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 would not be an accurate component of charting the occlusion for this patient (note that the patient is missing two anterior incisors)?

Your patient had a kidney transplant 6 months ago and is taking cyclosporin and another immunosuppressive medication to prevent rejection of the new kidney. This is their first appointment since the transplant and they are presenting for a prophy and exam.  They indicate that they have been experiencing some changes in their mouth and want to you to evaluate them.  One is a cluster of vesicles on their lip that they say has been there for 4 days and is starting to heal and another is an enlargement of their gingival tissue, both related to their medication use. Use this information to answer the following questions. QUESTION: Which of the following is an inaccurate statement regarding gingival overgrowth?

Your new patient is a 20 year old college student who is slightly overdue for his 6 month recall. He had radiographs transferred that included a set of bitewings and panoramic taken 8 months ago. He does not report any health issues and only takes a multivitamin, no medications.  He reports alcohol use 4-5 times per week, smoking marijuana 2 times weekly, occasional smokeless tobacco use and using e-cigarettes for vaping daily. His vitals today are 110/72, pulse 74, respirations 16.  The risk assessments indicate a moderate risk for perio, caries and nutrition.  You have some findings on the head and neck exam to discuss with the faculty and the periodontal findings indicate 4mm probe depths posterior proximals and recession where he uses the smokeless tobacco. QUESTION: He asks if the staining on his anteriors will come off with the cleaning today?  You can see that they are on the surface, likely related to his tobacco use.

Your new patient is a 20 year old college student who is slightly overdue for his 6 month recall. He had radiographs transferred that included a set of bitewings and panoramic taken 8 months ago. He does not report any health issues and only takes a multivitamin, no medications.  He reports alcohol use 4-5 times per week, smoking marijuana 2 times weekly, occasional smokeless tobacco use and using e-cigarettes for vaping daily. His vitals today are 110/72, pulse 74, respirations 16.  The risk assessments indicate a moderate risk for perio, caries and nutrition.  You have some findings on the head and neck exam to discuss with the faculty and the periodontal findings indicate 4mm probe depths posterior proximals and recession where he uses the smokeless tobacco. QUESTION: This patient is an acquaintance from home and you are concerned about the alcohol and tobacco use, it is fine to tell his parents this information.

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 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?