Dental Decks

Part II
Case Studies Booklet

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 Answers to
Case Studies

Case IV
22. A
23. D
24. C
25. D
26. A
Acknowledgements 27. B
28. C

Case V
The Case Studies in this booklet were used with
permission from the following individuals:

Nicole Kelleher, RDH 29. B

30. C
Jaime Slobodjian, RDH, BS 31. A
32. A
33. E
34. B
35. C
36. D

Case VI
37. B
38. A
39. D
40. D
41. C
42. D
43. A
 Answers to

Case I
Case Studies

Case I
1. B
2. D
Age: 33
3. B
Sex: Female
4. D
Height: 52
5. C
Weight: 130 lbs.
6. B
BP: 140/90

Case II Chief Complaint: I get headaches daily and my teeth in

the upper right hurt.
7. A
8. B Medical History: Type II Diabetes and Hypertension
9. A
10. A Current Medications:
11. D Insulin Lispro (Humalog)
12. C Insulin NPH (Humulin N)
13. C Labetalol (Trandate) 200 mg b.i.d.

Case III Allergies: Latex and Benadryl

14. A Dental History: The patient has severe dental anxiety,

15. B but maintains 6 month recalls.
16. D
17. B Social History: Patient is single and is a school teacher.
18. B Patient reports having a glass of wine at night.
19. C
20. A
21. B
Case I Case VI
37. What is the anomaly present on this 42. After reviewing the patients
patients buccal mucosa? dental history, which of the follow-
ing contributes to an increased risk
A. Lichen planus
for periodontal disease?
B. Linea alba
C. Wickams striae A. Prior orthodontics
D. Leukoedema B. Psoriasis
C. Genetic predisposition
D. Both A & C
38. Using Angles classification, identify
this patients occlusion.
A. Class I 43. Which of the following is the
B. Class II Division I most commonly used type of nicotine
C. Class II Division II replacement therapy?
D. Class III A. Patch
B. Gum
C. Lozenge
39. What type of restoration was fabri-
D. Inhaled nicotine
cated to replace #13?
A. Manhattan bridge
B. Endosteal implant
C. Conventional bridge
D. Maryland bridge

40. What is the white line present on the

facial of #19 visible on the intra-oral
photo?
A. Cervical abrasion
B. Abfraction
C. CEJ
D. Demineralization

