Your first patient in the spring has hypothyroid and hypertension, controlled with levothyroxine and lisinopril.  The vitals for today are 142/84, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession on premolars and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: Based on their occlusion in this photo, what irregularity may be contributing to the anterior mobility?

Your first patient in the spring has hypothyroid and hypertension, controlled with levothyroxine and lisinopril.  The vitals for today are 142/84, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession on premolars and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: What would you note for these two sores on the labial mucosa and vestibule (whitish/yellow with red ring)?  

Your first patient in the spring has hypothyroid and hypertension, controlled with levothyroxine and lisinopril.  The vitals for today are 142/84, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession on premolars and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: When your faculty watches your probing technique, which would be inaccurate? 

Your first patient in the spring has hypothyroid and hypertension, controlled with levothyroxine and lisinopril.  The vitals for today are 142/84, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession on premolars and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: Which three permanent teeth will mark as “missing” in the odontogram? 

Your patient hasn’t been to the dentist in 5 years and has 3-6mm probe depths and a localized 8mm probe depth at an implant. There is generalized calculus and 3 implants, one with significant bone loss. The dental hygiene diagnosis is moderate periodontal disease,  ADA III with a .3 level of calculus. Through a periodontal consult with the periodontist at the first appointment the patient is treatment planned to have 4 quadrants of scaling and root planing and a consultation in the graduate periodontal clinic regarding the implant.  You and a senior student are paired to complete the last appointment of SPR treatment today, you are each completing one quadrant.  The senior student checks out a variety of ultrasonic inserts and instruments and you are helping to set up.  Use this information to answer the following questions. QUESTION: Which part of the dental hygiene process of care is the focus for this SRP appointment?

Your first patient in the spring has hypothyroid and hypertension, controlled with levothyroxine and lisinopril.  The vitals for today are 142/84, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession on premolars and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: Based on their occlusion in this photo, what irregularity may be contributing to the anterior mobility?

Your first patient in the spring has hypothyroid and hypertension, controlled with levothyroxine and lisinopril.  The vitals for today are 142/84, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession on premolars and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: Which is incorrect technique when scaling with the H5/33? 

Your first patient in the spring has hypothyroid and hypertension, controlled with levothyroxine and lisinopril.  The vitals for today are 142/84, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession on premolars and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: What would you note for these two sores on the labial mucosa and vestibule (whitish/yellow with red ring)?  

Your first patient in the spring has hypothyroid and hypertension, controlled with levothyroxine and lisinopril.  The vitals for today are 142/84, pulse 80 and respirations 14.  They haven’t had a dental appointment in a year and had bitewings taken then.  Your head and neck findings indicate a few abnormalities to chart and their periodontal assessments indicates that they have localized recession on premolars and generalized 1-3mm probe depths.  They indicate that they clench at night and you find that some of the anterior teeth move less than 1mm when you test mobility using 2 blunt ends of instruments. Since they are low risk for caries and have no dental concerns, you determine that they do not need new radiographs. Use this information to answer the following questions. QUESTION: When your faculty watches your probing technique, which would be inaccurate? 

Your patient had a kidney transplant 6 months ago and is taking cyclosporin and another immunosuppressive medication to prevent rejection of the new kidney. This is their first appointment since the transplant and they are presenting for a prophy and exam.  They indicate that they have been experiencing some changes in their mouth and want to you to evaluate them.  One is a cluster of vesicles on their lip that they say has been there for 4 days and is starting to heal and another is an enlargement of their gingival tissue, both related to their medication use. Use this information to answer the following questions. QUESTION: What would you expect to find when probing the proximal surfaces?