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Use Case B to Answer the Following Questions

question 29

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Use Case B to answer The Following questions
CASE B
Mr. Jones, a 30-year old male, presents for his 6-month continued-care appointment. His health and pharmacologic histories reveal that he is taking an antidepressant drug. He has very tight contacts between his teeth and reports that flossing frustrates him. He smokes one-half pack of cigarettes daily. Intraoral assessment findings reveal a coated tongue, generalized brown extrinsic stains covering most of the lingual surfaces, generalized moderate gingivitis, and light interproximal calculus. Periodontal probe readings and radiographs reveal healthy teeth and periodontium with no bone loss. Recently separated from his long-time girlfriend, Mr. Jones is concerned about his self-image and wonders if he has "bad breath." He is interested in having his teeth whitened to improve his appearance and has requested your guidance in making his oral health care decisions.
-To help Mr. Jones remove interproximal plaque biofilm, what should the hygienist recommend?


Definitions:

Sympathetic Division

Subdivision of the autonomic division of the nervous system characterized by having the cell bodies of its preganglionic neurons located in the thoracic and upper lumbar regions of the spinal cord (thoracolumbar division); usually involved in preparing the body for physical activity; also called thoracolumbar division.

Parasympathetic Division

Subdivision of the autonomic nervous system; characterized by having the cell bodies of its preganglionic neurons located in the brainstem and the sacral region of the spinal cord (craniosacral division); usually involved in activating vegetative functions, such as digestion, defecation, and urination.

ANS

Short for autonomic nervous system, it controls involuntary bodily functions such as heart rate, digestion, and respiratory rate.

Parasympathetic Division

A division of the autonomic nervous system responsible for stimulating "rest-and-digest" or "feed and breed" activities when the body is at rest.

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