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
M
GP
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
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