You are reviewing your clinic book to prepare for spring semester clinic.  Use the information that you have learned through these resources and your time in clinic to answer the following questions. QUESTION: You are finished with your periodontal therapy for the patient and now need to transfer the patient to a dental student. Where in the progress notes do you write that the patient needs to be scheduled with a dental student to complete restorations?

Your new patient is a 55 year old male. He has a medical history of hypertension, prostate cancer and has bipolar disorder. At today’s visit, his blood pressure is 152/90, has a pulse of 103, and respiratory of 20.  During the intraoral portion of the head and neck exam, it is noted that there are bilateral white lines across the occlusal plane of the buccal mucosa. The patient reports that he tends to bite on his cheeks during work. During the appointment a full periodontal charting is completed. You notice that there is occlusal and incisal wear in which the teeth look flatter than they should. There are also generalized probe depths of 2-5mm with localized recession, mostly in the posterior region, with some generalized inflammation.Use this information to answer the following questions. QUESTION: What type of restorations are visible on the posterior teeth to chart?

Soils frequently contain large amounts of both iron and aluminum, and the solubility of common solid phases (oxides, hydroxyoxides) of both element vary strongly.  Despite these similarities, “the chemistry of — and concerns about — acid soils is said to be essentially the chemistry of Al”, not Al and Fe; why?

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: Which statement best describes when to chart missing teeth and restorations on the odontogram?

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:  Which of the following should be asked regarding her current HIV status to determine if you can safely treat her today?  

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: Based on their occlusion in this photo, what irregularity may be contributing to the anterior mobility?

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: This patient’s blood pressure can be best described as what?  

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?  

You are reviewing your clinic book to prepare for spring semester clinic.  Use the information that you have learned through these resources and your time in clinic to answer the following questions. QUESTION: When is the Dental Hygiene Care Plan created?

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, especially on the distals of her 2nd molars. Use this information to answer the following questions. QUESTION: All of the following could impact her high pulse rate, except: