Mr. Ungle, 35 years old, presents for his continuing care appointment. The dental hygienist records generalized posterior periodontal probing depths of 5-6 mm. Mr. Ungle reports some sensitivity on the maxillary left quadrant. What radiographic views would be most appropriate to take to assess this area?

Ms. Cameron, 44 years old, is taking antidepressant medication and is experiencing mild xerostomia. What should the dental hygienist suggest to alleviate Ms. Cameron’s discomfort?

Which one of the following factors is the most reliable indicator that oral self care procedures are effective?

Wilhem, 17 years old, presents with localized inflammation, and exudates around a partially erupted tooth. He is also experiencing some pain that is radiating to his ear. These signs and symptoms indicate which one of the following conditions?

Which step will facilitate sterilization in a pressurized steam sterilization unit?

Who would benefit most from shorter continuing care intervals?

A dental hygienist takes a maxillary impression. In assessing the result, the dental hygienist notes good representation of the vestibule to the left of the central frenum, with a shallow imprint of the lip on the right side. What technique should be used to ensure a better impression?

Mr. Carlyle, 51 years old, presents with gingival recession of 2 mm on the facial surfaces of all molars and premolars. The exposed roots are hard and intact. Upon exploration, he jumps with pain at the majority of the sites. What should the dental hygienist include in Mr. Carlyle’s dental hygiene treatment plan?

Joey, 11 years old, needs local anesthesia for periodontal debridement in quadrant 3. The procedure will take approximately 30 minutes to complete once anesthetized. What anesthetic agent and injection(s) would be ideal for this situation?

Don, an 18 year old athlete, has been taking penicillin for pericoronitis of tooth 38. He presents for repair of a clasp on an ill-fitting maxillary partial denture. Don reports a metallic taste and a burning sensation in the palatal area. The clinical assessment reveals a lesion under the partial denture. There is a white, curd-like material with underlying erythematous mucosa. What condition should the dental hygienist suspect?

Ms. Katerinova, 32 years old, has recently received local anesthetic for periodontal debridement by the dental hygienist. She reports pain and some difficulty opening her mouth the day after treatment. What post care recommendations should the dental hygienist consider?

Kevin, 22 years old, arrives for his initial dental hygiene appointment. The dental hygienist notes that he has not seen a physician for the last 4 years. The client’s intraoral assessment reveals removable white plaques on the soft palate and reddish-purple lesions on the gingiva and the palate. What should the dental hygienist suspect?

During periodontal debridement, the dental hygienist administered 2 cartridges of Xylocaine (Lidocaine 2%) with epinephrine 1:00,000 and an additional cartridge of articaine (Septanest SP 4%) with epinephrine 1:100,000. What information should be documented in the client’s chart?

In reviewing the following radiograph, how should the area surrounding the crown of tooth 15 be interpreted?

A client regularly uses beclomethasone dipropionate (Beclovent) to treat asthma. What is a possible oral manifestation caused by this type of medication?

A 78 year old client has recently developed osteoarthritis. Her intraoral assessment reveals moderate interproximal dental biofilm with open gingival embrasures. What oral self care recommendations should the dental hygienist provide to address this issue?

Katia, 17 years old, presents for her continuing care with profound mental disability. During the appointment, the dental hygienist notes that she has several traumatized areas on her lips and tongue. Which one of the following strategies would be the most appropriate in this situation?

A severely disabled 6 year old Sara presents for her continuing care appointment. Her mother informs the dental hygienist that she is usually uncooperative and resists sitting in her wheelchair during daily oral care. Which one of the following recommendations should the dental hygienist make concerning the provision of Sara’s oral self care at home?

Tristian, 14 years old, refuses to have professional topical fluoride treatment after the dental hygienist explained the benefits of fluoride. What action by Tristian would indicate that he understands the benefits of fluoride?

Which tooth is missing from the following radiograph?

The client asks the dental hygienist how often the masks are changed. How should the dental hygienist respond?

Robert, 13 years old, reports sensitivity to pressure on tooth 37. He had sealants placed on all molars 1 week ago. What should the dental hygienist do to determine the source of the discomfort?

Gary, 14 years old, presents for his dental hygiene appointment. It has been 19 months since he was last treated. His mother states that he has never had any decay even though he does not like to brush his teeth. What type of radiographs would be indicated?

Which one of the following oral microorganisms may overgrow with the use of broad-spectrum antibiotics?

Lila, 16 years old, presents for her continuing care appointment. During the intraoral assessment, the dental hygienist notes redness, welling, and suppuration around a recent tongue piercing. What action should the dental hygienist take?

The periodontal assessment of Mr. Stevens, 30 years, includes a dental biofilm score of 60%, a BOP score of 30% and generalized clinical attachment loss of 3 mm with no gingival recession. The radiographs indicate generalized horizontal bone loss that account for a % of bone loss/ age of 0.20. What is Mr. Steven’s periodontal classification?

Which one of the following conditions is associated with the normal aging process?

When placing pit and fissure sealants, which one of the following procedures produces microscopic porosities?

Mrs. Ridley, 81 years old, is now living with her daughter's family. When she presents for her 9 month continuing care appointment, she appears withdrawn and anxious even though she has been a long standing client in the practice. During the intraoral assessment, the dental hygienist notes poor oral hygiene, a fractured upper denture, and bruising of the edentulous ridge. What should the dental hygienist suspect?

Mr. Applebaum, 29 years old, presents for his annual continuing care appointment. He reports extreme sensitivity to cold in the mandibular right quadrant. Intraoral findings reveal localized gingival recession of 4 mm on teeth 43 and 44. What should the dental hygienist recommend for Mr. Applebaum?

