Case # DK -Delia Kardz is a 24 year old female new to the practice and is seeing you first for a “cleaning”. She is attending college full-time and working part-time at the casino. Medical history indicates no unusual findings. She is taking Ortho-novum for birth control and ibuprofen or acetaminophen (“whatever’s handy”) as needed for headaches. VS are BP 106/70, P 64, R 14. Intraoral exam reveals generalized severe edema and erythema of marginal gingival tissues, generalized bleeding on probing, pocket depths of 1-4 mm with no recession and generalized decalcification. Dental and radiographic exams indicate no previous restorations but carious lesions on three maxillary molars in the cervical 1/3, proximal decay on three posterior teeth, and decay on four occlusal surfaces. There is no bone loss evident. The patient admits she has not been to a dentist in several years and is embarrassed about that. She reports she brushes once daily with “whitening toothpaste”. Small subgingival spicules of calculus are scattered minimally throughout the lower arch with slight amounts of supragingival calculus present on the lower anterior lingual surfaces.QUESTION:  Delia had not given any thought to her oral health before. This demonstrates what Stage of Change?

Case # AL -Addie Lessent is a 14 year-old female. She has come in for her six-month recall appointment. Medical history indicates seasonal allergies and mild exercise-induced asthma. She is taking Zyrtec (antihistamine) daily and uses her inhaler only before strenuous physical activity. VS are BP 112/76, P 78, R 16. EIE reveals mild enamel hypoplasia of the permanent first molars and a composite restoration in the mesial pit of the occlusal of #14. She has orthodontic brackets on #4 – #13, orthodontic bands on #3 and #14 with an arch wire on the facials. There is generalized erythema and edema of the free gingival margin and heavy plaque on the cervical thirds of all teeth and surrounding the bands and brackets. Probe readings on permanent first molars and permanent incisors range from 1-3 mm with generalized bleeding and localized hemorrhaging. Moderate supragingival calculus is present on the lower anterior lingual surfaces. Permanent molars have deep fissures; #19 has a gray shadow underneath the enamel on the mesial aspect. Bitewing radiographs reveal decay on the mesial of #19. The dentist recommends dental sealants be done at this visit on all permanent molars except #19.QUESTION: Addie’s mother asks you if an oral irrigator (WaterPik) would be helpful around the braces. What is your response?

Case # DK -Delia Kardz is a 24 year old female new to the practice and is seeing you first for a “cleaning”. She is attending college full-time and working part-time at the casino. Medical history indicates no unusual findings. She is taking Ortho-novum for birth control and ibuprofen or acetaminophen (“whatever’s handy”) as needed for headaches. VS are BP 106/70, P 64, R 14. Intraoral exam reveals generalized severe edema and erythema of marginal gingival tissues, generalized bleeding on probing, pocket depths of 1-4 mm with no recession and generalized decalcification. Dental and radiographic exams indicate no previous restorations but carious lesions on three maxillary molars in the cervical 1/3, proximal decay on three posterior teeth, and decay on four occlusal surfaces. There is no bone loss evident. The patient admits she has not been to a dentist in several years and is embarrassed about that. She reports she brushes once daily with “whitening toothpaste”. Small subgingival spicules of calculus are scattered minimally throughout the lower arch with slight amounts of supragingival calculus present on the lower anterior lingual surfaces.QUESTION: Of the following, the most appropriate oral hygiene recommendations for her needs would be to:

SELECT ALL THAT APPLY: Epinephrine may or should be used in the treatment of:

The inability to absorb and utilize a particular nutrient may lead to a:

Case # GY -Gene E. Yuss is a 28 year-old who works full time at an engineering firm and also working on his doctoral degree in engineering. His medical history indicates no significant findings and he takes no medications. VS are BP 120 / 78, P 70, R 14. His oral hygiene home care is very good. He reports he brushes at least twice a day, uses dental floss at least five times a week before going to bed and uses a Perio-Aid ® around the margin on tooth #3, which was crowned after he broke it while eating popcorn. Gene has 3 small amalgam restorations on the occlusals of #2, 18 and 19. Oral hygiene is Biofilm index is 2 (Good). Probe readings are 3 mm or less with the exception of two 4mm pockets around tooth #3. You note some unusual ‘cupped’ areas in the middle and incisal thirds on the facials of the maxillary anterior teeth. He states he recently noticed the spots and that he’s “never had those before”. Upon further questioning, Gene says he doesn’t “eat like I should…mostly snacks and junk food because that’s all I have time for”. He says he drinks at least four or five 20oz. bottles of Coke ® a day to “keep me going”.QUESTION: After explaining some things to Gene about his oral health status, Gene says he may make some changes because now he understands for himself how important his oral health is. The type of motivation that results from an internal decision is:

What geographic pattern does Ramsey identify in where Democrats and Republicans live in Texas?

Segmenting customers (B2C) based on demographics might include:

Ud. realiza la prueba TTDT a una persona. Hace la prueba en la frecuencia 2000 Hz. Inicia la prueba a 35 dB y el evaluado logra escuchar el tono continua durante 1 minuto a los 45 dB ¿Qué se puede aseverar con este resultado?

True or False: Texas currently has mostly Democratic legislative districts.