41. What most likely contributed to this

condition?
A. Acid erosion
B. Poor oral hygiene
C. Orthodontics
D. Xerostomia
 Case V
29. The patient states that the pain on
the lower right is constant, severe, dull
and throbbing. What is the MOST
likely clinical diagnosis?
A. Gingivitis
B. Periodontal abscess
C. Cyst
D. Irritation fibroma
30. Bacteria that colonize the perio-
dontal abscess have been reported to
be primarily:
A. Gram-positive aerobic cocci
B. Gram-negative aerobic rods
C. Gram-negative anaerobic rods
D. Gram-positive anaerobic cocci
31. Side effects of anti-hypertensives
include all of the following EXCEPT:
A. Increased gag reflex
B. Xerostomia
C. Lichenoid reactions
D. Neutropenia
32. After a periodontal examination,
the prognosis of #24 is:
A. Poor, the clinical attachment
level is nearly gone
B. #24 is stable due to the patients
good oral hygiene
C. Poor, #24 is susceptible to deep
cervical caries that are non-
restorable
D. #24 is stable and of no concern
Case I
33. The most critical parameters for
the prognosis of a periodontally in-
volved tooth are:
A. Mobility
B. Inflammation
C. Attachment loss
D. Pocket depth
E. A & C
34. This patient should be referred to
the periodontist for which of the fol-
lowing?
A. Non-surgical periodontal ther-
apy
B. Free-gingival grafting
C. Pocket reduction
D. Laser therapy
35. All of the following are calcium
channel blockers EXCEPT:
A. Verapamil (Calan)
B. Diltiazem (Cardizem)
C. Nadolol (Corgard)
D. Nifedipine (Procardia)
Right Side Left Side
36. Losartan (Cozaar) is a/an:
A. Calcium channel blocker
B. Angiotensin-converting enzyme
inhibitor
C. Alpha-adrenergic receptor
blocker
D. Angiotensin II receptor blocker
Case I Case IV
22. Chemotherapy can cause harm to the
cells in your mouth causing problems
with your teeth, gingiva, and glands. It is
important to see the Dentist at least 2
weeks prior to starting chemotherapy.
A. Both statements are true
B. Both statements are false
C. The first statement is true, the
second is false
D. The first statement is false, the
second is true
23. All of the following are side effects of
chemotherapy EXCEPT:
A. Nutritional deficiencies
B. Xerostomia
C. Mucositis
D. Periodontal disease
24. All of the following are common side
effects of Atenolol (Tenormin) EXCEPT:
A. Dizziness
B. Decreased sex drive
C. Fast heart beat
D. Insomnia
25. Caution must be used when reclining
this patient because he may develop:
A. Orthostatic hypotension
B. Difficulty breathing
C. Orthostatic hypertension
D. This patient should not be relined
26. The erythema present on the hard
palate is MOST LIKELY due to:
A. The maxillary partial denture
B. Opportunistic infection
C. Trauma
D. Allergic reaction
27. You recommend to the patient that
he use an oral irrigator to help with his
home care. These devices have been
shown to ?
A. Eliminate plaque
B. Clean nonadherent bacteria
and debris from the oral
cavity more effectively than
toothbrushes and mouth rinses
C. Disinfect pockets for up to 12
hours
D. Prevent calculus formation
28. The family of "statin drugs" include
atorvastatin (Lipitor), simvastatin
(Zocor), fluvastatin (Lescol), lovas-
tatin (Mevacor) pravastatin (Prava-
chol) and rosuvastatin (Crestor).
These drugs are all:
A. Selective cholesterol absorption
inhibitors
B. Bile acid sequestrants
C. HMG-CoA Reductase
inhibitors
D. Fibric acid derivatives
 Case III (cont)
16. Tobacco-related oral conditions
include all of the following EXCEPT:
A. Periodontal disease
B. Tooth loss
C. Leukoplakia
D. Migratory glossitis
17. After a periodontal examination,
the patient is classified as:
A. Generalized Type II Early
Periodontitis with Localized
Type III Moderate Periodon-
titis
B. Generalized Type III Moderate
Periodontitis with Localized
Type IV Advanced Periodon-
titis
C. Generalized Type III Moder-
ate Periodontitis
D. Generalized Type IV
Advanced Periodontitis
18. Sotalol (Betapace) is in a class of
medications called?
A. Diuretics
B. Anti-arrhythmics
C. Calcium channel blockers
D. Alpha-blockers
Case II
19. Which of the patients medications
can cause gingival enlargement?
A. Sotalol
Age: 28
B. Magnesium Chloride
C. Amlodipine
D. Pravastatin Sex: Male
Height: 60
Weight: 230 lbs.
20. Amlodipine (Norvasc) is a/an:
A. Calcium channel blocker
BP: 126/82
B. Beta-blocker
C. Alpha-blocker Chief Complaint: My gums are puffy and bleed when I
D. Diuretic
brush.
21. You have selected the most appro- Medical History: Anxiety
priate Gracey curette for scaling the
Current Medications: None
interproximal surfaces of this patients
anterior teeth. When the face of the
Gracey curette blade is parallel with
the floor and viewed from above, the Allergies: Penicillin
correct cutting edge can be seen as:
A. Smaller, inner curve
B. Larger, outer curve Dental History: The patients last cleaning was 5+ years
C. Larger concavity ago.
D. Smaller convexity
Social History: The patient is single and works for the city
full time. He smokes a pack of Marlboro Reds a day and
social drinks on the weekends.
Case II Case II (cont.)
8. After a periodontal examination, the 13. Which of the following is an im-
patient is classified as: portant constituent of gram-negative
A. Type II, Early Periodontitis microorganisms that contributes to
B. Type III, Moderate Periodontitis initiation of the host inflammatory
C. Type IV, Advanced Periodontitis response?
D. Severe Refractory Periodontitis A. Exotoxin
B. Lipoteichoic acid
C. Endotoxin
9. What is the radiographic error in the D. Peptidoglycan
mandibular right premolar image?
A. Placed too far posterior
B. Elongation

