CASE STUDY  (QUESTIONS #15- #18 APPLY TO THE CASE STUDY) Emily Smith is a healthy 37-year-old female who is a sales representative and travels 3 weeks out of every month.  She takes a multi-vitamin and oral contraceptive daily, and high blood pressure runs in her family.  Emily drinks one to two glasses of wine 5 days a week, drinks coffee every morning and drinks green tea throughout the day.  It has been two years since her last physical with a medical doctor.   The vital signs taken at her dental visit today are: blood pressure 145/95, pulse 70, respirations 12.  Emily is unhappy with the appearance of her teeth.  She presents with light-moderate stain on her maxillary and mandibular anterior teeth on both the facial and lingual surfaces.  She is also concerned about the dark shadows surrounding the amalgams on teeth #29 and #30. The stains on the maxillary and mandibular teeth were most likely caused by all of the following EXCEPT:

CASE STUDY  (QUESTIONS #15- #18 APPLY TO THE CASE STUDY) Emily Smith is a healthy 37-year-old female who is a sales representative and travels 3 weeks out of every month.  She takes a multi-vitamin and oral contraceptive daily, and high blood pressure runs in her family.  Emily drinks one to two glasses of wine 5 days a week, drinks coffee every morning and drinks green tea throughout the day.  It has been two years since her last physical with a medical doctor.   The vital signs taken at her dental visit today are: blood pressure 145/95, pulse 70, respirations 12.  Emily is unhappy with the appearance of her teeth.  She presents with light-moderate stain on her maxillary and mandibular anterior teeth on both the facial and lingual surfaces.  She is also concerned about the dark shadows surrounding the amalgams on teeth #29 and #30.   According to Emily’s health history, all of the following instruments can be used to remove the extrinsic stain from the maxillary and mandibular anterior teeth EXCEPT:

The Gracey 13/14 was originally intended to be used:

A universal curet is best for heavy deep subgingival calculus.

There are several indications to use ultrasonics. List two.  

CASE STUDY  (QUESTIONS #15- #18 APPLY TO THE CASE STUDY) Emily Smith is a healthy 37-year-old female who is a sales representative and travels 3 weeks out of every month.  She takes a multi-vitamin and oral contraceptive daily, and high blood pressure runs in her family.  Emily drinks one to two glasses of wine 5 days a week, drinks coffee every morning and drinks green tea throughout the day.  It has been two years since her last physical with a medical doctor.   The vital signs taken at her dental visit today are: blood pressure 145/95, pulse 70, respirations 12.  Emily is unhappy with the appearance of her teeth.  She presents with light-moderate stain on her maxillary and mandibular anterior teeth on both the facial and lingual surfaces.  She is also concerned about the dark shadows surrounding the amalgams on teeth #29 and #30. Hand instruments or an ultrasonic device should be used first to remove stains from the maxillary and mandibular anterior teeth.  Air polishing is a technique that can be used to remove the shadows surrounding #29 and #30.

A vertical stroke direction is perpendicular to the long axis of the tooth. 

Air polishing is indicated for which of the following?

Establish a 70 to 80 degree angulation to the tooth during stroke activation with a universal curet. This is achieved by tilting the lower shank slightly toward the tooth.

Patients wearing glasses should not remove them prior to air polishing treatment.