CASE STUDY #3:  You are a new dental hygiene student who is…

CASE STUDY #3:  You are a new dental hygiene student who is concerned with maintaining proper ergonomics and grasp to avoid to avoid repetitive stress injuries that can result in a musculoskeletal disorder.  You have been practicing your grasp and positioning, as well as your patient positioning to achieve neutral positioning.  Use this information to answer the next 4 questions. QUESTION: How should your forearms and wrists appear in neutral position while treating the patient?

You are beginning the periodontal treatment on this patient…

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: Which scenario is least likely to cause burnishing of calculus when using an ultrasonic insert on heavy calculus?

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 classification would be noted when you can access the furcation completely “through and through” under the #19 from the buccal through to the lingual, but cannot see the furcation clinically?

Case Study #4: You are at a community outreach event screeni…

Case Study #4: You are at a community outreach event screening special needs patients for periodontal disease. As you complete the probing on on your first patient who has Down Syndrome, you discover the the probe advances into the first black block of the WHO/PSR probe and beyond on several teeth. You get a 6mm probe depth on the mesial of #3, 4-5mm probe depths on the mandibular anterior and on at least one molar in each sextant. You see and feel calculus in every quadrant. QUESTION: What should be done next with this patient?