Case III
C. Foreshortened
D. Placed to far anterior

10. The distance from the CEJ to the

base of the pocket is a measure of:
Right Left 14. The abnormal loss of tooth struc-
A. Clinical attachment level
B. Gingival recession ture due to the normal function or
C. Probing pocket depth most commonly, due to excessive
D. Alveolar bone loss grinding or gritting together of teeth
by the patient is called:
A. Attrition
11. What is the correct term used to
B. Erosion
describe the gingival margin of tooth
C. Abfraction
#22?
D. Abrasion
A. Knifelike
B. Bulbous
C. Blunted
D. Rolled 15. What is the radiographic error
present in the image of the mandibular
left premolars?
12. Which instrument should be
selected to debride tooth #26 and #27? A. Necklace
B. Cord
A. Gracey #7-8
C. Foreshortening
B. Gracey #13-14
D. Cone cut
C. Gracey #1-2
Right Left D. Gracey #11-12
 Questions to the
Case Studies
Case I
1. The patients chief complaint was
I get headaches often, and my teeth
in the upper right hurt. After your
exam you conclude which of the
following?
A. The maxillary right first
molar is re-abscessing
B. The third molars are
impacted and are causing
resorption of the maxillary
right second molar
C. Nothing appears abnormal in
the maxillary right quadrant
D. Tooth #4 is dying
2. After reviewing the patients medical
history you should take all of the
following precautions EXCEPT one.
Which one is the EXCEPTION?
A. Recommend morning
appointments
B. Take blood pressure routinely
C. Make appointments short
D. Recline the patient slowly
3. Which of the following is the best
treatment option for the maxillary
right first molar?
A. Referral to the Endodontist
B. Post/Core and Crown
C. No treatment necessary
D. Composite restoration
Case II
4. After a periodontal examination, the
patient is classified as:
A. Type I, plaque-induced
gingivitis
B. Type II, Early Periodontitis
C. Type III, Moderate
Periodontitis
D. Generalized healthy
5. Tooth #4 presents with a dilacerated
root. The periodontal ligament is also
starting to widen around tooth #4.
A. Both statements are true
B. Both statements are false
C. The first statement is true, the
second is false
D. To first statement is false, the
second is true
6. Insulin NPH (Humulin N) is a (an):
A. Short-acting insulin
B. Intermediate-acting insulin
C. Long-acting insulin
D. None of the above
Left side Right side
Case II
7. What percentage of patients
expressing an allergy to penicillin will
have cross allergenicity to a
cephalosporin?
A. 10%
B. 40%
C. 60%
D. 90%
Case II Case VI

Left side Right side

Case VI Case III

Age: 79
Sex: Female
Height: 56
Weight: 170 lbs.
BP: 126/72

Chief Complaint: I have a hard time chewing my food!

Medical History: Hearing impairment, Hypertension,

Kidney disorder, and Arthritis

Current Medications:
Sotalol (Betapace) 80 mg b.i.d.
Pravastatin (Pravachol) 40 mg daily
Amlodipine and Valsartan (Exforge) 160 mg b.i.d.
Right side Left side Baby aspirin (Bayer) 81 mg daily
Vitamin D 2000 units daily, Calcium, Multi Vitamin daily
Magnesium chloride (Slow-Mag) 2 tabs daily

Allergies: None

Dental History: The patient maintains 6 month recalls.

Social History: The patient is a retired widow. She is on

a fixed income and opts for extractions vs. treatment
depending on costs. The patient smokes approximately
4 cigarettes a day.
Right side Left side
Case III
Case VI

Age: 29
Sex: Female
Height: 54
Weight: 130 lbs.
BP: 100/70

Right Left Chief Complaint: I feel like I am constantly chewing

my cheeks and my gums bleed when I brush and floss.

Medical History: The patient has psoriasis and low blood

pressure

Current Medications: None

Allergies: Mint and Gluten

Right Left Dental History: The patient maintains 6 month recalls

but reports not keeping up with her flossing. She also
states that there is a family history of periodontal disease.

Social History: The patient is in a steady relationship and

works fulltime in a medical office. She smokes 1/2 pack
of cigarettes a day and drinks on the weekends.

