Assessment

Question 1

what is the assessment

Answer 1

• systematic process: data from variety of resources
• provides delivery of individualized care
• baseline data
• need accurate collection and analysis
• takes about 1.5 - 2 hours

Question 2

what skills are required for the preprocessed

Answer 2

• scientific knowledge base
• interpersonal skills
• communication skills

Question 3

what is assessment knowledge

Answer 3

• judgment and critical thinking skills
• extensive scientific knowledge (master basics of anatomy, physiology, pharm, psych)
• synthesis of info (client state of health)

Question 4

what does the DH knowledge base include

Answer 4

• problem solving
• analysis of findings
• decision making
• needs to be sound, to make defendable judgments decisions to meet patient needs

Question 5

what are interpersonal skills

Answer 5

• important during all phases of dhp but more critical during assessment

Question 6

what does effective communication include

Answer 6

• language
• non verbal
• listening

Question 7

what is interrogation vs interview

Answer 7

• interrogation: patient attitude will be negative
• interview: sets tone for the relationship; open ended questions; receive feelings vs facts (good interview gets feelings vs facts)

Question 8

what does a successful interview include

Answer 8

1. encourages communication: start with open ended, broad questions; follow up specific to clarify answers
2. non-verbals: SIT principle (avoid prejudice, non verbals)
3. cycle: low authority to higher (gain respect); slow systematic approach to establish good pt rapport)

Question 9

what is the SIT principle

Answer 9

• S: interpret gesture, expression according to the situation
• I: interpret tentatively and then
• T: test (ask regarding the non-verbals)

Question 10

how can we establish rapport

Answer 10

• client sitting up
• no judgmental: fearful pts, embarrassed pts
• powerless when lying down: establish before lying down

Question 11

what does the assessment phase include

Answer 11

• data collection
• subjective
• objective
• historical
• current
• all data supportive, not mutually exclusive
• puzzle pieces (CSI) “Clinical screening investigation”

Question 12

what does the data collection phase include

Answer 12

• subjective
• objective
• historical
• current
• all 4 are required

Question 13

what does subjective data include

Answer 13

• perceptions, feelings
• pain
• hot, cold
• personal history, med dent history, chief concern

Question 14

what does objective data include

Answer 14

• measured of evaluated
• intra extra oral etc
• baseline data for comparison

Question 15

what does historical data include

Answer 15

• past history - relevance to current findings

Question 16

what is the personal profile

Answer 16

• attitude (apprehensive/non communicative, relaxed, friendly)
• value of tx - preventative
• family history
• socioeconomic status
• dental beliefs - misnomers

Question 17

what is the dental history

Answer 17

• subjective collection: c/c, problems, habits. influence on tx options
• chief c/c: reflectively respond; clarify - non judgmental
• present dental illness: probe for specific info, eg. TMJ, sensitivity

Question 18

why is the past dental history relevant

Answer 18

• maintenance or emergency
• how often - attitude
• radiograph history - attitude
• home care - values
• previous experiences
• oral habits and dietary links

Question 19

what is the relevance of the medical history

Answer 19

• general health: last physical, medications, current and past health
• allergies: any adverse rxns
• systemic body systems: all systems to provide links to risk factors and etiology

Question 20

what is normal for vitals

Answer 20

• pulse: 60-90
• resp: 12-20
• BP: 100-140/60-90
• repeat after 5 mins if suspect

Question 21

what are we looking for in the dental examination

Answer 21

• carious lesions
• restorations
• defects, fractures
• occlusion
• rad helps

Question 22

what does the periodontal exam include

Answer 22

• gingival assessment
• BOP
• CAL
• recession
• furcations
• ZAG (MGI)
• probing

Question 23

how do we do the gingival assessment

Answer 23

• good light
• technique sensitive
• use air
• DH skill set

Question 24

how do we probe

Answer 24

• technique sensitive
• angle, calculus, visible (location), tissue, pressure
• vary recorded depth vs actual (can vary as much as 1 mm to 2 mm)

Question 25

what is attachment loss

Answer 25

- based on the true location of the JE | - need fixed reference point, usually the CEJ

Question 26

what are BOPs

Answer 26

- current disease activity - not 100% - false positive due to technique - use all facets of assessment to diagnose condition

Question 27

what are signs of suppuration (pus)

Answer 27

- purulent exudate during probing or spontaneous

Question 28

what is a furcation

Answer 28

- critical - very difficult to treat - I, II, III, (IV visible through and through) - nabers probe: with/without markings

Question 29

what is attached gingiva

Answer 29

- zone of attached gingiva (ZAG) - measure on outside (from MGJ to free gingival margin) - subtract pocket depth - determine gingival attached to bone (from GM to MG line, subtract pocket)

Question 30

what does the oral hygiene assessment include

Answer 30

- biofilm - calculus - stain - limited clinical significance (plaque adhesion); indicator of diet and OHI habits

Question 31

what is the radiographic assessment

Answer 31

- guidelines based on age and risk - BW yearly vs need and risk factors (6, 12, 18, 24, 36 months) - PA - suspected periodontally involved areas - large restorations, failing margins, fractures - generalized or localized risk factors - BW: vertical or horizontal

Question 32

what are laboratory tests

Answer 32

- biopsy - cultures, DNA tests, host response (take a sample of the gingival crevicular fluid) - periodontal office - bacteria specific antibodies

Question 33

what is the modified Snyder

Answer 33

- s. mutans, acidogenic bacteria test (predetermines decay rate)

Question 34

what is clinical photography

Answer 34

- baseline data (documentation for legal purposes) | - intra oral cameras

Question 35

what is documentation

Answer 35

- baseline data: concise, relevant, pertinent info; individualized care - legal document - research: links on interventions vs outcomes - records: accurate, concise, legible, complete. watch cross contamination (if someone is documenting for you, that person should not be wearing gloves and no barrier on pen, unless they have a barrier sheet as well to use)

Question 36

what are progress notes

Answer 36

- objective (findings) - subjective (Pte feelings, comments) - data (treatment rendered, radiographs, referrals, etc) - next appt: treatment plan in order to be completed (do this on a separate line for the booking and easy reflection for follow up)