Case Studies PDF - Part III Case 2
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2017
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This is a case study on dental restorations for undergraduate students. It includes several questions about the restorative procedures for a patient with gum issues.
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426 PART III n Case Studies Case 2 The photographs (Fig. CS2.1) show a 25-year-old of brushing two or three times a week and swish- man having three restorations placed during his ing with Scope mouthwash on the days he...
426 PART III n Case Studies Case 2 The photographs (Fig. CS2.1) show a 25-year-old of brushing two or three times a week and swish- man having three restorations placed during his ing with Scope mouthwash on the days he does appointment. His gums bleed easily, and the probing not brush. Flossing is not a part of his oral hygiene depths for this quadrant are noted on the charting regimen. in Figure CS2.2. His oral hygiene home care consists B A C D FIGURE CS2.1. A. Preoperative radiograph. B. Rubber dam isolation, ready to restore with amalgam. C. Amalgam restorations. D. Postoperative radiograph (Courtesy of Dr. Henry Miller, Martinsburg, WV). © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 0003142147.INDD 426 8/3/2017 12:16:50 PM Case 2 427 Question 3. From the most distal surface of the last tooth and moving mesially, the amalgam restorations would be named: a. Disto-occlusal (DO), mesio-occlusal (MO), and disto- occluso-lingual (DOL) b. Occlusal (O), MO, and DO c. O, MO, and DOL d. MO, DO, and DOL Question 4. What two conditions also exist in this patient? a. Pulpal involvement and periodontal disease b. Premolar occlusal stain and gingivitis c. Root calculus and gingivitis d. Root calculus and periodontal disease Question 5. In between the patient’s restorative appointments, he has an appointment with you for the necessary dental hygiene care. Assuming that the dental and dental hygiene assessments and diagnoses have been made, implementation of the dental hygiene care would FIGURE CS2.2. Periodontal measurements of the teeth shown include: above. a. Scaling and polishing b. Scaling, root debridement, and polishing Questions c. Radiographs, root debridement, and polishing d. Scaling, root debridement, polishing, and evaluation Question 1. The teeth being restored in the photographs below are: Question 6. The new amalgams could best be finished and a. #2 and #3 polished with: b. #14 and #15 a. Slurries of pumice and tin oxide c. #13 and #14 b. A slurry of tin oxide d. #1 and #2 c. Finishing burs and then slurries of pumice and whiting d. Coarse and then fine prophylaxis pastes Question 2. In Figure CS2.1A, the “white” material on the floor of the preparation of the second tooth from the Question 7. Which of the following teeth should be closely left is considered to be a _______________, and its purpose is “periodontally monitored”? __________________. a. #2 a. Liner; to provide strength and thermal insulation b. #2 and #3 b. Base; to provide strength and thermal insulation c. #2, #3 and #4 c. Liner; to protect the pulp from chemical irritation d. All teeth in the case presentation should be monitored in the d. Base; to protect the pulp from chemical irritation same way. © Jones & Bartlett Learning, LLC. NOT FOR SALE OR DISTRIBUTION 0003142147.INDD 427 8/3/2017 12:16:51 PM