Ch. 1 The Professional Dental Hygienist

Question 1

Who is the father of dental hygiene?

Answer 1

Alfred C. Fones

Question 2

First licensed dental hygienist

Answer 2

Irene Newman

Question 3

Scope of Practice is determined by what?

Answer 3

The state you live in

Question 4

Types of Supervision

Answer 4

Direct
Personal
General
Direct Access
Collaborative Practice
Indirect
Remote
Independent Practice

Question 5

Direct Supervision

Answer 5

Dentist needs to be present

Question 6

Personal Supervision

Answer 6

Dentist needs to authorize, be present, and check work before pt leaves (not in az)

Question 7

General Supervision

Answer 7

Dentist authorizes procedure, but doesn’t need to be present. Carried out according to dentists diagnosis and treatment plan

Question 8

Direct Access Supervision

Answer 8

DH can provide appropriate services without specific authorization (usually preventive services in specified public health settings)

Question 9

Collaborative Practice

Answer 9

Without supervision
Agreement between dentist and DH (collaborate)

Question 10

Indirect Supervision

Answer 10

Must authorize procedure and be in office while the services are performed

Question 11

Remote Supervision

Answer 11

Dentist not on site
Teledentistry
Affiliated DH practice

Question 12

Independent Practice

Answer 12

DH provides services within scope without supervision/authorization

Question 13

Preventive Services

Answer 13

Primary-carried out before any disease or injury

Secondary-treatment of early disease so it doesn’t get worse (non surgical, sealing noncaviated, deep clean, remineralize)

Tertiary-replace lost tissue, rehab mouth to where function is as normal as possible after secondary services were unsuccessful (implant, restoration, crowns, bone and tissue graft). Gum disease

Question 14

Dental Hygiene Specialties

Answer 14

More than GP. Private Ortho, ped., perio. value DH as partners in prevention.
CE perio

Question 15

Alternative Practice Settings

Answer 15

Canada DH self regulated
42 states allowed direct access
-schools,public health, headstart, WIC, nursing homes,free clinics, community settings
(DH plan and initiate treatment without specific auth. of DDS)

Question 16

ADHP and Dental Therapists

Answer 16

ADHP-advanced dental hygiene practitioner

Mid level provider-basic restorative and preventative care for low income at risk populations (rural,inner cities)

54 countries have mid level provider
1921 New Zealand
2006 Alaska (assistant)
2009 Minnesota

Question 17

Process of Care

Answer 17

Framework in which individual needs of pt is met
Assess
Diagnose
Plan
Implement
Evaluate
Document

Question 18

Assessment (Process of Care)

Answer 18

Foundation
Collection of subjective (how a pt feels) and objective (facts) data

Question 19

Diagnosis (Process of Care)

Answer 19

Interpret data using critical thinking
Provide basis how DH care plan is designed,implemented,evaluated
Justify treatment to pt

Question 20

DH Care Plan (POC)

Answer 20

Strategies and interventions to help pt attain oral health into paper or comp.
Pt must sign (consent)
Treatment, how many app., cost

Question 21

Implementation (POC’

Answer 21

Activation of care plan - treatment

Question 22

Evaluate

Answer 22

Area needs retreatment, pt needs referral, reg schedule

Question 23

Documentation (POC)

Answer 23

Condensed, consistent format
-Assesment data
-Diagnosis
-Care Plan
-Treatments
-Pt education
-Evaluation

Question 24

Core Values

Answer 24

Autonomy and respect-informed consent
Confidentiality-
Societal Trust-
Non Maleficence-care for pts and inflict no harm
Benefice-promote well being of public
Justice/Fairness-
Veracity-tell truth and expect others to do same

Question 25

Issue or Dilemma?

Answer 25

Issue=resolves easily , easy solution
Dilemma=can be 2 right answers, no single clear cut answer

Question 26

Factors to Teach Pt

Answer 26

DH cotherapsit
Moral and ethic nature of DH
Scope of practice
Interrelationship of education and clinical services
Importance if home are
Shared responsibly but important on pt end
Pt shares role in their oral health