Case #32 (Questions 96-97) Age: 48 Sex: male Race: Hispanic Dental History: This client hasn’t been to the dentist for years Chief Complaint: Slight swelling on the mandibular right facial tissue  Picture32.jpg 97. What is the primary concern for an individual affected by Gardner syndrome?

Case #11 (Questions 37-42) Age: 38 Sex: female Race: African American Medical History: Client has a history of allergies to dust and pollen.  Current Medications: Takes Allegra® and receives allergy shots once a month Chief Complaint: “I get these ulcerations a few times each year.  They are painful and heal within 7-10 days.”  Clinical Appearance: A single, round ulceration with a yellow-white fibrin center surrounded by an erythematous halo; approximately 8 mm in size; located on the anterior of the floor of the mouth.  Picture11.jpg 39. Treatment for these lesions aims to _______ the lesions and symptoms.

Case #29 (Questions 89-90) Age: 9 Sex: female Race: Caucasian Medical History: Client’s mother states she had multiple fevers and ear infections as an infant.  She had to take many medications to treat the ear infections at that time.  Chief Complaint: Her daughter’s teeth are discolored and difficult to brush. Clinical Appearance: Generalized brown and white spotting of the permanent anterior dentition. Picture29.jpg  89. Childhood illness and/or vitamin deficiency can cause deformative formation of enamel. This is called

Case #18 (Questions 65- 66) Age: 63 Sex: male Race: Caucasian Medical History: Client was treated with radiation to the head and neck for thyroid cancer last year.  He is currently in remission. Dental History: Approximately six months after undergoing radiation treatment, he developed this lesion.  It slowly grew larger and became more painful.  Periodontal status was a case type I prior to radiation treatment. Chief Complaint: Client notices extreme pain from the lower right of his jaw.  He sees something white in his mouth, but it never seems to come off.  It bothers him to eat and brush since any stimulus to the area is not pleasant. Clinical Appearance: Lack of gingival tissue around the lingual aspect of tooth #30.  The underlying bone is exposed.  Picture18.jpg  65. What was responsible for the bony exposure seen in this individual?

Case #33 (Questions 98-100) Age: 52 Sex: female Race: Asian Medical History: Sjӧgren syndrome Chief Complaint: Pain coming from the right cheek Picture33.jpg 98. Upon physical examination, it is obvious that the right parotid gland is larger than the left. This client has experienced xerostomia from Sjögren syndrome for the past 18 years. What is the likely cause of inflammation of the right parotid gland?

Case #10 (Questions 33-36) Age: 23 Sex: female Race: Caucasian Medical History: Turner syndrome Chief Complaint: Client recently noticed a “lump” on the left side of the floor of her mouth. Clinical Appearance: A bluish, soft, compressible, fluid-filled, dome-shaped swelling is noted.  Picture10(1).jpg 35. Since the client has Turner syndrome, which of the following features may you notice?

 Case #28 (Questions 87-88) Age: 72 Sex:  male Race: Native American Medical History: Client has a history of osteoarthritis Medication: Celebrex® Social History: heavy pipe smoker for several years Clinical Appearance: A generalized white appearance of the hard palate is seen.  Inflamed openings of the salivary ducts are surrounded by raised, keratotic nodules. Picture28.jpg 88. When is this client likely to experience pain in the joints, including the TMJ?

Case #6 (Questions 19-22) Age: 6 Sex: male Race: Caucasian Medical History: This child has had a low-grade fever for the past three days.  The child also has painful bilateral lymphadenopathy.  This child recently recovered from the chickenpox infection.  His sister has contagious lesions present today at this appointment. Dental History: Parent states, “The child is unable to eat due to sores in his mouth and on his tongue.  His gums also hurt.”  Clinical Appearance: Multiple tiny vesicles and ulcers are accompanied by generalized painful, edematous and erythematous gingiva.  Picture6(1).jpg 21. How do the current symptoms differ from the symptoms of the chickenpox infection?

Case #4 (Questions 11-14) Age: 17 Sex: male Race: Native American Medical History: Affected by Fetal Alcohol Syndrome Dental History: A well-defined unilocular radiolucent lesion that is located in place of a third molar. Picture4(2).jpg 13. The cyst is found most commonly in place of a third molar or posterior to an unerupted third molar. It is most likely a…

Case #24 (Questions 78-79) Age: 22 Sex: male Race: African American Chief Complaint: “Awhile back, I had a toothache on the lower left side for a few weeks.  Now I have no pain, but there is a red area in the tooth that bleeds when I chew.” Clinical Appearance: A slightly erythematous nodule of soft tissue filling the entire crown in tooth #19 Picture24.jpg  78. Excessive hyperplastic tissue resulting from long-standing caries within the pulp is termed