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CASE #2: You are seeing a patient who is has recently finished chemotherapy and radiation treatment for cancer. They have not had a dental visit for two years and in completing your assessments, you are seeing several areas of decay. You take bitewing radiographs and two anterior periapical radiographs and determine that they have areas on the posterior proximal surfaces, at the margins of two crowns and fillings on #3 and #31, and on the proximal surfaces of #10 and #11. Use this information to answer the following questions: QUESTION: Which classification would the decay on #10 and #11 be classified as?

Woodrow Wilson won the election of 1912 primarily due to the fact that ____________________. 

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 in.  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: According to what is seen in this photo, what types of crowns make up his fixed partial denture/bridge–(notice the reflection underneath to see inside the crowns) that you will chart?

Hypocalcification or hypoplasia are types of discoloration that can form from factors such as high fevers during tooth development. What type of staining is this and can it be removed with coronal polishing?

Explain the historical context of this political cartoon. In other words, what is the cartoon trying to say?  

CASE STUDY #1: Your patient presents for a periodontal maintenance appointment after being gone for 10 months due to the pandemic.  She is usually on a 4 month recall, so this is an amount of time that would usually have included two appointments.   She reports hypertension and diabetes, both of which she controls with medications, and her vitals today are BP 130/86, pulse 88, respirations 14. In doing your periodontal assessments and radiographs, you determine that she has 4mm probe depths in the anterior teeth, several 5-6mm probe depths in the posterior teeth with isolated furcation involvement and generalized moderate to heavy calculus.  She has several amalgam restorations and crowns and you notice several areas of demineralization and recurrent decay, but she is not having any pain or sensitivity.  Use this information to answer the following questions. QUESTION: Your instructor advises that you may need a higher amount of power to remove the calculus.  Which inserts cannot tolerate greater than low to medium power?

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: How should your probe be angled to access the probe depths in the proximals of the molars?

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 of the following is not an accurate response about the use of water?  

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: Which inaccurately describes the use of the periodontal explorer to check the progress of calculus removal? 

You and your classmates are participating with a dental screening event at a local health fair for immigrant and refugee families that have recently relocated to central Ohio. As part of this screening, you are using your magnification loupes and headlight, and have access to shepherd hooks explorers, periodontal explorers, probes and mirrors. On any willing participate, you are completing a head and neck oral cancer screening, an abbreviated PSR screening using one tooth in each sextant, and identifying any clinical visible areas that you are suspicious of decay. You chart all of this information and present a summary form and referral to the OSU dental clinic for each of the participants.   QUESTION: You detect several areas of decay on the posterior proximal surfaces of the participants such as in this photo.  What classification of decay would this be?