Your 56 year old female patient presents for her 6 month recall appointment. Her medical history indicates a history of anxiety, depression and hypothyroidism. Her vitals today are blood pressure of 154/92, heart rate of 72, and 20 respirations and she expresses a lot of anxiety about the possibility of contracting illnesses when being in a patient care environment.  When conducting the head and neck exam, you note generalized lentigines, and severe acne. When inspecting her dentition, you note generalized restorations in the posterior, and notice facial notching on the anteriors from clenching and grinding. QUESTION:  How could you accurately answer the patient about how a cubicle is disinfected?

You have a 57-year-old female patient report for her Periodontal Maintenance appointment. She was running a few minutes behind schedule and missed her bus to get to your appointment, so she had to walk to the clinic. When you take her blood pressure, it reads 139/99. Her pulse is 95 BPM, and her respiratory rate is 22. After reviewing the patient’s medical history, she reports no new ER visits or hospital stays, but she is still having issues with her stent that was placed in 2019 from a previous heart attack, and is still taking the depressant drug, Valium for her generalized anxiety. During the dental history portion, you find out this patient has a 7/10 fear of the dentist due to past trauma. During assessments, you determine this patient is at high risk for caries. This patient has a lot of radiographic calculus subgingivally on the distals of her 2nd molars. Use this information to answer the following questions. QUESTION: Which instrument could be used to remove the subgingival calculus noted in the case?

Evaluate the limit.limx→-∞ 10x+33×2+1

Your new patient has a lot of restorations to chart and is also missing several teeth, so you use your visual clinical evaluation as well as the radiographs to determine all of the appropriate findings to chart. Use the following photographs and radiographs to help you answer the questions for this patient. QUESTION: What classification of composite is on the mesial of #9?

Your new patient has a lot of restorations to chart and is also missing several teeth, so you use your visual clinical evaluation to determine all of the appropriate findings to chart. Use the following photographs to help you answer the questions for this patient. QUESTION: What is wrong with the composites on #9 D and #10 F?  

Your new patient is a 38-year-old woman whose health history shows that she is asthmatic, HIV positive, smokes hookah socially (between 1 and 3 days a week), has high blood pressure, and reports that all of her conditions are controlled with medications. She lists 5 medications that she takes that you look up to match with her conditions. Her last dental visit was approximately two years ago to have a tooth removed on an emergency basis, and she says she remembers them taking X-rays at that appointment. Her vitals today are BP 129/70, Pulse 54, Respiration 20. Use this information to answer the following questions. QUESTION: What infection control modifications are used for this patient?

Your new patient has a lot of restorations to chart and is also missing several teeth, so you use your visual clinical evaluation to determine all of the appropriate findings to chart. Use the following photographs to help you answer the questions for this patient. QUESTION: Which would NOT be a restorative option to discuss with the patient to fill the space?

Your new patient is a 38-year-old woman whose health history shows that she is asthmatic, HIV positive, smokes hookah socially (between 1 and 3 days a week), has high blood pressure, and reports that all of her conditions are controlled with medications. She lists 5 medications that she takes that you look up to match with her conditions. Her last dental visit was approximately two years ago to have a tooth removed on an emergency basis, and she says she remembers them taking X-rays at that appointment. Her vitals today are BP 129/70, Pulse 54, Respiration 20. Use this information to answer the following questions. QUESTION: What is the terminology that describes her pulse rate and is this a concern?  

Kyle is a transgender patient who prefers male pronouns. He presents to the office for his 3-month recall appointment. His health history is unchanged with a history of current renal (kidney) disease that he has been dialysis treatment for since earlier this year and a history of breast cancer, in remission since 2018.  His dental history includes dry mouth and full-mouth Scaling and Root Planing (SRP) in 2014. Today’s periodontal charting is largely unchanged to compared to past visits, his periodontal condition is stable with very little bleeding and generalized 4mm pocketing in the posterior sextants. When visiting family out of state last month he broke a tooth and had an emergency root canal at a local office. Use this information to answer the following questions. QUESTION: What is the most appropriate explanation for the coronal polishing when the patient ask why it is done?  

Your first patient in the spring has hypothroid and hypertension, both controlled with medications.  The vitals for today are 114/64, 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 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)?