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ALPHA EXAM

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1 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Mrs. Wilson, a 45-year-old woman, visits your dental clinic for her first check-up and cleaning after her long-term dentist of 20 years recently retired. She reports that her previous dentist only performed light cleanings and did not provide specific instructions regarding her periodontal health. Mrs. Wilson has a clear medical history but mentions smoking 11 cigarettes a day for over 25 years and a family history of early tooth loss. She admits to brushing her teeth once daily with a manual toothbrush but does not floss regularly. She is unaware of any gum problems, as she has not experienced pain or noticeable changes, except for occasional bleeding when brushing. As a newly registered dentist, Dr. Stevens conducts a thorough periodontal examination, noting heavy plaque and calculus deposits, generalized probing depths of 5–6 mm, and recession of up to 2 mm on the lower anterior teeth. Bleeding on probing is observed in multiple areas. Mrs. Wilson provides an orthopantomogram (OPG) from her last dental visit, which reveals moderate alveolar bone loss consistent with chronic periodontitis. During the consultation, Mrs. Wilson expresses surprise at the findings and questions how her periodontal condition developed despite being under regular care. She inquires if her previous dentist failed to diagnose her condition and whether she should take legal action. Additionally, Mrs. Wilson seems reluctant to believe smoking could significantly impact her oral health. Amid these discussions, Dr. Stevens accidentally touches a sterile instrument with gloved hands after contacting Mrs. Wilson’s mouth. Recognizing the breach, she must make an immediate decision while maintaining patient safety and professional integrity. Later in the day, a sterilization failure is detected in the practice autoclave, and Dr. Stevens must navigate infection control protocols to address potential patient risks and manage the situation appropriately.

Question 1 :What is the most critical factor contributing to Mrs. Wilson’s periodontal condition?

2 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Mrs. Wilson, a 45-year-old woman, visits your dental clinic for her first check-up and cleaning after her long-term dentist of 20 years recently retired. She reports that her previous dentist only performed light cleanings and did not provide specific instructions regarding her periodontal health. Mrs. Wilson has a clear medical history but mentions smoking 11 cigarettes a day for over 25 years and a family history of early tooth loss. She admits to brushing her teeth once daily with a manual toothbrush but does not floss regularly. She is unaware of any gum problems, as she has not experienced pain or noticeable changes, except for occasional bleeding when brushing. As a newly registered dentist, Dr. Stevens conducts a thorough periodontal examination, noting heavy plaque and calculus deposits, generalized probing depths of 5–6 mm, and recession of up to 2 mm on the lower anterior teeth. Bleeding on probing is observed in multiple areas. Mrs. Wilson provides an orthopantomogram (OPG) from her last dental visit, which reveals moderate alveolar bone loss consistent with chronic periodontitis. During the consultation, Mrs. Wilson expresses surprise at the findings and questions how her periodontal condition developed despite being under regular care. She inquires if her previous dentist failed to diagnose her condition and whether she should take legal action. Additionally, Mrs. Wilson seems reluctant to believe smoking could significantly impact her oral health. Amid these discussions, Dr. Stevens accidentally touches a sterile instrument with gloved hands after contacting Mrs. Wilson’s mouth. Recognizing the breach, she must make an immediate decision while maintaining patient safety and professional integrity. Later in the day, a sterilization failure is detected in the practice autoclave, and Dr. Stevens must navigate infection control protocols to address potential patient risks and manage the situation appropriately.

Question 2 : During Mrs. Wilson’s examination, Dr. Stevens accidentally touches a sterile instrument with her gloved hand after contacting the patient’s mouth. What is the most appropriate next step?

