Your patient is a 90 year old man with several health condit…

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 category does his blood pressure measurement fall into and does he need a medical consult?

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 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: The dentist recommends replacing #18 with a new amalgam, the patient asks “why not composite”?  Which of the following is the advantage that composite would have over amalgam?