CASE STUDY Devan Sacks, age 12, is a new client in the dental practice and has been scheduled for dental hygiene care. Devan is in the seventh grade, is one of the star players on the girls’ soccer team, and wears an athletic mouth guard protector. She is accompanied by her mother, Margaret, age 32, and her sister Bridget, age 10. After completing health, dental, and dental hygiene histories, the dental hygienist assesses the teeth, periodontium, and oral self-care skills. Significant findings include gingival inflammation, bleeding on probing around some teeth, and poor oral hygiene. Client has a knowledge deficit regarding biofilm, periodontal disease process, and personal oral health status. If a gingival disease such as localized juvenile periodontitis is suspected, the most important dental hygiene action would be which of the following?

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

The primary objective of scaling and root planing is to:

Varying stroke direction when root planing allows for greater possibility that an area of burnished or smooth calculus may be removed.

Varying stroke direction when root planing allows for greater possibility that an area of burnished or smooth calculus may be removed.

An insertion stroke with working pressure is NOT recommended because it can

The stroke direction(s) used with root planing strokes is/are :

Rather than vigorous root planing and removal of most or all of the cementum, it is now known that the bacteria products can be removed from the root surface with minimal amount of actual cementum removal.

With the simplified sharpening strategy, the most frequently employed clock positions are

A “dull “ cutting edge 1. May contribute to patient discomfort 2. May contribute to operator fatigue 3. May contribute to effective treatment