Blog

A new patient comes to your dental office. Significant findings from the patient assessment include a history of poorly controlled diabetes and chronic periodontitis. The patient explains that he gets very nervous before an appointment with a physician. The patient states that: “I always get this long lecture about my poorly controlled diabetes. So, I go a long time in between visits and sometimes run out of diabetes medication.” Regarding his periodontal health status, the patient says: “I am so concerned about my teeth; I really want to have a healthy mouth. I have not had regular dental care in the past, but now I have dental insurance. I am really ready to do whatever I need to do to have a healthy mouth.” What helpful information can the hygienist give to this patient who seems ready to take action to improve his oral health?

Your patient is a young man who reports a persistent 2-mm band of redness around his teeth that is resistant to meticulous self-care and previous dental work. You see no evidence of pocketing, loss of attachment, or bone loss. The most likely diagnosis is:

The most common type of structural barrier is the ________.  

There is a need for standardization of products in both the surveillance and access control areas. True or false?            

A chain length fence should be at least 8 feet tall, begin no more than 2 inches from the ground, and be augmented by a top guard. True or false?       

Windows and other openings larger than _____ square inches should be protected by grilles, metal bars, or heavy screening when they are less than 18 feet from the ground or when they are less than 14 feet from structures outside the barrier.

 Most forced break-ins are through _____________.       

Given the imaging findings thus far what other imaging would be the best to assess for a potential Bankart tear/lesion. 

What pathoanatomic finding is outlined in red along the humeral head?  

Sarah is a former collegiate swimmer with a history of left shoulder pain.  To this point, your primary focus of treatment has been strengthening the rotator cuff to improve the dynamic stability of the glenohumeral joint. In the most recent visit, you choose to strengthen the rotator cuff by performing humerothoracic external rotation in standing using resistive tubing (see picture).  However, you quickly notice the medial border of Sarah’s scapula becomes prominent (i.e. scapulothoracic internal rotation or “winging”) when she is moving into humerothoracic external rotation.  What could be causing this and how would you modify the exercise to avoid it?