Case #2 – Your patient is a 21-year-old male presenting for an appointment 16 months after his last appointment. He has no significant findings on his health history. He has sealants on all of his first molars and a veneer on tooth #9. There is a grayish ‘shadow’ to the occlusal surface of #31 and obvious cavitation to the occlusal of #18. You note generalized heavy biofilm deposits, especially at the cervical margin of the maxillary anterior teeth.Question: The gray lesion on #31 is most likely:

Which of the following is NOT preferred as a method or technique for performing a hard tissue assessment?

Which dental floss would  be LEAST helpful to a patient with very tight contacts and numerous proximal restorations and crowns?

Which of the following would be suitable for this patient with these open class 1 cervical embrasures? ex 2 cl 1 emb.jpg

Choose ALL that apply. Signs of gingival disease may be observed as:

What instrument is designed with the face set at 70° to the terminal shank and one cutting edge on each working end?

Case #2 – Your patient is a 21-year-old male presenting for an appointment 16 months after his last appointment. He has no significant findings on his health history. He has sealants on all of his first molars and a veneer on tooth #9. There is a grayish ‘shadow’ to the occlusal surface of #31 and obvious cavitation to the occlusal of #18. You note generalized heavy biofilm deposits, especially at the cervical margin of the maxillary anterior teeth.Question: The marginal gingiva is bright red and the interdental papillae are puffy and rounded. The probe depths are from 2-4 mm and bleed easily. What is your finding?

When is the best time to present oral hygiene education to your patient?

Case Study #1: Your patient is a 49-year-old female and is new to your practice. She reports a mitral valve prolapse, high blood pressure, and a history of cervical cancer which was treated with surgery about 10 years ago. She takes metoprolol to manage her blood pressure. She has three composite restorations on anterior teeth and two amalgam restorations on posterior teeth. Exploration with the EXD 11/12 reveals small spicules of calculus on most teeth beneath the gingival margin. She has generalized slight and localized moderate bone loss visible on radiographs. Marginal gingiva is red and inflamed with slight biofilm present along cervical and proximal surfaces.Question: The patient currently uses a manual brush, a fluoride toothpaste, and does not floss but is capable and willing “if shown how”. An appropriate oral hygiene regimen for this patient should include:

Case Study #1: Your patient is a 49-year-old female and is new to your practice. She reports a mitral valve prolapse, high blood pressure, and a history of cervical cancer which was treated with surgery about 10 years ago. She takes metoprolol to manage her blood pressure. She has three composite restorations on anterior teeth and two amalgam restorations on posterior teeth. Exploration with the EXD 11/12 reveals small spicules of calculus on most teeth beneath the gingival margin. She has generalized slight and localized moderate bone loss visible on radiographs. Marginal gingiva is red and inflamed with slight biofilm present along cervical and proximal surfaces.Question: While exploring for calculus, you detect a slight depression between the roots of the lower right first molar. The radiographs show no bone loss. What are you most likely detecting?