Right Left Right side

Case V Case III

Left Right
Left Right
Case IV
Case V
Age: 81
Sex: Male
Height: 59
Weight: 160 lbs.
BP: 150/94
Chief Complaint: My gums hurt and bleed easily.
Medical History: Left hip replacement, Hypertension,
COPD, Coronary Artery Disease, Acid reflux, and the
patient has a history of lung cancer along with radiation
and chemotherapy. Patient has been in remission since
May 2014.
Current Medications:
Atorvastatin (Lipitor) 40 mg daily
Esomeprazole (Nexium) 40 mg daily
Atenolol (Tenormin) 50 mg daily
Baby aspirin (Bayer) 81 mg daily Right side
Chlorthalidone (Thalitone) 25 mg daily
Telmisartan (Micardis) 40 mg daily
Ezetimibe (Zetia) 10 mg daily
Potassium chloride (Klor-Con) 40 mEq daily
Aspirin (Ecotrin) 325 mg daily
Amlodipine (Norvasc) 5 mg daily
Prednisone (Prednisone Intensol) 40 mg daily
Allergies: None
Dental History: The patient use to maintain 6 month
recalls until he was diagnosed with lung cancer and
started radiation and chemotherapy. He stopped taking
care of his mouth due to fear he was not going to make it.
Social History: The patient has been married for 50 years
and is retired. He has a prior history of smoking cigarettes
when he was in his twenties, but no longer smokes. Right side
Case V Case IV

Left side
Case IV Case V

Age: 41
Sex: Male
Height: 62
Weight: 250 lbs.
BP: 190/90

Chief Complaint: My gums are swollen on the lower right

and ache.

Medical History: Hypertension and Asthma

Left Right
Current Medications:
Losartan (Cozarr) 50 mg daily
Diltiazem (Cardizem) 240 mg daily

Allergies: Peanuts

Dental History: The patient is a new patient to the office.

He states that he usually maintains 6 month recalls
however, he recently moved and is 2 years overdue.

Social History: The patient is a married police officer. He

has two toddlers and reports being under a lot of stress
with work. The patient has also used smokeless tobacco
for years but has quit for two years now.
Case IV Case V

Age: 41
Sex: Male
Height: 62
Weight: 250 lbs.
BP: 190/90

Chief Complaint: My gums are swollen on the lower right

and ache.

Medical History: Hypertension and Asthma

Left Right
Current Medications:
Losartan (Cozarr) 50 mg daily
Diltiazem (Cardizem) 240 mg daily

Allergies: Peanuts

Dental History: The patient is a new patient to the office.

He states that he usually maintains 6 month recalls
however, he recently moved and is 2 years overdue.

Social History: The patient is a married police officer. He

has two toddlers and reports being under a lot of stress
with work. The patient has also used smokeless tobacco
for years but has quit for two years now.
Case V Case IV

Left side
Case IV
Case V
Age: 81
Sex: Male
Height: 59
Weight: 160 lbs.
BP: 150/94
Chief Complaint: My gums hurt and bleed easily.
Medical History: Left hip replacement, Hypertension,
COPD, Coronary Artery Disease, Acid reflux, and the
patient has a history of lung cancer along with radiation
and chemotherapy. Patient has been in remission since
May 2014.
Current Medications:
Atorvastatin (Lipitor) 40 mg daily
Esomeprazole (Nexium) 40 mg daily
Atenolol (Tenormin) 50 mg daily
Baby aspirin (Bayer) 81 mg daily Right side
Chlorthalidone (Thalitone) 25 mg daily
Telmisartan (Micardis) 40 mg daily
Ezetimibe (Zetia) 10 mg daily
Potassium chloride (Klor-Con) 40 mEq daily
Aspirin (Ecotrin) 325 mg daily
Amlodipine (Norvasc) 5 mg daily
Prednisone (Prednisone Intensol) 40 mg daily
Allergies: None
Dental History: The patient use to maintain 6 month
recalls until he was diagnosed with lung cancer and
started radiation and chemotherapy. He stopped taking
care of his mouth due to fear he was not going to make it.
Social History: The patient has been married for 50 years
and is retired. He has a prior history of smoking cigarettes
when he was in his twenties, but no longer smokes. Right side
Case V Case III

Left Right
Left Right
Case III
Case VI

Age: 29
Sex: Female
Height: 54
Weight: 130 lbs.
BP: 100/70

Right Left Chief Complaint: I feel like I am constantly chewing

my cheeks and my gums bleed when I brush and floss.

