Case K: Johnnie Johnson
Because alcohol use can affect oral conditions and impact oral hygiene treatmetn, this patient's health history should be followed up with each of the following questions EXCEPT one. WHich one is the EXCEPTION?
"What types of alcohol do you consume?"
The radiolucency observed at the apex of the mandibular left lateral incisor (arrow) is most likely
A periapical abscess
From the following list select the three teeth that do NOT exhibit caries at the initial appointment.
A. Maxillary right canine F. Maxillary left canine H. Mandibular left central incisor
Each of the following is a potential barrier to care planning for this patient EXCEPT one. Which one is the EXCEPTION?
Aerosols and allergens present in the facility
Which of the following contributes to this patient's increased risk for oral cancer?
Alcohol use and smoking
Which of the following possible medical emergencies should be considered when treating this patient?
Alcohol withdrawal syndrome
The deeper red tissue on the facial aspect of the mandibular anterior region (arrow) is called
Alveolar mucosa
A nonalcohol preprocedural rinse is indicated because of this patient's alcohol use pattern
Both the statement and reason are true and related
Which of the following self-care agents would be the best recommendation for this patient?
Colgate Gel-Kam (stannous fluoride)
This patient exhibits each of the following that may indicate heavy alcohol use and alcohol withdrawal syndrome EXCEPT one. Which one is the EXCEPTION?
Craving for antacids
Which of the following should be recommended for this patient?
Fluoride varnish
WHich of the following can be added to this patient's diet to address his vitamin deficiency related to his burning tongue symptom?
Folate supplements
The reddening of the tip of this patient's tongue and the burning sensation is most likely the result of
Folic acid deficiency
What dental material was used to treat the caries observed in this patient's anterior teeth following restorative treatment?
Multipuropose composite
The small diffuse red dots on this patient's palate are indicative of
Nicotine stomatitis
When scaling the maxillary left posterior buccal aspects, the dental hygienist should refrain from fulcruming
On the maxillary left incisors
Following the preliminary phase of periodontal procedure sequencing where periapical emergencies are treated, this patient will enter which of the following treatment phases?
Phase I Nonsurgical Initial Therapy
Which of the following should be this patient's first referral?
Physician
Which of the following is the most likely reason this patient has difficulty keeping his scheduled dental hygiene appointments?
Preoccupation with drinking
If stains are present on this patient's new anterior restorations at the next maintenance appointment, they can be removed with a(n)
Rubber cup and polishing paste for composite material
Painless, benign, bilateral parotid swellings frequently accompany chronic alcohol use.
The first statement is true, the second statement is false.
Which of the following is the most likely reason this patient did not have his anterior teeth restored with porcelain veneer crowns or full porcelain-fused-to-metal crowns?
The patient was willing to forego the best dental treatment (crowns) to use his financial resources on some other non dental needs
Although the patient has arrived for his dental appointment smelling of alcohol, his speech is not slurred and his gait is steady. The dental hygienist has chosen to continue with nonsurgical periodontal debridement treatment procedures. What is the basis for this decision?
This patient has decision-making capacity
Which of the following should NOT be recommended for this patient?
Tooth-whitening procedures
Which of the following is the leading cause of this patient's multiple carious lesions?
Xerostomia
