Case Study 20

Patient Profile: Patient is a 50-year old White Caucasian male in good health.

Chief Complaint: "I am very concerned about the stain on my front teeth."

Dental History: The patient last saw the dentist for a crown three years ago and received a prophylaxis eight months ago.

Medical History: The patient suffered a slipped disc in his neck 10 years ago and complains of shoulder pain while being reclined for long periods of time. He wears contact lenses.

Extraoral Examination:

  • The patient's facial symmetry, lips, skin and larynx were within normal limits.
  • TMJ crepitus was present on the right side only and no problems were indicated by the patient.

Supplemental Information:

  • Patient reports to have dry mouth frequently.
  • Patient is curious how to whiten his teeth.
  • A full series of radiographs were exposed four years prior to the September probe readings.

Health Behaviors:

  • Patient brushes twice daily with a fluoridated dentifrice.
  • Uses a phenol mouthrinse daily.
  • Does not floss regularly.

Social History: He is very energetic, smokes one pack of cigarettes daily and has 2-3 alcoholic drinks weekly.

PERIODONTAL CHARTING

Peridontalcharting

RADIOGRAPHIC IMAGES

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L

Full Direct Full Direct
Maxillary Occlusal Maxillary Occlusal
Left Side Left Side
Mandibular Occlusal Mandibular Occlusal
Left Palatal Left Palatal
Right Palatal Right Palatal
Left Lingual Left Lingual
Right Lingual Right Lingual

QUESTIONS

Your Faculty has access to the answers in this case study. Please ask them to look in the Faculty Corner for the answers to this case.
  1. According to G.V. Black's classification of restorations, what is the classification for tooth #30?
  1. The radiolucency near the apex in the maxillary right molar periapical radiograph is MOST likely:
  1. In reviewing the patient's profile and chief complaint, the dental hygiene care plan should include all of the following except one.  What is the EXCEPTION?
  1. The large radiolucent area near the apex of tooth #13 is most likely:
  1. The mandibular left second molar exhibits a furcation that can BEST be classified as:
  1. What BEST describes the occlusal relationship between tooth #12 and #20?
  1. What is the BEST polishing agent for tooth #3?
  1. Supereruption is indicated on which tooth?
  1. What most likely occurred on the horizontal left molar bitewing radiograph?
  1. The MOST appropriate referral for this patient is: