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You and your classmates are participating with a dental screening event at a local health fair for immigrant and refugee families that have recently relocated to central Ohio. As part of this screening, you are using your magnification loupes and headlight, and have access to shepherd hooks explorers, periodontal explorers, probes and mirrors. On any willing participate, you are completing a head and neck oral cancer screening, an abbreviated PSR screening using one tooth in each sextant, and identifying any clinical visible areas that you are suspicious of decay. You chart all of this information and present a summary form and referral to the OSU dental clinic for each of the participants. QUESTION: Which scenario would be an inappropriate time to use an alcohol based hand sanitizer? 

You 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: Which classification of ultrasonic inserts remove surface staining most efficiently?

At what speed should coronal polishing be done?

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: What is the terminology to describe the margin that you are feeling on #30?

Your new patient is a mechanical engineer who has been away from the dentist for a few years.  He had been going to an older dentist who retired and hadn’t been up on newer technology in the dental office.  He is very interested in learning about what and how you are doing  the procedures of the appointment and asks a lot of good questions.  Choose the right answer to each of his questions.   QUESTION:  Are you required to use an N95 mask for your appointments?

Your new patient presents to establish as a patient and you are completing all of their assessments.  They are a current smoker and their oral hygiene is fair to poor.  Their tongue is coated and has a dark coloration to it.  It also has a white plaque along the right lateral border that the patient was unaware of.  This plaque is not removable and is asymptomatic. The chief complaint is that they have noticed “some redness and irritation along their gums and inside their right cheek” that started to appear a few weeks ago and has gotten worse.  They are also concerned about the staining on their tongue.  They would like to have these looked at and get established as a patient at the dental school. QUESTION: Here is a photo of their dorsal tongue.  What is the term for this condition?

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 this staining called that is caused by a certain antibiotic taken during tooth development?

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 will your notation be for these tonsils and oropharynx–what is the variation?

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: You maintain a parallel terminal shank with the proximal surfaces when you are scaling with the Younger Good.  What will be the result of using this technique?

Dr. Abara is a social scientist interested in measuring both explicit and implicit racial bias in her study. Define explicit and implicit bias. Give one example of how Dr. Abara could measure explicit racial bias and one example of how she could measure implicit racial bias.