case presentations RESTORATIVE & PERIO

Question 1

what is a caries risk assessment?

Answer 1

preformed to determine a patients risk of developing caries by assessing risk factors such as medical history, social history, diet and OH.

Question 2

what factors would you consider when choosing a restorative material?

Answer 2

moisture control
size of the cavity
extent of caries
allergies
cost

Question 3

what are the different grades for radiographs?

Answer 3

grade 1- excellent 70%
grade 2- acceptable 20%
grade 3- unacceptable 10%

Question 4

if a patient had been on drugs how would this impact?

Answer 4

poor oral hygiene, dry mouth, grinding their teeth, caries, gingivitis then develop onto periodontitis

Question 5

if a patient was on antidepressants how would you treat them?

Answer 5

they cause postural hypotension which is when the blood pressure drops making you feel lightheaded.
appointments in the morning
short appointment times
be mindful and respectful and listen if they want to talk

Question 6

how would you be able to tell if a patient is engaging in treatment?

Answer 6

reduced plaque and bleeding scores or if the plaque and bleeding score has halfed since the patients last appointment.

Question 7

What is a 6PPC? How would you see if pocket depths have improved or not?
What does bleeding indicate when you’re probing?

Answer 7

A 6PPC is recorded if a BPE of 3 or 4 is recorded the UNC 15 probe is walked around the 6 points of a tooth measuring the pocket depth, gingival margin, LOA, mobility, BOP, Furcations.

You would know if pocket depths have improved by taking a pre 6PPC and post after treatment to see if there’s improvement.

BOP indicates active disease

Question 8

How do you monitor erosion?

Answer 8

BEWE

Question 9

How do u take a BEWE score?

Answer 9

Split the mouth into 6 sexitants grading each sexitant 0-3 depending on the severity of the erosion