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 (A)</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) (C)</p> Signup and view all the answers

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

    <p>Flossing (B)</p> Signup and view all the answers

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

    <p>Amalgam restorations (B)</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 (B)</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 (A)</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 (D)</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 (B)</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 (D)</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 (A)</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 (B)</p> Signup and view all the answers

    Which teeth should be monitored more closely for periodontal health?

    <p>The first molars (D)</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 (B)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

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

    Which teeth would most likely require close periodontal monitoring?

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

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

    <p>Visual inspection alone (A)</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. (C)</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. (B)</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. (A)</p> Signup and view all the answers

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

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

    Which term is used to describe symptoms of periodontal disease?

    <p>Bleeding and inflammation. (D)</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. (B)</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. (A)</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. (A)</p> Signup and view all the answers

    Flashcards

    Amalgam Restoration Naming

    Naming amalgam restorations involves using terms for the tooth surfaces affected, such as disto-occlusal (DO), mesio-occlusal (MO), and disto-occluso-lingual (DOL).

    Disto-occlusal (DO)

    The surface of a tooth that is furthest back and closest to the chewing surface (occlusal).

    Mesio-occlusal (MO)

    The surface of a tooth that is closest to the front and closer to the chewing surface (occlusal).

    Disto-occluso-lingual (DOL)

    The surface of a tooth that is furthest back, and closest to the tongue.

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    Oral Hygiene Home Care

    A patient's self-care routine for maintaining oral health, including brushing, flossing, and mouthwash.

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    Periodontal Disease

    Gum disease involving inflammation and damage to the tissues supporting the teeth.

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    Probing Depths

    Measurements taken by a dentist or hygienist showing the depth of the pockets around the teeth.

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    Pulpal Involvement

    Damage or inflammation to the pulp, the inner part of a tooth containing blood vessels, nerves, and connective tissue.

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    Premolar occlusal stain

    Stained area on the premolar chewing surface.

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    Gingivitis

    Inflammation of the gums.

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    Root calculus

    Hard deposits on the tooth roots.

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    Dental hygiene care

    Professional cleaning and maintenance of teeth and gums.

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    Scaling and polishing

    Removing plaque and calculus, followed by polishing.

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    Root debridement

    Cleaning the root surfaces of teeth.

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    Amalgam restoration

    A metallic material used to fill cavities.

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    What is the patient's oral hygiene routine?

    The patient brushes 2-3 times a week, uses Scope mouthwash on non-brushing days, and does not floss.

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    What's the problem with this routine?

    The patient's lack of flossing indicates poor oral hygiene, which can lead to plaque buildup and gum disease.

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    What is Probing Depth?

    A measurement used to assess the depth of gum pockets around teeth, indicating potential gum disease.

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    What does 'Bleeding Gums' indicate?

    Bleeding gums can be a sign of gingivitis, the initial stage of periodontal disease, or inflamed gums.

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    What are the three restorations?

    The restorations are named as Disto-occlusal (DO), mesio-occlusal (MO), and Disto-occluso-lingual (DOL) from distal to mesial surfaces.

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    What teeth are being restored?

    The photographs show restorations on teeth #13 and #14, the second premolars.

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    What is the white material in the preparation?

    The white material is a 'base' used to protect the pulp of the tooth during restorative procedures. It provides insulation and support before the final restoration is placed.

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    What is the 'white' material's purpose?

    The 'base' material protects the sensitive pulp of the tooth from the filling material and helps prevent sensitivity.

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    What dental care is needed between appointments?

    Between appointments, the patient needs 'Scaling and Polishing' to remove plaque and calculus, maintain oral hygiene, and prepare teeth for the restoration.

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    What is the best way to finish amalgam restorations?

    Finishing amalgam restorations is best achieved using 'a slurry of pumice and tin oxide' for a smooth, polished surface.

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    Which teeth require close periodontal monitoring?

    Teeth #13 and #14, the second premolars, require close periodontal monitoring due to the restorations close to the gingiva.

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    What are the possible diagnoses for the patient?

    The patient may have 'Root calculus and periodontal disease' based on the mentioned symptoms.

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    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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