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?

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?

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 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:

Your patient hasn’t been to the dentist in 5 years and has 3-6mm probe 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: What insert and power level should be used first for this patient?

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 modification may be needed if the patient is having difficulty controlling her asthma this week?

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: Where should you look up each of her medications to find the reason for taking them and any dental considerations?

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 indicates that the crowns on the patient’s right maxillary sextant are not metallic?

Your patient presents for a prophy today after being away from the dental office for over five years. After updating the medical history, you add that the patient has been diagnosed with type II diabetes mellitus and went to the hospital four months ago for a broken wrist after falling, and has developed an allergy to penicillin. They had an artificial heart valve placed in 2020, and they report taking taking Warfarin, Metformin and a multivitamin daily. Upon completing the risk assessments and periodontal charting, you note that they are at high risk for caries and periodontal disease and have generalized 3-6mm and localized 7 and 8mm probe depths with generalized recession. Based off of this information, answer the following questions. QUESTION: Using the findings of your assessments to determine if the patient has periodontal disease is what component of the Dental Hygiene Process of Care?

You are working with a dental faculty to complete an initial appointment on a new patient during an NPE appointment. Since the patient had radiographs transferred, you had time after completing the head and neck exam to do a periodontal evaluation and record a PSR score. After completing this evaluation you enter these scores into the PSR chart and discuss your findings with your faculty member. Use this information to answer the following questions. QUESTION: Which of the following conditions would not be indicated by an asterisk?