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CASE #4: Your new patient presents with a chief complaint of “I want to get established as a patient and I think I may have some gum issues going on”. During the health history and dental history, the patient reports high blood pressure and diabetes that he takes medications for and that he is a current daily cigarette and e-cigarette/vaping user.  He used to have regular dental hygiene appointments, but has not been in a dental office since the COVID pandemic started in 2020. During the head and neck exam you identify that they have a white and yellow lesion on their side of their tongue, 3 teeth that appear to have decay and gingiva that is swollen, red, and blunted. When you ask about the tongue, the patient says that it has been there for about a month and has not healed. During the periodontal and clinical examination you detect 4-6mm probe depths on all of the posterior teeth, furcation involvement on several molars and generalized bleeding. Use this information to answer the following questions: QUESTION: Which risk assessment form cannot be started using the information from this scenario?

How do I take my exams?

CASE #3: You are treating your first periodontally involved patient who has generalized recession and 4-6mm probe depths. You are completing a periodontal maintenance appointment and are navigating all of the root surfaces and subgingival calculus that the patient presents with. You are using the explorer to help you determine how your scaling is going and are treatment this patient by scaling the teeth in one quadrant at a time since this patient is more involved. Use this information to answer the following questions: QUESTION: How will you determine when you have reached the base of the pocket/sulcus?

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: What terminology is used to describe the decay at the margins of the crowns or fillings?

Case #4: You are seeing a new patient and are finishing their assessments by taking intraoral camera photos. Through your assessments, you have determined that the patient does not have recession, gingival inflammation, or periodontal pockets and has a .2 level of calculus. You are primarily going to be using the sickles for scaling their teeth today. Use this information to answer the following questions.  QUESTION: Which is not part of preparation for using the intraoral camera?

CASE STUDY #2: You are seeing a new patient and are completing their periodontal and caries charting in AxiUm.  After completing the charting, you are discussing your findings with the dental hygiene and dental faculty clinic instructors.  The patient has several areas of concern, both periodontally and restoratively, so you have a lot to discuss.  Remember that you will need to use the appropriate professional dental terminology in your discussion to demonstrate your knowledge.  Use this scenario to answer the next 5 questions. QUESTION: What classification would be given for the furcations that you find when the Nabor’s probe can detect the furcation site, but not enter it? 

When did the Battle of Quebec during the 7 Years War take place?

49. Which of the following technologies was NOT used by the earliest Western civilizations?

CASE STUDY #1: You are practicing the periodontal probes and are getting ready to discuss these instruments with your faculty. You will also demonstrate proper activation of this instrument in the mouth on your partner.  Use this scenario to answer the following questions. QUESTION: What is the term for the ability to detect irregularities through the vibrations that are transferred through the instrument to your fingers?

Why did cotton become the main crop of the south in the early 1800s?