Use Case a to Answer the Following Questions

question 35

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 help Ms. Ivory prevent future dental caries, the dental hygienist may suggest all of the following EXCEPT one. Which one is the EXCEPTION?

• A)An ADA-approved or CDA-recognized dentifrice containing fluoride
• B)Dental sealants on all permanent molars and premolars
• C)Xylitol-containing gums or candies
• D)Interdental brushing once per day

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Definitions:

Monroe Doctrine

A principle of US foreign policy introduced in 1823 by President James Monroe, proclaiming opposition to European colonization of and intervention in the Americas.

Provisions

Supplies of food, drink, or equipment, especially for a journey, military campaign, or period of scarcity.

Lewis and Clark Expedition

The early 19th-century expedition commissioned by President Thomas Jefferson to explore the newly acquired western territory of the United States, led by Meriwether Lewis and William Clark.