3 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Mrs. Wilson, a 45-year-old woman, visits your dental clinic for her first check-up and cleaning after her long-term dentist of 20 years recently retired. She reports that her previous dentist only performed light cleanings and did not provide specific instructions regarding her periodontal health. Mrs. Wilson has a clear medical history but mentions smoking 11 cigarettes a day for over 25 years and a family history of early tooth loss. She admits to brushing her teeth once daily with a manual toothbrush but does not floss regularly. She is unaware of any gum problems, as she has not experienced pain or noticeable changes, except for occasional bleeding when brushing. As a newly registered dentist, Dr. Stevens conducts a thorough periodontal examination, noting heavy plaque and calculus deposits, generalized probing depths of 5–6 mm, and recession of up to 2 mm on the lower anterior teeth. Bleeding on probing is observed in multiple areas. Mrs. Wilson provides an orthopantomogram (OPG) from her last dental visit, which reveals moderate alveolar bone loss consistent with chronic periodontitis. During the consultation, Mrs. Wilson expresses surprise at the findings and questions how her periodontal condition developed despite being under regular care. She inquires if her previous dentist failed to diagnose her condition and whether she should take legal action. Additionally, Mrs. Wilson seems reluctant to believe smoking could significantly impact her oral health. Amid these discussions, Dr. Stevens accidentally touches a sterile instrument with gloved hands after contacting Mrs. Wilson’s mouth. Recognizing the breach, she must make an immediate decision while maintaining patient safety and professional integrity. Later in the day, a sterilization failure is detected in the practice autoclave, and Dr. Stevens must navigate infection control protocols to address potential patient risks and manage the situation appropriately.

Question 3 : Mrs. Wilson insists that her previous dentist should be held accountable for her periodontal condition. How should Dr. Stevens respond?

 

4 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Mrs. Wilson, a 45-year-old woman, visits your dental clinic for her first check-up and cleaning after her long-term dentist of 20 years recently retired. She reports that her previous dentist only performed light cleanings and did not provide specific instructions regarding her periodontal health. Mrs. Wilson has a clear medical history but mentions smoking 11 cigarettes a day for over 25 years and a family history of early tooth loss. She admits to brushing her teeth once daily with a manual toothbrush but does not floss regularly. She is unaware of any gum problems, as she has not experienced pain or noticeable changes, except for occasional bleeding when brushing. As a newly registered dentist, Dr. Stevens conducts a thorough periodontal examination, noting heavy plaque and calculus deposits, generalized probing depths of 5–6 mm, and recession of up to 2 mm on the lower anterior teeth. Bleeding on probing is observed in multiple areas. Mrs. Wilson provides an orthopantomogram (OPG) from her last dental visit, which reveals moderate alveolar bone loss consistent with chronic periodontitis. During the consultation, Mrs. Wilson expresses surprise at the findings and questions how her periodontal condition developed despite being under regular care. She inquires if her previous dentist failed to diagnose her condition and whether she should take legal action. Additionally, Mrs. Wilson seems reluctant to believe smoking could significantly impact her oral health. Amid these discussions, Dr. Stevens accidentally touches a sterile instrument with gloved hands after contacting Mrs. Wilson’s mouth. Recognizing the breach, she must make an immediate decision while maintaining patient safety and professional integrity. Later in the day, a sterilization failure is detected in the practice autoclave, and Dr. Stevens must navigate infection control protocols to address potential patient risks and manage the situation appropriately.

Question 4 : Which radiographic finding most strongly supports the diagnosis of moderate chronic periodontitis?

 

5 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Mrs. Wilson, a 45-year-old woman, visits your dental clinic for her first check-up and cleaning after her long-term dentist of 20 years recently retired. She reports that her previous dentist only performed light cleanings and did not provide specific instructions regarding her periodontal health. Mrs. Wilson has a clear medical history but mentions smoking 11 cigarettes a day for over 25 years and a family history of early tooth loss. She admits to brushing her teeth once daily with a manual toothbrush but does not floss regularly. She is unaware of any gum problems, as she has not experienced pain or noticeable changes, except for occasional bleeding when brushing. As a newly registered dentist, Dr. Stevens conducts a thorough periodontal examination, noting heavy plaque and calculus deposits, generalized probing depths of 5–6 mm, and recession of up to 2 mm on the lower anterior teeth. Bleeding on probing is observed in multiple areas. Mrs. Wilson provides an orthopantomogram (OPG) from her last dental visit, which reveals moderate alveolar bone loss consistent with chronic periodontitis. During the consultation, Mrs. Wilson expresses surprise at the findings and questions how her periodontal condition developed despite being under regular care. She inquires if her previous dentist failed to diagnose her condition and whether she should take legal action. Additionally, Mrs. Wilson seems reluctant to believe smoking could significantly impact her oral health. Amid these discussions, Dr. Stevens accidentally touches a sterile instrument with gloved hands after contacting Mrs. Wilson’s mouth. Recognizing the breach, she must make an immediate decision while maintaining patient safety and professional integrity. Later in the day, a sterilization failure is detected in the practice autoclave, and Dr. Stevens must navigate infection control protocols to address potential patient risks and manage the situation appropriately.

