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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: What calculus classification would be given for this patient when you are presenting your findings to your faculty?

Your new  patient is a mechanical engineer who has been away from the dentist for a few years.  He had been going to an older dentist who retired and hadn’t been up on newer technology in the dental office.  He is very interested in learning about what and how you are doing  the procedures of the appointment and asks a lot of good questions.  Choose the right answer to each of his questions. QUESTION: How do you clean and disinfect the instruments and rooms between patients?

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 his ASA classification be and would he need a pre-medication?

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.