Medical History: The patient has psoriasis and low blood

pressure

Current Medications: None

Allergies: Mint and Gluten

Right Left Dental History: The patient maintains 6 month recalls

but reports not keeping up with her flossing. She also
states that there is a family history of periodontal disease.

Social History: The patient is in a steady relationship and

works fulltime in a medical office. She smokes 1/2 pack
of cigarettes a day and drinks on the weekends.

Right Left Right side

Case VI Case III

Age: 79
Sex: Female
Height: 56
Weight: 170 lbs.
BP: 126/72

Chief Complaint: I have a hard time chewing my food!

Medical History: Hearing impairment, Hypertension,

Kidney disorder, and Arthritis

Current Medications:
Sotalol (Betapace) 80 mg b.i.d.
Pravastatin (Pravachol) 40 mg daily
Amlodipine and Valsartan (Exforge) 160 mg b.i.d.
Right side Left side Baby aspirin (Bayer) 81 mg daily
Vitamin D 2000 units daily, Calcium, Multi Vitamin daily
Magnesium chloride (Slow-Mag) 2 tabs daily

Allergies: None

Dental History: The patient maintains 6 month recalls.

Social History: The patient is a retired widow. She is on

a fixed income and opts for extractions vs. treatment
depending on costs. The patient smokes approximately
4 cigarettes a day.
Right side Left side
Case II Case VI

Left side Right side

 Questions to the
Case Studies
Case I
1. The patients chief complaint was
I get headaches often, and my teeth
in the upper right hurt. After your
exam you conclude which of the
following?
A. The maxillary right first
molar is re-abscessing
B. The third molars are
impacted and are causing
resorption of the maxillary
right second molar
C. Nothing appears abnormal in
the maxillary right quadrant
D. Tooth #4 is dying
2. After reviewing the patients medical
history you should take all of the
following precautions EXCEPT one.
Which one is the EXCEPTION?
A. Recommend morning
appointments
B. Take blood pressure routinely
C. Make appointments short
D. Recline the patient slowly
3. Which of the following is the best
treatment option for the maxillary
right first molar?
A. Referral to the Endodontist
B. Post/Core and Crown
C. No treatment necessary
D. Composite restoration
Case II
4. After a periodontal examination, the
patient is classified as:
A. Type I, plaque-induced
gingivitis
B. Type II, Early Periodontitis
C. Type III, Moderate
Periodontitis
D. Generalized healthy
5. Tooth #4 presents with a dilacerated
root. The periodontal ligament is also
starting to widen around tooth #4.
A. Both statements are true
B. Both statements are false
C. The first statement is true, the
second is false
D. To first statement is false, the
second is true
6. Insulin NPH (Humulin N) is a (an):
A. Short-acting insulin
B. Intermediate-acting insulin
C. Long-acting insulin
D. None of the above
Left side Right side
Case II
7. What percentage of patients
expressing an allergy to penicillin will
have cross allergenicity to a
cephalosporin?
A. 10%
B. 40%
C. 60%
D. 90%
Case II Case II (cont.)
8. After a periodontal examination, the 13. Which of the following is an im-
patient is classified as: portant constituent of gram-negative
A. Type II, Early Periodontitis microorganisms that contributes to
B. Type III, Moderate Periodontitis initiation of the host inflammatory
C. Type IV, Advanced Periodontitis response?
D. Severe Refractory Periodontitis A. Exotoxin
B. Lipoteichoic acid
C. Endotoxin
9. What is the radiographic error in the D. Peptidoglycan
mandibular right premolar image?
A. Placed too far posterior
B. Elongation

