Your patient is a 90 year old man with several health condit…

Your patient is a 90 year old man with several health conditions including a past stroke in 2017, past heart attack in 2000, hypertension since 1980 and dementia diagnosed in 2016.  His vital signs are BP: 132/84, pulse 84, respiration 14 and he takes his 5 prescribed medications daily to control his health issues.   His daughter brought him because he no longer drives and she helps him during the appointment with the paperwork and with answering your questions.  The daughter wishes he could have a dentist that comes to his nursing home, so you work with her to try to recruit the dentist you work for to see patients there 1 day per month. QUESTION: What would you chart for this wear on the gingival surfaces on his maxillary right posteriors?

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 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: As you start to use your H533, where will your insertion site be?

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: When sharpening your instruments, which of the following statements describes the proper technique?

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: Why was the ultraslim thinsert not the first insert that you used?

Case Study #5: You are completing a extra/intra oral head an…

Case Study #5: You are completing a extra/intra oral head and neck exam on your new patient and charting your findings.  Most of the findings are within the normal limits of anatomy, but you have discovered a few areas that you would like to talk with your faculty member. These include a lesion behind the ear, a variation in color of the sclera that you recognize as jaundice/liver issues, and lymph nodes on the right side of the neck that are firm and palpable. QUESTION: Which anatomy should be palpable (easily felt with the finger tips) when the patient is healthy?