ADEX Dental Hygiene case studies
ADEX Dental Hygiene · Put your knowledge to work in context.
The ADEX Dental Hygiene Examination is a licensure examination that many U.S. state dental boards use to decide whether a candidate is ready to practice dental hygiene independently. The ADEX Dental Hygiene case studies are 5 cases and about 3,939 words.
1Generalized periodontitis in a patient with uncontrolled diabetes and a long smoking history
R is a 54-year-old man with type 2 diabetes (HbA1c 8.9%, drawn 2 months ago and unchanged for a year) who has smoked one pack per day for 32 years. He presents for a new-patient examination with no acute complaints.
854 words, about 4 min2Failed inferior alveolar nerve block in a cardiac patient: how much anesthetic is safe?
T is a 68-year-old woman (70 kg) with stable angina and hypertension controlled on metoprolol and amlodipine; she also takes aspirin 81 mg daily. She needs scaling and root planing in all four quadrants, including a 6 mm pocket on the mandibular right first molar.
800 words, about 4 min3Diagnostic imaging for acute pain in a pregnant patient
K is a 29-year-old woman at 18 weeks' gestation who calls with throbbing pain in the maxillary right posterior region that wakes her at night and is provoked by cold liquids. She has no swelling, no fever (98.7°F), no trismus, and no medical conditions other than the pregnancy.
748 words, about 4 min4Arresting root caries in a patient with medication-induced xerostomia
L is a 63-year-old woman with dry mouth who takes oxybutynin for overactive bladder and sertraline for depression. She has generalized gingival recession with exposed root surfaces, a soft, leathery, cavitated root lesion at the gingival margin of the mandibular right first molar, and a cavitated cervical lesion on the maxillary right central incisor.
745 words, about 4 min5Needlestick injury with a source patient who did not disclose his status
During scaling of the mandibular anterior region, a hygienist sustains a needlestick with a Gracey curette that had visible blood on the tip. It penetrates the glove and the left index finger and draws blood.
792 words, about 4 min