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5. The clinician determines that many of the client's multiple-rooted teeth have loss of clinical attachment. This information should prompt the clinician to use the following instrument to assess for possible furcation involvement. PG 672 Mosby Review

A. An ODU 11/12 explorer

B. Calibrated Nabers probe with curved working ends

C. Calibrated periodontal probe with a straight working end

D. Slim-diameter curved right and left paired ultrasonic tips with extended shanks

1 Answer

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Final answer:

The correct instrument for assessing furcation involvement when there is loss of clinical attachment in multiple-rooted teeth is a Calibrated Nabers probe with curved working ends, as it is specifically designed to measure the complex areas between the roots of the teeth.

Step-by-step explanation:

When a clinician determines that a client's multiple-rooted teeth have a loss of clinical attachment, this could indicate potential furcation involvement. Understanding the anatomy and function of the teeth is essential for making an informed decision on which dental instrument is best suited for assessing furcation involvement. With this in mind, the correct answer is B. A Calibrated Nabers probe with curved working ends is specifically designed to assess furcation involvement.

It allows the clinician to gently insert the probe into the furcation areas between the roots of the teeth to measure the extent of the involvement accurately. The anatomy of a tooth shows that premolars and molars have multiple roots, and furcations are the branching points where these roots divide. Prompt detection and diagnosis are crucial for effective management and treatment of periodontal disease, which could lead to bone loss and ultimately the loss of the tooth if untreated.

Other instruments mentioned, such as the ODU 11/12 explorer, a straight calibrated periodontal probe, and slim-diameter curved right and left paired ultrasonic tips, do not have the specific design features necessary for accurately assessing furcal areas due to their straight or rigid ends, which are not ideal for navigating the complex furcation areas of multi-rooted teeth.

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