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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: Which scaling approach would inhibit calculus removal?

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: As you are using your S204S, which surfaces of the posterior teeth are not typically scaled with this instrument?

You are treating a new patient who reports a history of gastrointestinal issues, including irritable bowel syndrome and acid reflux. The patient is concerned that the acid reflux will cause cavities, so you assure them that you will complete a thorough exam. Below is a photo that you took as part of the exam for a baseline image of the state of the teeth and for patient education. Use this information to answer the following questions: QUESTION: What would you chart for the porcelain restoration that was placed for esthetics on the facial and incisal of #7? 

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: How do you disinfect the instruments after use on a 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: Where and at what power setting would the slimline area specific inserts (left/right) be used on this patient?

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: Which would not be part of your preparation for using the Nevi 4?

This case study contains pictures that you would use to make notations on a head and neck examination form.  Choose the right description for each picture.  How would you describe the “freckles” on this patient using dental terminology?

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 type of ultrasonic inserts would you recommended to start with for scaling the anterior teeth on this patient?  

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 on 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: Which of following is the method of sharpening that we use at Ohio State College of Dentistry?

Your 62 year old new patient presents with generalized calculus and periodontal issues including deep probe depths, mobility and furcation involvement. The patient had a massive stroke 2 years ago that left them with some cognitive impairment, speech impairment and reliance on a wheelchair for mobility. He has not been to the dentist since. He relies on his partner to drive him to appointments and to help him with completing medical paperwork. The patient also has some trouble speaking clearly and the partner helps you to understand what he is saying. QUESTION: Which would be an ineffective way to determine if the patient has full decision making capacity or if the partner needs to make the decisions?