CASE #2: You are seeing a patient who is has recently finish…

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: What technique with light can be used to determine anterior proximal decay before using an explorer or radiographs?

You are preparing to complete scaling and root planing on th…

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: Based on the information that you have about this patient, what calculus classification at OSU would be given to this patient and where is this classification listed?

You are walking through the streets of London and you hear t…

You are walking through the streets of London and you hear the townsfolk whispering amongst themselves. They are discussing the idea of “consent of the governed” this John Locke guy has been writing about. They better hope the king doesn’t hear them! You are most likely living in the midst of which movement?

You are scheduled to complete a periodontal maintenance on y…

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: When you ask the patient about the nevi, which of the following replies would be concerning and indicate that a pathology consult would be warranted?

CASE #2: You are seeing a patient who is has recently finish…

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: Who will diagnose the decay and create the treatment plan of restorative needs for the patient?

On your new patient you are using the light, explorers and r…

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 into.  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: When detected calculus and marginal issues, where will the vibrations be felt and by which finger, when using the modified pen grasp?