Case 2 - Oral Hygiene and Restorations
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Questions and Answers

What is the patient's frequency of brushing his teeth?

  • Every other day
  • Once a day
  • Twice a week
  • Two or three times a week (correct)
  • What is the state of the patient's gums during the examination?

  • No visible issues
  • Bleeding easily (correct)
  • Swollen but not bleeding
  • Healthy and firm
  • What does the patient's oral hygiene regimen involve on days he does not brush?

  • Using a dental pick
  • Rinsing with water only
  • Using a natural mouthwash
  • Swishing with Scope mouthwash (correct)
  • Which of the following conditions is noted as existing in this patient?

    <p>Periodontal disease</p> Signup and view all the answers

    How are the amalgam restorations to be named from the most distal surface of the last tooth moving mesially?

    <p>Disto-occlusal (DO), mesio-occlusal (MO), and disto-occluso-lingual (DOL)</p> Signup and view all the answers

    What is NOT a part of the patient's oral hygiene routine?

    <p>Flossing</p> Signup and view all the answers

    What type of dental restoration is primarily being placed during the appointment?

    <p>Amalgam restorations</p> Signup and view all the answers

    What is a potential misconception regarding the patient's oral hygiene habits?

    <p>He does not have any oral care routine</p> Signup and view all the answers

    What is the primary purpose of root debridement in dental hygiene care?

    <p>To eliminate pathogens and calculus from root surfaces</p> Signup and view all the answers

    What procedure would NOT typically be included in the dental hygiene care implementation for a patient with gingivitis?

    <p>Fluoride treatment</p> Signup and view all the answers

    What is the appropriate use of radiographs in the context of dental hygiene care?

    <p>To assess bone loss and periodontal disease progression</p> Signup and view all the answers

    Which finishing method is most recommended for new amalgam restorations?

    <p>Combination of finishing burs followed by slurries of pumice and whiting</p> Signup and view all the answers

    Which statement most accurately describes the relationship between calculus presence and periodontal disease?

    <p>Root calculus is a common contributor to periodontal disease</p> Signup and view all the answers

    What does the term 'occlusal stain' refer to in dental assessments?

    <p>Discoloration occurring on the chewing surfaces of teeth</p> Signup and view all the answers

    Which teeth should be monitored more closely for periodontal health?

    <p>The first molars</p> Signup and view all the answers

    What is the main outcome of periodic monitoring of periodontal health in dental assessments?

    <p>Early detection and prevention of periodontal disease</p> Signup and view all the answers

    What is the primary implementation step during the dental hygiene care appointment for this patient?

    <p>Scaling, root debridement, polishing, and evaluation</p> Signup and view all the answers

    Which teeth are primarily being restored in the patient's dental work?

    <p>#2 and #3</p> Signup and view all the answers

    Which finishing method is best for achieving an optimal polish on new amalgams?

    <p>Finishing burs and then slurries of pumice and whiting</p> Signup and view all the answers

    What is considered to be the 'white' material in the dental preparation process?

    <p>Calcium hydroxide liner</p> Signup and view all the answers

    What is the role of root debridement in maintaining dental hygiene?

    <p>Reduction of gum inflammation</p> Signup and view all the answers

    Which teeth would most likely require close periodontal monitoring?

    <p>Mandibular molars</p> Signup and view all the answers

    Which of the following best describes root calculus in relation to periodontal disease?

    <p>Can contribute to advanced periodontal conditions</p> Signup and view all the answers

    What type of assessment technique would be least effective in evaluating periodontal health?

    <p>Visual inspection alone</p> Signup and view all the answers

    Which of the following best describes the patient's oral hygiene routine?

    <p>Brushing two or three times a week without flossing.</p> Signup and view all the answers

    What is a potential consequence of the patient's neglect of flossing?

    <p>Higher risk of developing cavities between teeth.</p> Signup and view all the answers

    How might the patient's gum condition affect dental treatment outcomes?

    <p>It can lead to delayed healing and postoperative complications.</p> Signup and view all the answers

    Which factor most directly contributes to the patient's gum health?

    <p>The effectiveness of brushing technique.</p> Signup and view all the answers

    Which term is used to describe symptoms of periodontal disease?

    <p>Bleeding and inflammation.</p> Signup and view all the answers

    What does the patient's choice of using mouthwash over flossing indicate?

    <p>A priority on convenience over thorough cleaning.</p> Signup and view all the answers

    Which treatment is typically necessary for a patient with a history of gum bleeding?

    <p>Regular cleanings and possibly scaling.</p> Signup and view all the answers

    What is the significance of radiographs in assessing this patient's dental condition?

    <p>They reveal underlying bone and tooth structure issues.</p> Signup and view all the answers

    Study Notes

    Case 2 - Oral Hygiene and Restorations

    • A 25-year-old patient presented with three restorations and exhibited bleeding gums.
    • Probing depths for the quadrant were documented.
    • The patient's oral hygiene routine consisted of brushing two or three times weekly, and rinsing with Scope mouthwash on non-brushing days. Flossing was not part of their routine.
    • Preoperative and postoperative radiographs illustrate the restorative work.

    Restorative Procedure Details

    • Amalgam restorations were performed.
    • Rubber dam isolation was used for the restorative procedure.

    Patient Concerns and Conditions

    • The patient's bleeding gums and easy bleeding indicated potential periodontal disease.
    • The patient's routine did not include flossing.

    Restoration Amalgama Nomenclature

    • Distal surface to the most distal tooth was named. The naming sequence was disto-occlusal, mesio-occlusal, distal-occluso-lingual.

    Periodontal Assessments

    • Periodontal measurements for specific teeth were recorded. This data is significant for monitoring oral health.

    Restoration Finishing and Polishing

    • Amalgam restorations were finished using a combination of burring and pumice / whiting slurries.
    • Slurries of pumice and tin oxide were used, which allowed for smoother surface finish and improved aesthetics.

    Monitoring Procedures

    • A holistic approach is essential for monitoring oral health.
    • Periodontal health assessments and evaluations were indicated.
    • All teeth should not be monitored in the same way as some could indicate greater need for followups.

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    Description

    This quiz explores a case study involving a 25-year-old patient with oral hygiene issues and restorative dental procedures. It covers aspects such as the patient's routine, methods of restoration, and periodontal health indicators. Engage with questions related to diagnosis, treatment, and nomenclature in restorative dentistry.

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