Case #2 – Your patient is a 21-year-old male presenting for an appointment 16 months after his last appointment. He has no significant findings on his health history. He has sealants on all of his first molars and a veneer on tooth #9. There is a grayish ‘shadow’ to the occlusal surface of #31 and obvious cavitation to the occlusal of #18. You note generalized heavy biofilm deposits, especially at the cervical margin of the maxillary anterior teeth.Question: What would be the preferred brushing method for you to recommend to help this patient?

What gingival condition is depicted here? ex 2 pd1.PNG

Case Study #1: Your patient is a 49-year-old female and is new to your practice. She reports a mitral valve prolapse, high blood pressure, and a history of cervical cancer which was treated with surgery about 10 years ago. She takes metoprolol to manage her blood pressure. She has three composite restorations on anterior teeth and two amalgam restorations on posterior teeth. Exploration with the EXD 11/12 reveals small spicules of calculus on most teeth beneath the gingival margin. She has generalized slight and localized moderate bone loss visible on radiographs. Marginal gingiva is red and inflamed with slight biofilm present along cervical and proximal surfaces.Question: While exploring for calculus, you detect a slight depression between the roots of the lower right first molar. The radiographs show no bone loss. What are you most likely detecting?

The first step in carious lesion formation occurs when acid products pass through micropores of enamel and produce, initially:

Which type of floss has only one single strand / filament?

All of the following oral conditions EXCEPT one are contraindications for use of an ultrasonic scaler.  Patients with which one of the following conditions CAN be treated using an ultrasonic scaler?

When probing the proximal (e.g. mesial or distal) sulcus from the buccal aspect of a molar, the probe should be:  ex 2 contact fin(1).PNG (The picture may be a helpful aid but is not necessary to answer the question)

Case #2 – Your patient is a 21-year-old male presenting for an appointment 16 months after his last appointment. He has no significant findings on his health history. He has sealants on all of his first molars and a veneer on tooth #9. There is a grayish ‘shadow’ to the occlusal surface of #31 and obvious cavitation to the occlusal of #18. You note generalized heavy biofilm deposits, especially at the cervical margin of the maxillary anterior teeth.Question: After the biofilm is removed, you dry the teeth and notice a dull, chalky white appearance to the enamel that was underneath the biofilm. What is your assessment?

Choose ALL that apply. Which of the following information is to be recorded on a periodontal assessment?

Which primary tooth shows the greatest level of involvement (is the most advanced) in the caries progression process? exam 2 pix ecc code.png