ADEX Dental case studies
ADEX Dental · Put your knowledge to work in context.
ADEX - the American Dental Licensure Examination - is a clinical licensure examination that participating U.S. state and regional dental boards accept as evidence that a candidate is ready for independent practice. The ADEX Dental case studies are 5 cases and about 4,318 words.
1Asymptomatic 7 mm Pocket in a Smoker With Poorly Controlled Diabetes
A 58-year-old man is referred for periodontal evaluation. He has type 2 diabetes (HbA1c 8.4% at his last visit four months ago) and smokes 15 cigarettes daily.
810 words, about 4 min2Previously Initiated Root Canal on a Molar With an Unexplained Buccal Pocket
A 44-year-old woman is referred for completion of root canal treatment on #14. Another dentist started the tooth three weeks ago, placed a temporary restoration, and stopped because she 'could not find all the canals.' The patient reports mild spontaneous pain that occasionally wakes her and tenderness to biting.
859 words, about 4 min3Epinephrine Limit and Beta-Blocker Interaction Before a Bilateral Extraction
A 68-year-old man weighing 80 kg needs extraction of #17 and #32 for recurrent pericoronitis. His history includes hypertension treated with propranolol 40 mg twice daily and hydrochlorothiazide, and a myocardial infarction four years ago with no symptoms since.
833 words, about 4 min4A Nine-Week Tongue Ulcer, an Uninsured Patient, and a Refused Referral
A 61-year-old man with limited English presents as a new patient with a 2.5 cm ulcer on the left lateral border of the tongue that has been present for nine weeks. It is indurated and fixed to the underlying tissue, and there is a firm 1.5 cm level IB lymph node.
922 words, about 5 min5Replacing Bilateral Mandibular Free-End Saddle: Implants, RPD, or Nothing
A 64-year-old woman requests replacement of her missing mandibular molars and reports difficulty chewing steak and nuts. She has teeth #20 through #29 remaining; #19 and #30 and all posterior teeth distal to them are missing bilaterally, and the posterior ridges are knife-edged with 4 mm of keratinized tissue.
894 words, about 4 min