ou are seeing a periodontal maintenance patient who had some…

ou are seeing a periodontal maintenance patient who had some tissue grafting for recession and the correction of a periodontal defect with some bone grafting done this summer. As you are updating their medications, you are removing the pain medications they were on for the surgery and see that chlorhexidine rinse was also prescribed. You know that chlorhexidine rinse is an antiseptic rinse that is often prescribed after oral surgery and ask them if they are still using it. They say that they used the full bottle, but didn’t get it refilled because they were disappointment with how much staining it caused on their teeth. When you do your oral exam, this is the result that you see. The patient is concerned about whether it is permanent or if you will be able to remove it today. Use this photo and this case to answer the following questions. QUESTION: If the staining is difficult to remove during scaling, what polishing technique could be used?

Jaime has earned 12 tokens more than he needs for the snack…

Jaime has earned 12 tokens more than he needs for the snack he wants from the token store. Jaime has two more classes before he can exchange his tokens at the end of the day. In history class, the teacher takes away one token each time Jaime gets out of his seat. In science class, the teacher does not take away any tokens for getting out of his seat.  Which of the following is functioning as an SΔP in this scenario?

CASE STUDY #3: Your patient is an international graduate stu…

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: What happens when you turn up the power?

CASE STUDY #4: Your patient reports being HIV positive with…

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: Which standard ultrasonic insert could you begin with that cannot be used subgingival?

CASE STUDY #1: Your patient presents for a periodontal maint…

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 seveal areas of demineralization and recurrent decay, but she is not having any pain or sensitivity.  Use this information to answer the following questions. QUESTION: Once the heavier calculus is gone, all of the following instruments could be used to assess the pockets on the anterior teeth, EXCEPT: