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CASE STUDY #1: You are practicing the periodontal probes and are getting ready to discuss these instruments with your faculty. You will also demonstrate proper activation of this instrument in the mouth on your partner.  Use this scenario to answer the following questions. QUESTION: Which of the following describes the proper positioning of the probes during activation?

You are scheduled to complete a periodontal maintenance on your patient.  They last had complete periodontal charting and head and neck exam at their last appointment 4 months ago.  When assessing your patient with a head and neck exam, you determine that they have a lesion on their lip from an accidental bite and that there are two large nevi on their face that were not noted before. While doing your periodontal assessments you determine that there are scattered 4-6mm probe depths, isolated areas of mobility and both generalized recession and furcation involvement. QUESTION: Which of these scenarios regarding today’s periodontal assessments would indicate a need for a periodontal consult?

CASE #1: You are seeing a 34 year old patient who recently moved to the United States and has never had a dental hygiene visit before. As you are completing your assessments, you determine that the patient is periodontally involved with probe depths over 3-6mm with calculus on 50% of the surfaces of their teeth. You take a full series of radiographs and determine that they have radiographic ledges and spicules of calculus and slight bone loss. Use this information to answer the following questions: QUESTION: Why is calculus visible radiographically when there are large deposits present?

You are preparing to complete scaling and root planing on the patient’s right side.  There are pockets on nearly every tooth, 4-5mm in the anterior and 4-7mm in the posteriors and nearly every tooth has 2-3mm of recession There is generalized moderate to heavy calculus both supra and subgingival, included radiographic, but the gingival tissue is generally tight and resilient. You need to determine what instruments you are using, what power setting and inserts will be necessary with your ultrasonic and how to determine if your hand instruments are well suited for treating a difficult periodontally involved patient. QUESTION: Why would a modified (such as the “after-five” or “mini-after five”) area specific (Gracey) curet be a good option for scaling a 7mm pocket on #15 DL?

Match each topic with the best answer.

The password for Unit 6 Test is:   lasttest   Here is the link to the test: Module 6 Test

CASE #3: You are treating your first periodontally involved patient who has generalized recession and 4-6mm probe depths. You are completing a periodontal maintenance appointment and are navigating all of the root surfaces and subgingival calculus that the patient presents with. You are using the explorer to help you determine how your scaling is going and are treatment this patient by scaling the teeth in one quadrant at a time since this patient is more involved. Use this information to answer the following questions: QUESTION: All of the following are reasons why we would treatment plan a periodontal maintenance code/fee instead of a prophylaxis code/fee for this patient, EXCEPT?

True or false: Enlightenment philosopher Adam Smith thought mercantilism was the best type of economy. 

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 term for the margin that you are feeling on #18?

The year is 1754. You live in New England. As you are walking through town, a young boy hands you a flyer and says, “We must all join together or we shall die, sir!” You look at the flyer featuring a snake that has been chopped up into several smaller pieces. “This smells like taxes to me. No thanks!” you say as you throw the flyer away. What was the flyer promoting?