Patient Scenario 1
An eight-year old male patient, David, arrives for a new patient appointment accompanied by his mother. Review of the patient’s dental and medical histories are noncontributory. Further discussion with David’s mother indicates that the family lives outside the city limits and drinks non-fluoridated well water. It has been a year or two since her son has seen a dentist due to a new employment opportunity and subsequent family relocation. David has had several new permanent teeth erupt. The mother reports that she had several missing permanent teeth as a child and wonders if her son has any missing permanent teeth. The clinical evaluation of David’s oral cavity demonstrates evidence of poor oral hygiene, occlusal carious lesions in the 1st molar teeth, and marginal gingivitis.
Patient Scenario 1 Key
Patient Scenario 2
Monica, an 18-year old female patient, arrives for her recall appointment. At her last recall visit one year ago, four bitewings were taken to evaluate for interproximal caries. No clinical or radiographic caries were found at that time and her periodontal status was good. Her chief complaint is discomfort and swelling behind the second molar teeth. The third molars are not erupted but she thinks they might be trying to come in. She is planning to attend an out-of-state college in a few months. Today your patient interview and oral examination reveal excellent general and oral health with the exception of inflammation and slight swelling in the third molar areas. No clinical caries were found.
Patient Scenario 2 Key
Patient Scenario 3
A 37-year old male patient, Raphael, presents as a new adult patient. He has just acquired a new sales position with a local company. During the patient interview and review of his dental/medical history, he reports taking oral medication for diabetes mellitus. He states that it has been several years since his last medical or dental visit. The last dental treatment he received was for a root canal. His job requires a great deal of traveling by car and eating on the go. He is aware that he needs to eat better and brush his teeth more often. Observations from the clinical examination include fair oral hygiene, evidence of periodontitis with generalized mild and localized moderate bone loss, large amalgam restorations in first molar teeth, a crown on tooth 15 and deep occlusal lesions on teeth 12, 18, 29.
Patient Scenario 3 Key