Case III
C. Foreshortened
D. Placed to far anterior

10. The distance from the CEJ to the

base of the pocket is a measure of:
Right Left 14. The abnormal loss of tooth struc-
A. Clinical attachment level
B. Gingival recession ture due to the normal function or
C. Probing pocket depth most commonly, due to excessive
D. Alveolar bone loss grinding or gritting together of teeth
by the patient is called:
A. Attrition
11. What is the correct term used to
B. Erosion
describe the gingival margin of tooth
C. Abfraction
#22?
D. Abrasion
A. Knifelike
B. Bulbous
C. Blunted
D. Rolled 15. What is the radiographic error
present in the image of the mandibular
left premolars?
12. Which instrument should be
selected to debride tooth #26 and #27? A. Necklace
B. Cord
A. Gracey #7-8
C. Foreshortening
B. Gracey #13-14
D. Cone cut
C. Gracey #1-2
Right Left D. Gracey #11-12
 Case III (cont)
16. Tobacco-related oral conditions
include all of the following EXCEPT:
A. Periodontal disease
B. Tooth loss
C. Leukoplakia
D. Migratory glossitis
17. After a periodontal examination,
the patient is classified as:
A. Generalized Type II Early
Periodontitis with Localized
Type III Moderate Periodon-
titis
B. Generalized Type III Moderate
Periodontitis with Localized
Type IV Advanced Periodon-
titis
C. Generalized Type III Moder-
ate Periodontitis
D. Generalized Type IV
Advanced Periodontitis
18. Sotalol (Betapace) is in a class of
medications called?
A. Diuretics
B. Anti-arrhythmics
C. Calcium channel blockers
D. Alpha-blockers
Case II
19. Which of the patients medications
can cause gingival enlargement?
A. Sotalol
Age: 28
B. Magnesium Chloride
C. Amlodipine
D. Pravastatin Sex: Male
Height: 60
Weight: 230 lbs.
20. Amlodipine (Norvasc) is a/an:
A. Calcium channel blocker
BP: 126/82
B. Beta-blocker
C. Alpha-blocker Chief Complaint: My gums are puffy and bleed when I
D. Diuretic
brush.
21. You have selected the most appro- Medical History: Anxiety
priate Gracey curette for scaling the
Current Medications: None
interproximal surfaces of this patients
anterior teeth. When the face of the
Gracey curette blade is parallel with
the floor and viewed from above, the Allergies: Penicillin
correct cutting edge can be seen as:
A. Smaller, inner curve
B. Larger, outer curve Dental History: The patients last cleaning was 5+ years
C. Larger concavity ago.
D. Smaller convexity
Social History: The patient is single and works for the city
full time. He smokes a pack of Marlboro Reds a day and
social drinks on the weekends.
Case I Case IV
22. Chemotherapy can cause harm to the
cells in your mouth causing problems
with your teeth, gingiva, and glands. It is
important to see the Dentist at least 2
weeks prior to starting chemotherapy.
A. Both statements are true
B. Both statements are false
C. The first statement is true, the
second is false
D. The first statement is false, the
second is true
23. All of the following are side effects of
chemotherapy EXCEPT:
A. Nutritional deficiencies
B. Xerostomia
C. Mucositis
D. Periodontal disease
24. All of the following are common side
effects of Atenolol (Tenormin) EXCEPT:
A. Dizziness
B. Decreased sex drive
C. Fast heart beat
D. Insomnia
25. Caution must be used when reclining
this patient because he may develop:
A. Orthostatic hypotension
B. Difficulty breathing
C. Orthostatic hypertension
D. This patient should not be relined
26. The erythema present on the hard
palate is MOST LIKELY due to:
A. The maxillary partial denture
B. Opportunistic infection
C. Trauma
D. Allergic reaction
27. You recommend to the patient that
he use an oral irrigator to help with his
home care. These devices have been
shown to ?
A. Eliminate plaque
B. Clean nonadherent bacteria
and debris from the oral
cavity more effectively than
toothbrushes and mouth rinses
C. Disinfect pockets for up to 12
hours
D. Prevent calculus formation
28. The family of "statin drugs" include
atorvastatin (Lipitor), simvastatin
(Zocor), fluvastatin (Lescol), lova-
statin (Mevacor) pravastatin (Prava-
chol) and rosuvastatin (Crestor).
These drugs are all:
A. Selective cholesterol absorption
inhibitors
B. Bile acid sequestrants
C. HMG-CoA Reductase
inhibitors
D. Fibric acid derivatives
 Case V
29. The patient states that the pain on
the lower right is constant, severe, dull
and throbbing. What is the MOST
likely clinical diagnosis?
A. Gingivitis
B. Periodontal abscess
C. Cyst
D. Irritation fibroma
30. Bacteria that colonize the perio-
dontal abscess have been reported to
be primarily:
A. Gram-positive aerobic cocci
B. Gram-negative aerobic rods
C. Gram-negative anaerobic rods
D. Gram-positive anaerobic cocci
31. Side effects of anti-hypertensives
include all of the following EXCEPT:
A. Increased gag reflex
B. Xerostomia
C. Lichenoid reactions
D. Neutropenia
32. After a periodontal examination,
the prognosis of #24 is:
A. Poor, the clinical attachment
level is nearly gone
B. #24 is stable due to the patients
good oral hygiene
C. Poor, #24 is susceptible to deep
cervical caries that are non-
restorable
D. #24 is stable and of no concern
Case I
33. The most critical parameters for
the prognosis of a periodontally in-
volved tooth are:
A. Mobility
B. Inflammation
C. Attachment loss
D. Pocket depth
E. A & C
34. This patient should be referred to
the periodontist for which of the fol-
lowing?
A. Non-surgical periodontal ther-
apy
B. Free-gingival grafting
C. Pocket reduction
D. Laser therapy
35. All of the following are calcium
channel blockers EXCEPT:
A. Verapamil (Calan)
B. Diltiazem (Cardizem)
C. Nadolol (Corgard)
D. Nifedipine (Procardia)
Right Side Left Side
36. Losartan (Cozaar) is a/an:
A. Calcium channel blocker
B. Angiotensin-converting enzyme
inhibitor
C. Alpha-adrenergic receptor
blocker
D. Angiotensin II receptor blocker
Case I Case VI
37. What is the anomaly present on this 42. After reviewing the patients
patients buccal mucosa? dental history, which of the follow-
ing contributes to an increased risk
A. Lichen planus
for periodontal disease?
B. Linea alba
C. Wickams striae A. Prior orthodontics
D. Leukoedema B. Psoriasis
C. Genetic predisposition
D. Both A & C
38. Using Angles classification, identify
this patients occlusion.
A. Class I 43. Which of the following is the
B. Class II Division I most commonly used type of nicotine
C. Class II Division II replacement therapy?
D. Class III A. Patch
B. Gum
C. Lozenge
39. What type of restoration was fabri-
D. Inhaled nicotine
cated to replace #13?
A. Manhattan bridge
B. Endosteal implant
C. Conventional bridge
D. Maryland bridge

