CASE STUDY #2: You are getting ready to see a difficult .3 p…

CASE STUDY #2: You are getting ready to see a difficult .3 periodontal maintenance patient. You want to verify that you are using sharp instruments throughout the appointment so you check and sharpen them carefully.  You work carefully during instrumentation to make sure that you are using accurate scaling strokes to avoid incomplete removal of the calculus. Use this information to answer the next 5 questions. QUESTION: How will you position a hand scaling instrument to remove the calculus?

Case Study #3: Your first patient in clinic is a healthy 24…

Case Study #3: Your first patient in clinic is a healthy 24 year old with probe depths 1-3mm and tight, resilient tissue. They report that they do not floss and have not had a dental visit in 6 years. They have generalized calculus interproximal and you are using the sickle scalers to access the calculus.  You notice that you don’t have a sharpening card in your cassette, so you begin scaling without sharpening. While you are scaling, you place the instrument at the proper location on each tooth and use light, sweeping, supragingival strokes using your fingers. When your clinic instructor checks your scaling progress, they indicate that you have missed several areas of calculus in the middle of the proximals and have burnished other areas of calculus. In summary, you have not made much progress with your scaling. Use this information to answer the following questions. QUESTION: To what depth should sickles scalers be used to scale calculus on this patient?

CASE STUDY #1: Your patient is a 72 year old man who has had…

CASE STUDY #1: Your patient is a 72 year old man who has had both knees replaced and has a history of heart conditions including hypertension, a heart attack and a triple bypass in 2018.  He is not allergic to any medications and is taking the hypertensive medication Losartan and is on the anti-coagulant medication Warfarin.  His physician wants him to take a pre-medication before dental visits. His vitals with you today are BP: 130/86, pulse 80 and respirations 12.  He says that he has been having some chest pains lately and has scheduled an appointment to see his physician.  During your appointment, he starts to have some pain in the chest.  Using this scenario to answer the next 4 questions. QUESTION: Regarding the Warfarin, what number do you need to ask him about and what range should it be in to safely treat him?

You are seeing a new patient.  Through the dental history yo…

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: Which of the following describes the vital signs that you have detected?

Case #4: You are seeing a new patient and are finishing thei…

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: Your patient is curious about the instrument you are using. Which is not a characteristics of Sickle Scalers that you could discuss with them?

CASE STUDY #1: You have completed your assessments on your p…

CASE STUDY #1: You have completed your assessments on your patient and are getting ready to scale.  You don’t see a test stick in your cassette, so you are going to use the Visual Test using light to determine if your instruments are sharp or dull.  Once you have determined this, you sharpen several of your instruments using the technique that we practiced in class.  Once your instruments are sharpened, you decide to use the sickle scalers as your first hand instruments on your patient since they are periodontally healthy and do not have periodontal pockets to scale.  Use this information to answer the following questions.  QUESTION: At what degree of angulation is the face to the shank on posterior sickle scalers and how many cutting edges are there per end sickle end?

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 3 questions. QUESTIONS:  How should your patient and light be positioned to best view the maxillary arch?

You have completed all of the assessments and radiographs at…

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: Which would be ineffective in preparing to treat this patient?