Question 5 : The practice autoclave fails during a sterilization cycle, and instruments from the cycle were used on patients before detection. What is the first step Dr. Stevens should take?

6 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Ms. Jennifer, a 48-year-old patient, visits your clinic seeking a second opinion on her gum health and concerns about missing teeth. She has a history of generalized chronic periodontitis with a CPITN score of 444/434, indicating advanced periodontal destruction. She recently received a partial denture from another dentist but finds it uncomfortable and aesthetically displeasing. Her medical history reveals Type 2 diabetes (HbA1c 8.5%), a history of smoking (12 cigarettes/day), and hypertension managed with ramipril. Jennifer expresses dissatisfaction with her previous dentist, citing a lack of explanation regarding treatment options. She requests information on fixed prosthetic options and expresses concern about affordability and long-term outcomes.

Question 1:

What is the most significant factor influencing Jennifer’s periodontal disease progression?

7 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Ms. Jennifer, a 48-year-old patient, visits your clinic seeking a second opinion on her gum health and concerns about missing teeth. She has a history of generalized chronic periodontitis with a CPITN score of 444/434, indicating advanced periodontal destruction. She recently received a partial denture from another dentist but finds it uncomfortable and aesthetically displeasing. Her medical history reveals Type 2 diabetes (HbA1c 8.5%), a history of smoking (12 cigarettes/day), and hypertension managed with ramipril. Jennifer expresses dissatisfaction with her previous dentist, citing a lack of explanation regarding treatment options. She requests information on fixed prosthetic options and expresses concern about affordability and long-term outcomes.

Question 2:

What is the most appropriate prosthetic option for Jennifer at this stage?

8 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Ms. Jennifer, a 48-year-old patient, visits your clinic seeking a second opinion on her gum health and concerns about missing teeth. She has a history of generalized chronic periodontitis with a CPITN score of 444/434, indicating advanced periodontal destruction. She recently received a partial denture from another dentist but finds it uncomfortable and aesthetically displeasing. Her medical history reveals Type 2 diabetes (HbA1c 8.5%), a history of smoking (12 cigarettes/day), and hypertension managed with ramipril. Jennifer expresses dissatisfaction with her previous dentist, citing a lack of explanation regarding treatment options. She requests information on fixed prosthetic options and expresses concern about affordability and long-term outcomes.

Question 3:

What is the most ethical approach to address Jennifer’s dissatisfaction with her previous dentist?

9 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Ms. Jennifer, a 48-year-old patient, visits your clinic seeking a second opinion on her gum health and concerns about missing teeth. She has a history of generalized chronic periodontitis with a CPITN score of 444/434, indicating advanced periodontal destruction. She recently received a partial denture from another dentist but finds it uncomfortable and aesthetically displeasing. Her medical history reveals Type 2 diabetes (HbA1c 8.5%), a history of smoking (12 cigarettes/day), and hypertension managed with ramipril. Jennifer expresses dissatisfaction with her previous dentist, citing a lack of explanation regarding treatment options. She requests information on fixed prosthetic options and expresses concern about affordability and long-term outcomes.

Question 4:

Which further investigation is most critical before proceeding with treatment?

10 / 10

Category: PERIODONTICS, INFECTION CONTROL, PROFESSIONALISM AND ESTHICS.

Ms. Jennifer, a 48-year-old patient, visits your clinic seeking a second opinion on her gum health and concerns about missing teeth. She has a history of generalized chronic periodontitis with a CPITN score of 444/434, indicating advanced periodontal destruction. She recently received a partial denture from another dentist but finds it uncomfortable and aesthetically displeasing. Her medical history reveals Type 2 diabetes (HbA1c 8.5%), a history of smoking (12 cigarettes/day), and hypertension managed with ramipril. Jennifer expresses dissatisfaction with her previous dentist, citing a lack of explanation regarding treatment options. She requests information on fixed prosthetic options and expresses concern about affordability and long-term outcomes.

Question 5:

What infection control measure is most crucial in Jennifer’s case?

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