Welcome!

This is the first edition of the newsletter from www.AndyFutureRDH.com! In these issues you will see brief news of importance, jokes, 5 board tips and 5 practice questions and miscellaneous info. If you have anything you would like to include you may email me. This "should" be a weekly newsletter.... :-)

First, I want to wish everyone good luck on studying for the upcoming boards on March 26th! This is the big day we have all been getting ready for, and just think...after this test we have nothing else to study for! If you are a first year student then you can use these newsletters as a resource for "fyi" information and you will fee much better come next year at this time! :-)

There are only a few more days left for the contest for the free Sonicare and DVD/CD. If you haven't signed up yet, go to www.AndyFutureRDH.com for more information. Winners will be announced in the next issue.

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A lady walked into the male dental hygienist's operatory and laughingly stated, "Gosh, I don't want to be here today. I'd rather have a baby than get this done today." The male hygienist quickly responded, "Well, make up your mind so I know how far to put back the chair!"

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Board info to remember:

* What can cause gingival hyperplasia
- Anticonvulsants (dilantin, phenytoin, sodium valproate )
- Calcium channel blockers (nifedipine, diltiazem)
- Cyclosporine A (anti-rejection medicine for replacement therapy..etc)
- Genetic factors
- Hormonal changes - puberty, pregnancy

* Albuterol (an adrenergic B2 agonist) can cause xerostomia and insomnia! Avoid mouthrinses with alcohol content!

* Water soluble vitamins - B's and C
Fat soluble vitamins - D, E, A, K

Here is how I remember these:

* Know about the PSR probe - screening to determine need for a full mouth probing
To remember PSR scores -ABCDE
1=A Absence of bleeding
2=B Bleeding present
3=C Calculus detected
4=D Disappearance of black band begins
5=E Entire black band goes in pocket.

* Hyperplasia - Increase in cell NUMBERS...."asia" has a lot of people!!
Hypertrophy - Increase in cell SIZE.....Remember you want the biggest trophy!

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Board Question Review:

1.
Factors that are true of the density of a radiograph is/are:
A) May be increased by increasing exposure time
B) May be increased by increasing mA
C) May be increased by increasing kVP
D) 2 of the above
E) All of the above

2.
Mrs. Sulcus reports to your office with generalized calculus heavy on all anterior teeth. She has been smoking 2 packs of cigarettes for the past five years due to a stressful job. She occasionally grinds her teeth at night and complains of a lose tooth, which is #9. Probe depths show 6mm on M, 5mm facial, 7mm on D. Her oral hygiene habits show that she brushes 4 times a week and tries to floss at least once a week. What is the primary cause of her chief complaint?
A) Calculus buildup
B) Nicotine
C) Plaque
D) Grinding teeth at night

3.
Why might you see candidiasis in a patient on antibiotic therapy?
A) When our immune system is compromised it comes out in full blast as candidiasis
B) Candida is present the oral cavity when someone takes antibiotics
C) A side effect of the antibiotic
D) certain conditions, especially ones that lower the immune system, can cause the candida albicans virus to multiply weakening the immune system causing the infection knows as candiadiasis

4.
Desquamative gingivitis may be seen in:
A) cicatricial pemphigoid
B) pemphigus vulgaris
C) lichen planus
D) two of the above
E) all of the above

5. Enamel hypocalcification has an appearance of:
A) Pitting defects
B) Chalky white spots
C) Brownish stains
D) Yellowing discoloration

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Answers:
1) E- All of the above.
2) C- Plaque. Remember plaque is always the primary cause. Everything else are just contributing factors.
3) C- A side effect of the antibiotic. Candida is present in everyone's mouth but repeated courses or long-term use of antibiotics can kill off the good bacteria, allowing Candida to flourish.
4) E- All of above
5) B -Chalky white spots
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Keep Smiling and Happy Studying!!!!!!

Andy Codding
Floyd College - Rome, Georgia
www.AndyFutureRDH.com