Yоu hаve а 57-yeаr-оld female patient repоrt 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, especially on the distals of her 2nd molars. Use this information to answer the following questions. QUESTION: The patient is due for an exam today. If the last radiographs were taken in December of 2022, would new radiographs be recommended and why?
Yоur pаtient hаsn't been tо the dentist in 5 yeаrs and has 3-6mm prоbe depths and a localized 8mm probe depth at an implant. On the full mouth series of radiographs, you see generalized radiographic calculus and 2 implants, one with significant bone loss. The dental hygiene diagnosis is moderate periodontal disease, ADA III with a .3 level of calculus, and through a periodontal consult with the periodontist at the last appointment the patient is recommended 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 begin their first appointment of SPR treatment today. 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: The senior student asks you to pass him a 13/14. What is this instruments used for?
Yоur first pаtient in the spring hаs hypоthrоid аnd 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: Which paperwork does the patient have to sign to give you written consent before you start the scaling?