Perio Patient Case 1
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What is the classification of restoration for the maxillary left lateral incisor?
a. Class I
b. Class III
c. Class IV
d. Class V
e. Class VI
Which of the following abutment teeth support the removable partial denture rest?
a. Max 1st molars
b. Max anterior teeth
c. Mand LF first premolar and first molar
d. Max 2nd premolars
Which is NOT a risk factor for root caries for this patient?
a. Prosthetic devises
b. Medications
c. Recession
d. Microbial Biofilm
e. Fluoride history
What is the most likely assessment of the appearance of the patient’s palate?
a. Frictional hyperkeratosis
b. Denture-induced fibrous hyperplasia
c. Denture stomatitis
d. Papillary hyperplasia
e. Squamous cell carcinoma
In addition to the composite restoration, which of the following dental materials is present on
the maxillary right second premolar?
a. Post and core
b. Retention pins
c. Silver points
d. Gutta percha
The large radiopaque artifact on the maxillary left lateral-canine periapical radiograph and
identified by the arrow is
a. Cone cut error
b. An image of the partial denture clasp
c. An amalgam tattoo
d. An image of the film holding devise
Which of the following teeth presents with a composite restoration?
a. Max RT 1st premolar
b. Max LF 1st premolar
c. Max LF 2nd premolar
d. Mand LF 1st premolar
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e. Mand RT 2nd premolar
The round radiolucency visible near the apex of the mand LF 1st premolar is interpreted as
a. Mental foramen
b. Residual cyst
c. Periapical abscess
d. Granuloma
The distal aspect of the mand RT 1st molar reveals what periodontal condition?
a. Periodontal abscess
b. Vertical bone loss
c. Furcation involvement
d. Horizontal bone loss
Each of the following dental hygiene interventions will prevent the escalation of a medical
emergency EXCEPT one.
a. Resume upright chair position slowly after treatment
b. Set an ammonia capsule within easy reach during treatment
c. Provide prophylactic antibiotic premedication
d. Request patient bring nitroglycerine to appointment
e. Develop patient rapport that conveys warmth and empathy
Each of the following should be planned for this patients periodontal maintenance
appointments EXCEPT one.
a. Deplaquing and removing calculus from affected teeth
b. Scaling the exposed root surfaces
c. Using subgingival instrumentation to disrupt Biofilm
d. Reprobing the entire dentition
e. Evaluating and reinforcing oral self-care
Each of the following may be a contributing factor to this patient’s dental anxiety EXCEPT one.
a. Medications taken
b. Past dental experiences
c. Desire to appear in control
d. Fear of pain
e. Blood pressure
Which of the following options for pain control during instrumentation for the patient has the
potential to compromise use of her medications?
a. Oral conscious sedation (diazepam)
b. Inhalation sedation (nitrous oxide)
c. Topical benzocaine (hurricaine)
d. Noninjectable anesthetic gel (Oraquix)
e. Injection mepivacaine (Mepivacaine 3%)
Each of the following is a risk or contributing factor for periodontal disease for this patent
EXCEPT one.
a. Tetracycline allergy
b. Estrogen therapy
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c. Contour of restorations
d. Age
e. Stress
The maxillary right canine has 4mm of recession on the facial surface. What would be the
clinical attachment loss for this tooth?
a. 3mm
b. 4mm
c. 5mm
d. 6mm
e. 7mm
Which of the following teeth is most at risk for mucogingival involvement?
a. Max RT 1st premolar
b. Max RT lateral incisor
c. Max LF 2nd premolar
d. Mand LF 1st molar
e. Mand RT lateral incisor
Based on the reassessment data at the 6-wk reevaluation appt, which of the following teeth
would be an ideal candidate for local drug delivery therapy?
a. Max RT 2nd molar
b. Max LF 2nd premolar
c. Mand LF 1st molar
d. Mand LF 1st premolar
e. Mand RT 1st molar
Which of the following locally applied therapeutic agents would be most appropriate for this
patient?
a. Arestin (1mg minocycline hydrochloride)
b. Atridox (10% doxycycline hyclate)
c. PreioChip (2.5mg CHX)
d. Actisite (25% tetracycline)
Each of the following is a reason to recommend home fluoride use for this patient EXCEPT which
one?
a. Fluoride therapy
b. Areas of demineralization
c. Root exposures
d. Salivary flow factors
e. Multiple restorations
Which of the following fluoride recommendations would provide this patient with the best
therapy?
a. Use of 1ppm fluoridated water
b. Daily 520ppm fluoride rinse
c. Weekly 900ppm fluoride rinse
d. Brush-on 1,000-1,500ppm fluoride gel
21. Which of the following chemical agents would be the most appropriate to recommended for athome therapy to help alleviate the sensitivity of this patient’s teeth?
a. Bonding agent
b. Potassium nitrate
c. Sodium fluoride
d. Ferric oxylate
e. Potassium oxylate
22. Because of the patient’s condition in the mand anterior region, which of the following would be
the most effective supportive therapy to lessen tooth mobility?
a. Fabrication of a night guard
b. Biofeedback to reduce parafunctional habits
c. Therapeutic massage of tense muscles
d. Splinting teeth for stabilization
23. To assist with pain control, the dental hygienist who tells the patient he/she will not instrument
the sensitive teeth may violate the ethical principle of
a. Autonomy
b. Beneficence
c. Nonmaleficence
d. Justice
e. Fidelity
24. Which of the following should be established as a priority when developing the dental hygiene
care plan for this patient?
a. Controlling blood pressure
b. Reducing tooth sensitivity
c. Eliminating nocturnal bruxing
d. Providing a new soft toothbrush
e. Obtaining vertical bitewing films
25. This patient’s anxiety may be managed by
a. Allowing the patient to stop the instrumentation process at any time
b. Introducing relaxation techniques such as deep breathing
c. Consulting with the dentist to prescribe an anti-anxiety premedication
d. Providing the patient with headphones to listen to music during treatment
e. Correctly and carefully adapting instrumentation
ANSWERS
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A
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E
C
B
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D
E
A
B
C
B
E
D
A
D
E
E
C
A
D
B
A
C
B
C