40. What is the white line present on the

facial of #19 visible on the intra-oral
photo?
A. Cervical abrasion
B. Abfraction
C. CEJ
D. Demineralization

41. What most likely contributed to this

condition?
A. Acid erosion
B. Poor oral hygiene
C. Orthodontics
D. Xerostomia
 Answers to

Case I
Case Studies

Case I
1. B
2. D
Age: 33
3. B
Sex: Female
4. D
Height: 52
5. C
Weight: 130 lbs.
6. B
BP: 140/90

Case II Chief Complaint: I get headaches daily and my teeth in

the upper right hurt.
7. A
8. B Medical History: Type II Diabetes and Hypertension
9. A
10. A Current Medications:
11. D Insulin Lispro (Humalog)
12. C Insulin NPH (Humulin N)
13. C Labetalol (Trandate) 200 mg b.i.d.

Case III Allergies: Latex and Benadryl

14. A Dental History: The patients has severe dental anxiety,

15. B but maintains 6 month recalls.
16. D
17. B Social History: Patient is single and is a school teacher.
18. B Patient reports having a glass of wine at night.
19. C
20. A
21. B
 Answers to
Case Studies

Case IV
22. A
23. D
24. C
25. D
26. A
Acknowledgements 27. B
28. C

Case V
The Case Studies in this booklet were used with
permission from the following individuals:

Nicole Kelleher, RDH 29. B

30. C
Jaime Slobodjian, RDH, BS 31. A
32. A
33. E
34. B
35. C
36. D

Case VI
37. B
38. A
39. D
40. D
41. C
42. D
43. A
 Dental Decks
Part II
Case Studies Booklet

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