Which one of the following design features provides the best tactile sensitivity in a hand instrument?

Mrs. Weinberg, 78 years old, indicates a concern about small ulcers at the corners of her mouth that do not heal. What vitamin or mineral deficiency may cause this type of lesion?

Which one of the following statements about the clinical significance of calculus is true?

1. Mrs. Savage, 73 years old, presents for her 6 month continuing care appointment. She presents with generalized Stage II Grade B, generalized gingival recession of 2 mm on the facial surfaces of sextant 5 and porcelain crowns on teeth 13 to 23. The dental hygienist notices the presence of carious lesions on the roots of the maxillary premolars. What fluoride agent should the dental hygienist select for Mrs. Savage?

1. Amy, 7 years old, presents for her continuing care appointment. The fist permanent morals are fully erupted. The enamel is partially to completely missing throughout, with yellowish-brown intrinsic staining. Amy most likely has which one of the following conditions?

Shamir, 17 years old, has uncontrolled type 1 diabetes and is at increased risk for dental caries. What is the best explanation for this increased risk?

1. A community dental hygienist has provided oral health education in a local high school for 6 months. The primary objective of the program was to improve the level for dental health knowledge in the student population. What outcome measure would be best suited to determine if the interventions were successful?

Which condition always appears in the mouth as a band of white keratotic tissue along the buccal mucosa, parallel to the occlusal plane?

What feature is characterized by white, raised, soft, yellow papules located bilaterally on the buccal mucosa?

Mr. Roznowski, 33 years old, has multiple sclerosis and is unhappy with his loss of autonomy. How should the dental hygienist proceed?

Residents of a facility for older adults identify a need for more preventive oral care services. The dental hygienist confirms this need. During the program planning stage, which one of the following issues should the dental hygienist address?

The dental hygienist administers local anesthetic for periodontal debridement in sextant 1. The needle tip is inserted and advanced to the correct depth and location. Which one of the follow stops must be performed to ensure proper aspiration?

Patricia, 17 years old, expresses concern about her “bad breath”. Her toothbrushing and flossing techniques are adequate. What should the dental hygienist recommend?

A dental hygienist is asked to assess safety and emergency preparedness in the practice environment. What must be readily accessible?

1. A client has been diagnosed with generalized Stage I periodontitis. What radiographic finding should the dental hygienist expect to observe?

According to G.V. Black classification, what type of lesion is present on tooth 13?

The dental hygienist will be using air polishing to remove stains from the client’s teeth. Which one of the following statements correctly describes the technique?

Todd, 18 years old, presents to his continuing care appointment with fractures of the lingual surfaces of teeth 41 and 31. What most likely caused these fractures?

Mrs. Peters, 67 years old, has a recent history of leukemia. She is scheduled for a continuing care appointment. The dental hygienist updates her health history. She confirms that she is presently in remission. Which one of the following actions should the dental hygienist take next?

A dental hygienist is motivated to ensure continuing competence. Which one of the following strategies would best serve this purpose?

A client’s diet is contributing to her increased incidence of dental caries. What represents the greatest dental caries risk for this client?

1. Based on the following radiograph, what is the best interpretation of the radiopacity on the apical third of the mesial root of tooth 36?

1. What clinical finding indicates the periodontal inflammation?

1. Mr. Barrett, 49 years old, arrives late for his periodontal debridement appointment as he is “very busy at work”. His health history indicates he is still smoking 25 cigarettes per day and he continues to take his antihypertensive medication. His breathing appears labored. What should the dental hygienist do initially?

1. Leonary, 8 years old, attends his continuing care appointment. His mother reports that the swelling of his upper lip and the loss of tooth 21 was due to a bicycle injury. During the course of the appointment, the dental hygienist observes that Leonard has multiple circular cruising on both arms and back of his neck. What should the dental hygienist do next?

1. What oral self care strategy should be recommended in the recovery phase of oral candidiasis?

1. A panoramic radiograph taken on David, 14 years old, reveals teeth 14 and 24 are morphologically complete but unerupted. What is the most probable cause?

What specific oral side effect is associated with most calcium channel blockers and most anticonvulsants?

Under what condition is a topical fluoride application most beneficial?

What conclusion can be drawn based on a comparison of the previous treatment record with the current assessment findings for Mrs. Kane?

Mrs. Kane appears anxious and begins to move around in the dental chair during periodontal debridement. How should the dental hygienist proceed?

When developing the dental hygiene care plan, Mrs. Kane emphasized that she often feels nauseous and has an irregular work schedule. How should the dental hygienist proceed?

Which one of the following topics is most important for the dental hygienist to discuss with Mrs. Kane?

Prior to commencing dental hygiene care, what should the dental hygienist ask Jean-Francois?

Why should Jean-Francois rinse his mouth with water after using his medication?

1. To help reduce Jean-Francois’ susceptibility to dental caries, what should the dental hygienist recommend?

The information gathered from the student population includes written transcripts of their feelings and beliefs about oral health care. How should this information be analyzed?

Once the health team has developed an initial plan for the study, how should this initial plan be communicated to ensure the success of the project?

During the review of the health history, Mr. Gaudet reports that he has been seeing a herbologist because of his history of cancer. What is the most effective strategy for the dental hygienist to obtain further information on herbal remedies?

1. How should the dental hygienist address M. Gaudet’s chief concern?

Which one of the following topics is most appropriate to include in Mr. Gaudet’s education?

Which one of the following interventions would be most effective to alleviate the pain experienced by Mr. Gaudet in the areas of the gingival recession?

1. Which one of the following lesions is the most likely to present on the buccal attached gingiva of tooth 45?