CASE STUDY  (QUESTIONS #15- #18 APPLY TO THE CASE STUDY) Emily Smith is a healthy 37-year-old female who is a sales representative and travels 3 weeks out of every month.  She takes a multi-vitamin and oral contraceptive daily, and high blood pressure runs in her family.  Emily drinks one to two glasses of wine 5 days a week, drinks coffee every morning and drinks green tea throughout the day.  It has been two years since her last physical with a medical doctor.   The vital signs taken at her dental visit today are: blood pressure 145/95, pulse 70, respirations 12.  Emily is unhappy with the appearance of her teeth.  She presents with light-moderate stain on her maxillary and mandibular anterior teeth on both the facial and lingual surfaces.  She is also concerned about the dark shadows surrounding the amalgams on teeth #29 and #30. Hand instruments or an ultrasonic device should be used first to remove stains from the maxillary and mandibular anterior teeth.  Air polishing is a technique that can be used to remove the shadows surrounding #29 and #30.

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

Air polishing is indicated for which of the following?

Establish a 70 to 80 degree angulation to the tooth during stroke activation with a universal curet. This is achieved by tilting the lower shank slightly toward the tooth.

Patients wearing glasses should not remove them prior to air polishing treatment.

Treatment Planning   (This question is worth a maximum of 13 points): To answer the question below, you will utilize the Front Side of the Treatment Plan Form provided for you. Be sure to fill out the entire front side. Once you complete the exam, turn this form in to Mrs. Lake  Please utilize the Treatment Plan Form to formulate a complete Dental Hygiene Care Treatment Plan for Devan Sacks.  You are to complete the Treatment Plan as well as possible with the knowledge and clinical skills that you have to date. Be sure to complete all appropriate sections on the Treatment Plan Form Start with Appt #1 as a NEW PATIENT with the appointment to include assessments necessary List the number of appointments you feel will be necessary to complete her treatment Do not forget to recommend any other evaluations you feel might benefit the patient (eg. Sealants, xrays, proposed recommended recall interval) 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. Devan also admits to eating a lot of candy and snacks when away from home and presents with five new decayed areas since her last visit.  She has a knowledge deficit regarding biofilm, periodontal disease process, and personal oral health status.  

Patients on a sodium restricted diet should not use air polishing powder containing sodium bicarbonate.  An alternate powder for a patient on sodium restriction would be one made from aluminum trihydroxide.  

Check at least two answers that apply: (the instructor will review after the exam) The Beaver Tail Tip is used for…

In life insurance, what is the function of the beneficiary?

Which of the following is NOT protected under Title VII of the Civil Rights Act?