You are performing a periodontal screening on a new patient…

You are performing a periodontal screening on a new patient using the PSR scoring. Here are the scores that you determined for this patient. Use this information to answer the next 5 questions. 2 1 4 3 2 3* QUESTION: Would this patient be recommended for a consultation with a specialist? 

You are beginning the periodontal treatment on this 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: Which instrument would be least effective at accessing the 4-5mm pockets on the anterior teeth?

CASE STUDY #3: You are seeing a patient for a  4 month perio…

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 is the brown coloring on the attached gingiva that is seen on the mandibular arch?

You are seeing a new patient.  Through the dental history yo…

You are seeing a new patient.  Through the dental history you determine that they have a broken tooth, would like to get established as a patient and have a 7/10 fear of the dentist.  When completing their medical history they report hypertension, type II diabetes and anxiety, all of which they take medications for.  They report their latest diabetes numbers from 6 months ago as 9.2 and 180.  They indicate that they are overdue for their medical visit and blood test.  The vital signs you get are BP: 186/102, Pulse: 102 and Respiration: 18.  QUESTION: Which of the following would be the “reason for today’s visit” (the chief complaint) to write on the dental history?