CASE STUDY Monica Is a 38-Year-Old Woman Who Visits the Office as Office

Multiple Choice

CASE STUDY
Monica is a 38-year-old woman who visits the office as a new client for an oral assessment and necessary care.Her health history indicates that she is in good health.Monica reports that she brushes three times per day and flosses every night,but her gums bleed every time she flosses.On completion of the full mouth radiographs,dentist's examination,and diagnosis,the dental hygienist completes the periodontal assessment and dental hygiene care plan.Findings include generalized,papillary and marginal gingival erythema;edema;and increased bleeding on probing at all proximal surfaces,especially teeth 8 and 9.No visible supragingival calculus is observed,but there is flat,easily explorable subgingival calculus present on all proximal surfaces,and there are rings of subgingival calculus in 4-mm pocket depths on the lingual surfaces of the mandibular molars,especially teeth 30 and 31.Furthermore,tooth 14 has facial and lingual recession of 4 mm,circumferential 3-mm pocket depths,a Class I mesial furcation,and cementum that is grainy and soft.
-What is the most likely anatomic cause of the clinical findings at teeth 8 and 9?

A) Prominent flat cementoenamel junction (CEJ) shape of the mesial aspect of the maxillary central incisors allows excess calculus to remain undetected.
B) Flat distal CEJ concavities on the distal aspect of the maxillary central incisors make complete calculus removal difficult.
C) Prominent V-shaped CEJ concavities on the mesial aspect of the maxillary central incisors make calculus identification and complete removal difficult.
D) Flat V-shaped CEJ concavities on the distal aspect of the maxillary central incisors make calculus identification and complete removal a challenge.