Assessment
Define auscultation
An extraoral and intraoral clinical assessment skill that involves listening to and detecting sounds to determine atypical or abnormal findings
Define a mucogingival defect.
When the attached gingiva is no longer intact
What is the first step in developing a care plan?
Determine goals based upon patient's needs
The nabors probe is used to measure
Furcation involvement
Can you identify each classification?
Identify the type of stain
Tetracycline
Name 3 reasons for a medical consult
HBa1c above 8
INR over 3
HBP
Knee replacement
Recent MI
A patient presents with a pocket of 9mm. The pesudopocket measurement from the CEJ to the gingival margin is 3mm. What is the clinical attachment loss?
6mms
What items should be listed at every Dental Hygiene appointment?
Start check, Review Med Hx, Oral hygiene Instructions (Preventive Counseling)
Explain indications and contraindications to using the explorer
Indication: Detect calculus, restorations, overhangs
Contraindication: Penetrating a carious lesion
Define a bacteremia
Rotation of the rubber cup can force microorganisms into the tissues and the bacteria may get into the blood stream
What are risk factors for oral cancer?
Where is the most common location?
Increased age, male gender, sunlight, tobacco and alcohol use
Tongue
A patient presents with 6mm pocketing and 2mm of recession. What is the clinical attachment loss?
8mms
At a re-evaluation appointment, the clinician should expect to see a __ mm periodontal pocket reduction in sites initially greater than 7mm.
2mms
Explain the design characteristics of the area specifics
Rounded back and can be used supragingivally and subgingivally
What is the PPM of fluoride varnish?
22,600 ppm
What is the first line of rescue for a hypoglycemic emergency when the patient is conscious?
Administer sugar
Define and differentiate scaling, scaling and root planning, and a re-eval
Scaling: instrumentation of the crown and root to remove oral biofilm, calculus, and stain for a patient with healthy gingiva or gingivitis and is purely preventive in nature
Scaling and root planning: Scaling on the root surface.
Re-eval: the therapeutic endpoint of care and aims to restore the gingival condition to health, reduction in pocketing, and a gain in stable clinical attachment level and is completed in a 4-6 week window after treatment.
What are some direct etiologies of periodontal disease and caries?
Host immune response and Plaque
Susceptible tooth
Which ultrasonic instruments would be the MOST ideal for adaptation along furcation areas and pockets deeper than 4mm?
Curved
Identify the type of stain
Tobacco stain
What is the protocol for a patient who presents with Herpes Labialis?
A dental hygienist should postpone an appointment with the patient and explain possible transmission to other patients and clinicians (due to being contagious).
Name 3 periodontal pathogens associated with periodontal disease
Porhphyromonas gingivalis
Prevotella intermedia
Tannerella Forsynthia
Aggregatibacter actinomycetecomitans
Treponema Denticlola
Name 3 modifiable and non-modifiable risk factors
Modifiable: plaque, smoking, stress
Non: genetics, pregnancy, age
What degree of angulation should be used for calculus removal with a Universal Curet?
What is the relationship of the face to the lower shank for an area-specific curet?
60-80 degrees
70 degrees
What is the current recommendation for optimal concentration of water fluoridation?
0.7 ppm