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You are seeing a new patient.  Through the dental history you determine that they have a broken tooth, would like to get established as a patient and have a 7/10 fear of the dentist.  When completing their medical history they report hypertension, type II diabetes and anxiety, all of which they take medications for.  They report their latest diabetes numbers from 6 months ago as 9.2 and 180.  They indicate that they are overdue for their medical visit and blood test.  The vital signs you get are BP: 186/102, Pulse: 102 and Respiration: 18.  QUESTION: Choose the correct statement regarding recording of the blood pressure.

You are conducting a head and neck exam on your new patient.  There is a variation of normal in each of these photos to recognize and record. Use these photos to record these findings on the head and neck exam paperwork. QUESTION: What is the name for this keratinized line often seen on the buccal mucosa?

CASE STUDY #2: You are working with a 6 month recall patient that has a light amount of calculus, but several areas of recession/root surface that prevent you from using your sickles everywhere. Your instructor advises you to check out a Piezoelectric ultrasonic to get experience with it before graduation and after using the Piezo, you use the Universal Curets to fine scale the root surfaces.   You know that the Piezoelectric ultrasonics are similar to the magnetostrictive ultrasonics in their effectiveness, but you remember that they are adapted differently that the magnetostrictive inserts.  Use this information to answer the following questions. QUESTION: How are the vibrations created in a Piezoelectric unit?  

CASE STUDY #3: Your patient is an international graduate student who is new to the United States and has never had an appointment with a dental hygienist before. They have never experienced the ultrasonic power scaler and are curious about how it works and what it is used for.  They are studying physics and are interested in the technology. Based on the amount of moderate to heavy calculus you choose to start with a standard tip, then follow up with the ultraslim thinsert. The patient asks questions about tip choice, why water is used, is this instrument more effective than hand instruments, among others. Use this information to answer questions for this patient. QUESTION: Which part of the instrument produces the most energy?

Which two instruments listed are classified as Universal curets?

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 the title of the template used for taking intraoral photos in AxiUm?

CASE STUDY #2: You are working with a 6 month recall patient that has a light amount of calculus, but several areas of recession/root surface that prevent you from using your sickles everywhere. Your instructor advises you to check out a Piezoelectric ultrasonic to get experience with it before graduation and after using the Piezo, you use the Universal Curets to fine scale the root surfaces.   You know that the Piezoelectric ultrasonics are similar to the magnetostrictive ultrasonics in their effectiveness, but you remember that they are adapted differently that the magnetostrictive inserts.  Use this information to answer the following questions. QUESTION: Why is exposed dentin a contraindication for using an ultrasonic instrument?

CASE STUDY #4: Your patient reports being HIV positive with a CD4 count of 420, a case of COVID about a month ago with an emergency room visit for difficulty breathing and a two day hospitalization.  They report that they are no longer having breathing issues. They have high blood pressure and is current vitals are 140/90, pulse 82 and respirations of 16. They haven’t had their teeth cleaned in about a year and these photos represent some of your clinical findings–deep probe depths and moderate to heavy calculus supragingival and subgingival. Use this information to answer the following questions. QUESTION: What contraindications to using the ultrasonic does this patient present with?

May I record a face-to-face class without my instructors consent?

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 your appointment you discover that your instruments are getting dull.  What should you do?