partial quadrants of scaling and root planing on the maxillary arch. You will using ultrasonic and hand scaling instruments to treat this patient. QUESTION: When using the area specific “Gracey” curets, which edge of the working end is adapted to the tooth?

Katherine’s teacher tells her that people of her race generally do worse on a standardized test. According to the concept of stereotype threat, how will this affect Katherine’s performance on the test?

CASE STUDY #1: Your patient presents for a periodontal maintenance appointment after being gone for 10 months due to the pandemic.  She is usually on a 4 month recall, so this is an amount of time that would usually have included two appointments.   She reports hypertension and diabetes, both of which she controls with medications, and her vitals today are BP 130/86, pulse 88, respirations 14. In doing your periodontal assessments and radiographs, you determine that she has 4mm probe depths in the anterior teeth, several 5-6mm probe depths in the posterior teeth with isolated furcation involvement and generalized moderate to heavy calculus.  She has several amalgam restorations and crowns and you notice several areas of demineralization and recurrent decay, but she is not having any pain or sensitivity.  Use this information to answer the following questions. QUESTION: As you start with a standard insert on a magnetostrictive ultrasonic scaler, which statement does NOT describe the recommended adaptation?

CASE STUDY #5: You are doing your Capstone internship in your senior year with the Central Sterilization. As part of your job, you are working in dispensary distributing instruments and on the ground floor evaluating instruments for replacement and assisting with sterilization of instruments from the appointments throughout the College of Dentistry. Use this information to answer the following questions. QUESTION: How should ultrasonic inserts be sterilized?

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: Which would not be step in sharpening instruments to prepare this appointment?