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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: When you ask the patient about the nevi, which of the following replies would be concerning and indicate that a pathology consult would be warranted?

CASE #2: You are seeing a patient who is has recently finished chemotherapy and radiation treatment for cancer. They have not had a dental visit for two years and in completing your assessments, you are seeing several areas of decay. You take bitewing radiographs and two anterior periapical radiographs and determine that they have areas on the posterior proximal surfaces, at the margins of two crowns and fillings on #3 and #31, and on the proximal surfaces of #10 and #11. Use this information to answer the following questions: QUESTION: Who will diagnose the decay and create the treatment plan of restorative needs for the patient?

Samuel de Champlain

On your new patient you are using the light, explorers and radiographic images to determine where there are restorations, check the restorations for areas of decay and to determine where there is calculus to remove.  On tooth #30 there is an area where there is a gap between the tooth and the amalgam that you can stick the explorer into.  On tooth #18, there is excessive amalgam material that extends into the proximal embrasure space.  You feel vibrations that indicate that there is calculus on many of proximal surfaces, you estimate about 25% of the surfaces total.  One of the patient’s chief complaints for today is that his bridge fell out and he brought it with him in hopes it could be re-cemented. QUESTION: When detected calculus and marginal issues, where will the vibrations be felt and by which finger, when using the modified pen grasp?

Solve the system of equations. 4x – 7y = -172x – 2y = -10

You are a lawyer. One day a client walks into your office and says, “The mayor said the next time I make fun of his wig, he is going to arrest me for hate speech! Do I have a right to criticize the mayor?” 

Your patient is a 90 year old man with several health conditions including a past stroke in 2017, past heart attack in 2000, hypertension since 1980 and dementia diagnosed in 2016.  His vital signs are BP: 132/84, pulse 84, respiration 14 and he takes his 5 prescribed medications daily to control his health issues.   His daughter brought him because he no longer drives and she helps him during the appointment with the paperwork and with answering your questions.  The daughter wishes he could have a dentist that comes to his nursing home, so you work with her to try to recruit the dentist you work for to see patients there 1 day per month. QUESTION: What role of a dental hygienist are you playing when you work to get a dentist to commit to seeing patients at the nursing facility?   

Is a textbook one of the required materials for this course?

Which of the following was NOT one of the “Restoration Colonies”?

What was the House of Burgesses