HESI Case Study Four

The attached gingiva presents with a dark, pigmented appearance. Which is the most likely reason for this pigmentation?

Systemic disease

Varicosities

Subgingival calculus

Physiologic melanin

The best oral physiotherapy aid to recommend for the pt to help clean between #8 and #9 is the

Tufted brush

Toothpick holder

Interdental brush

Wedge stimulator

Which restorative material is visible on the radiographs?

Composite

Amalgam

None

Sealant

Which describes the mandibular gingival tissue?

Melanin pigmentation

Basal cell carcinoma

Lingual varicosities

Leukoedema

Why does #1 appear longer than #2 and #3?

Weakened periodontal ligament

Bone loss caused tooth to drift

No opposing tooth in mandibular arch

Tooth is macrodont

Which finding best explains the widening space between #8 and #9?

Tight labial frenum

Physiologic drift

Pathologic migration

Tongue thrust

A dark halo surrounds the restoration on #3 revealing a deteriorating margin. Which phenomenon is responsible?

Corrosion

Wear

Tarnish

Creep

Which nerve block injection is necessary to extract #17?

PSA

IANB

Several days after #17 extraction, the pt experiences pain, bad mouth odor, and bad taste. What diagnosis is most probable?

Bone resorption

Paresthesia

Alveolar osteitis

Pericoronitis

What is the best treatment for #1?

Extraction

Endodontic therapy

Replace partial denture

Root planing

Which best describes the malocclusion on the right side?

Retrusion

Posterior crossbite

Cusp-to-cusp

Protrusion

Which Angle's classification of occlusion is evident on the left side?

Class I

Class II, division 2

Class II, division 1

Class III

The nutrient source for the supragingival calculus evident on the mandibular anterior teeth is

Dextrans

Phosphates

Saliva

Glucans

This pt requests disclosure of his tx plan so he can make decisions about what he would like to have completed. This process is known as

Autonomy

Nonmaleficence

Veracity

Beneficence

The dental hygienist recommends chlorhexidine gluconate mouth rinse for this pt. Each of the following is a clinical use for this mouth rinse EXCEPT one. Which is the EXCEPTION?

Decreases supragingival bacterial plaque formation

Suppresses actinomyces bacteria

Alters bacterial cell wall

Controls NUG

HESI Case Study Four

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