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CASE STUDY #4: You are a new dental hygiene student discussing your chosen profession with a stranger who knows nothing about dental hygiene or sterilization. They ask about what hygienists do, what they cannot do and what types of settings hygienists can work in. They are also curious about the safety and infection control within an office. Use this information to answer the next questions. QUESTION: ADPIE are the letters that represent the 5 parts of the “dental hygeiene process of care” with a dental hygienist.  What does ADPIE stands for?   

Trends that promote obesity in the U.S. include the ____.​

According to the Declaration of Independence, what is the purpose of government?

Case Study #2: Your patient was recently diagnosed with Hepatitis C (HCV) and is getting ready to start taking medications, she reports no other health issues.  On her dental history she reports an 8/10 fear of the dentist and has a tooth that has been painful that she wants the dentist to examine. The vital signs you get today are BP: 142/92, pulse 102 and respirations 22.  As you are finishing up the appointment, you accidentally sustain a minor cut from a scaling instrument that has already been used in her mouth as you are organizing your cassette. The patient is still with you in the operatory, you have not dismissed her yet. Use this scenario to answer the next 4 questions. QUESTION: What should you do about the injury you have sustained?

When a person stops using a muscle for a period of time due to injury, illness, or neglect, the muscle will ____.​

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: Which is the same between hand instrumentation for scaling and power instrumentation for scaling?

Which other country joined the war effort on the colonies’ side and is considered “America’s Oldest Ally”?

Case Study #3: Your first patient in clinic is a healthy 24 year old with probe depths 1-3mm and tight, resilient tissue. They report that they do not floss and have not had a dental visit in 6 years. They have generalized calculus interproximal and you are using the sickle scalers to access the calculus.  You notice that you don’t have a sharpening card in your cassette, so you begin scaling without sharpening. While you are scaling, you place the instrument at the proper location on each tooth and use light, sweeping, supragingival strokes using your fingers. When your clinic instructor checks your scaling progress, they indicate that you have missed several areas of calculus in the middle of the proximals and have burnished other areas of calculus. In summary, you have not made much progress with your scaling. Use this information to answer the following questions. QUESTION: What portion of the sickle scaler adapts to the tooth structure to effectively remove calculus?

​Which vitamins are fat-soluble?

CASE STUDY #3: You are seeing a patient for a  4 month periodontal maintenance appointment.  She had full periodontal charting 10 months ago and bitewing radiographs taken then.  She reports that she was diagnosed with diabetes and she’s having a hard time managing it so far.  When you look in the mouth to begin your charting, you see that there has been some gingival changes and that her probe depths are deeper than at her last appointment.  You also take some photos and show the patient the changes that you are seeing. Use this information to answer the next 5 questions.  QUESTION: What type of exam would you choose on your periodontal chart?