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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 of the following outlines the “BARN” acronym of informed consent?

Montesquieu would most likely agree with which of the following?

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.