Use Case a to Answer the Following Questions

question 26

Multiple Choice

Use Case A to answer The Following questions
CASE A
Ms. Ivory is a 45-year-old female who has just arrived for her first dental hygiene care visit in 11 years. Ms. Ivory recently acquired dental insurance and is interested in improving her oral health. Her physician is treating her for anxiety, hypertension, type 2 diabetes, and seasonal allergies. She takes Xanax (alprazolam) for anxiety and migraines; Atenolol (tenormin) for hypertension; Glucotrol (glipizide) for diabetes and an over-the-counter antihistamine product for seasonal allergy relief. She occasionally experiences dry mouth; she reports brushing twice per day, flossing occasionally, and using Parodontax toothpaste without fluoride. In addition, she states that her gums bleed every time she brushes and flosses her teeth. Ms. Ivory has moderate levels of cervical plaque biofilm. She reports using a soft toothbrush but cannot remember the brand name. She also experiences sensitivity to cold, sweets, and pressure in the mandibular right posterior quadrant. She is missing teeth #1, #3, #14, #16, #17, and #32. A class I furcation involvement is present on the buccal surface of tooth #19, and generalized 2- to 3-mm recession throughout her mouth, with class II embrasure spaces. Radiographs show moderate horizontal bone loss and moderate subgingival and supragingival calculus, especially in the interproximal areas. She has three new class I and two class II and IV carious lesions. In five previously restored teeth, recurrent caries can be seen.
-To address this client's dentinal hypersensitivity to cold, sweets, and pressure, all of the following would be appropriate recommendations EXCEPT one. Which one is the EXCEPTION?

• A)Recommend an ADA-accepted or CDA-recognized dentifrice containing potassium nitrate and fluoride
• B)Evaluate the tooth vitality of the mandibular right molar and premolars
• C)Refer to a dental practitioner
• D)Obtain periapical radiographs of the mandibular molars and premolars

---

Definitions:

Sexual Orientation

An inherent or immutable enduring emotional, romantic, or sexual attraction to other people.

Homosexual Orientation

The romantic or sexual attraction to individuals of the same sex.

Bulimia

An eating disorder characterized by binge eating followed by purging to prevent weight gain.

Western Influence

describes the impact of Western cultures and societies on other regions in terms of lifestyle, technology, politics, economics, and culture.