Mr. Pothier, 65 years old, presents with localized 6mm periodontal probing
depths. Calculus can be seen interproximally in the same areas on a
radiograph. The client terminated his previous dental hygiene appointment
early due to sensitivity. Which one of the following interventions would best
contribute to effective periodontal debridement for Mr. Pothier?
A. Local anaesthetic
B. Ultrasonic scaler
C. Hand instruments
D. Relaxation techniques Answer - A
Lara, 14 years old, presents for her continuing care appointment with signs of
an eating disorder, but has not indicated this in her health history. What action
should the dental hygienist take?
A. Confront her with the suspected condition
B. Ask her if she has sought medical help for her condition
C. Discuss the signs of her condition with her parents
D. Share with her the findings that are consistent with her condition Answer -
D
Mrs. Meltzer, 72 years old, presents for periodontal therapy. She is scheduled
for chemotherapy for breast cancer in 4 weeks. The dental hygienist will need
several appointments to complete the dental hygiene therapy. In addition to
treating the current periodontal condition, what action should the dental
hygienist take when developing the dental hygiene care plan?
A. Reassure Mrs. Meltzer that oral manifestations are rare with chemotherapy
and recommend she continue her current oral self-care regime.
, B. Provide information on the oral manifestations that may occur during
chemotherapy and develop specific preventive strategies with Mrs. Meltzer.
C. Explain to Mrs. Meltzer that oral self-care practices will help prevent the oral
manifestations associated with chemotherapy.
D. Refer Mrs. Meltzer to a periodontist for further treatment and recommend
use of an oral irrigator. Answer - B
The dental hygienist sees Ms. Ouellet, 34 years old, for her 6-mont continuing
care appointment. It is the first time Ms. Ouellet has been seen by the dental
hygienist because another colleague has previously provided this treatment.
The dental hygienist finds generalized heavy subgingival calculus 5-6mm
periodontal probing depths. No pocket depths were previously recorded on
Ms. Ouellet's chart. What is the dental hygienist's professional responsibility in
this situation?
A. Report this problem to the dental hygiene regulatory authority.
B. Report this situation, anonymously, to the dental hygiene professional
association.
C. Document the findings and discuss with the other clinician in private.
D. Immediately refer Ms. Ouellet to a periodontist for therapy. Answer - C
Keegan, 16 years old, presents with fractures of the lingual cusps on two teeth,
What is the most likely cause of this type of fracture?
A. Pen chewing.
B. A tongue study.
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