dh6 case studies

case study c

8 years old

adhd

no history of dental care

mouth breather

normal vitals

Dextroamphetamine and amphetamine is AKA

Addreall

this child has what type of caries and why

CHRONIC caries because he has had this condition for a long amount of time

Early CC is in children near the age of 3 years old

The yellow spots observed on the occlusal surfaces of the primary maxillary right canine, first molar, and left canine are most likely

dentin due to BRUXING

Which of the following terms best describes the stains observed on the facial surfaces

of the mandibular anterior teeth?

extrinsic and exogenous

it is plaque and food staining

Which of the following is an oral adverse effect of this patient's medication?

xerostomia

Addreall side effects

DRY MOUTH, nausea, loss of appetite, headache

what class of drug is addreall

stimulant

what are the brown stains on the films

These stains are the result of overlapped films that prevented chemicals and rinse water from reaching this area. Upon careful examination an outline can be observed that represents the outline of the edge of the overlapping film.

Which of the following is the most likely reason for the wide appearance of the pulp chambers of the permanent maxillary central incisors?

Lack of formation of secondary dentin

newly erupted teeth are formed of primary dentin. As the tooth comes in contact with teeth in the opposing arch, secondary dentin begins to form and continues throughout life. As secondary dentin continues to form, the pulp chambers and root canals of these teeth will gradually appear smaller and narrower.

Following examination of the oral pharyngeal area, which of these would be contraindicated for this patient?

Conscious sedation with nitrous oxide since he has a narrow oropharygenal area

patients on adderall should have what moniotered

vital signs

Which of these actions is least likely to motivate this patient to better oral self-care?

Comprehensively explain the causes of caries and what the patient can do to help prevent his adult teeth from ending up in the same condition as his decayed primary teeth.

Which of the following home-use fluorides should be recommended for this patient?

Tray application of 0.5% APF once daily

Custom or disposable tray application of prescription strength 0.5% APF once daily is recommended for this patient with rampant caries and reduced salivary flow.

Which of the following is the ALARA exposure setting for this patient's radiographs? *******

A reduction by one-half of the exposure setting used for adult radiographs

case E

56 year old male

african american

trying to quit smoking

pre-hypertension

139/89 (stage I)

class I mobility throughout

Which of the following is the best assessment of this patient's anterior occlusal relationship? LOOK AT THE STUDY MODEL!!!!!!

overjet

Which of the following is the most likely interpretation of the radiopaque finding between the roots of the maxillary right first molar (arrow)?

calculus which is the same color as dentin

if it was an enamel pearl it will be the same color as enamel

8. Which of the following would most likely be planned for this patient's first appointment?

instruction on oral self care

To help the patient meet his goals of improving oral health and to encourage success of nonsurgical periodontal intervention, the first step must be patient education in the disease process and explicit instruction in oral self-care. Before any therapeutic intervention, instruction in oral self-assessment and discussion of the relationship between preventive measures and periodontal disease must occur.

Which of the following may be a contributing etiologic factor to the periodontal defect present on the mesial surface of the ***maxillary left first premolar?***

Tooth root morphology

Which of the following chemotherapeutic rinses would be the best recommendation for this patient to use following his initial appointment until he returns for the six- week reevaluation appointment?

Chlorhexidine gluconate (Peridex®)

what is bupropion hydrochloride (Zyban ®)—antidepressant used for in this patient

aid for anti smoking

20. Based on the oral conditions and patient self-care knowledge and effectiveness assessed at the initial appointment, and on the probing depths at the reevaluation appointment, when should this patient's next periodontal maintenance appointment be scheduled?

1 month

case H

66 year old female

142/94

stage II hypertension

congestive heart failure

previous heart attack

smokes a pack a day

loose maxillary denture

Hep C

chronic bronchitis (COPD)

atenolol (Tenormin)—β1 adrenergic blocker

digoxin (Lanoxin ®)—cardiac glycoside

enalapril (Vasotec®)—angiotensin-converting enzyme (ACE) inhibitor

fluticasone/salmeterol (Advair Diskus ®)—corticosteroid inhalant combination

furosemide (Lasix ®)—diuretic

multivitamin (Stresstabs ®High Potency Advanced)—over-the-counter dietary supplement

Which of the following interdental devices should NOT be recommended for this patient?

Saline irrigation

most patients with previous heart attack/congestive heart failure are on a sodium restricted diet

This patient is at increased risk for each of the following EXCEPT one. Which one is the EXCEPTION?

Nicotine stomatitis

the denture would protect from this

The bone loss associated with a suprabony pocket is usually horizontal and coronal to the alveolar crest.

Although a power-driven scaler would be the first choice for removing heavy calculus, this patient's history of cardiovascular disease coupled with chronic obstructive pulmonary disease contraindicate the use of an ultrasonic scaler. To remove the heavy calculus deposits located in this region, the anterior sickle scaler would be the best hand instrument choice from this list.

Clinically and radiographically, the mandibular right central incisor presents with the greatest loss of attachment and bone resorption

Five A's approach to smoking cessation include ask, advise, assess, assist, and arrange

To prevent stain accumulation on her new denture, which of the following home care regimens should be recommended?

Brush daily with dentifrice using a denture brush.

what is furosemide (Lasix ®)—diuretic used for in this patient

It can treat fluid retention (edema) and swelling caused by congestive heart failure, liver disease, kidney disease, and other medical conditions.

case K

38 year old

male

normal BP, HIGH P AND R

stomach problems

no fluoride

smokes

moderate xerostomia

OTC

calcium carbonate, magnesium hydroxide (Mylanta ®) —gastrointestinal agent/antacid

famotidine (Pepcid ®)—histamine H2 antagonist

ibuprofen (Advil ®)—analgesic/nonsteroidal anti-inflammatory drug

magnesium hydroxide, aluminum hydroxide, simethicone (Maalox ®)—gastrointestinal agent/antacid

Painless, benign, bilateral parotid swellings frequently accompany chronic alcohol use.

Reduced salivary output has allowed this patient's dental caries to spread between adjacent teeth.

The first statement is true, the second statement is false.

Which of the following is the leading cause of this patient's multiple carious lesions?

Xerostomia

Saliva contains peroxidases, lysozymes, and specific antibodies that have anti- cariogenic properties. A deficiency of saliva allows for the overgrowth of bacteria that leads to caries development.

Which of the following self-care agents would be the best recommendation for this patient?

Colgate Gel-Kam® (stannous fluoride)

brush on