case presentations RESTORATIVE & PERIO Flashcards
(20 cards)
what is a caries risk assessment?
preformed to determine a patients risk of developing caries by assessing risk factors such as medical history, social history, diet and OH.
what factors would you consider when choosing a restorative material?
asthetics
moisture control
size of the cavity
extent of caries
allergies
cost
what are the different grades for radiographs?
acceptable
unacceptable
if a patient had been on drugs how would this impact?
how would we treat and manage these patients?
dry mouth therefore reduced salivary flow causing caries, some other drugs such as alcohol can cause erosion as most alcohols are acidic, smoking can cause oral cancer and gum disease as smoking causes vasoconstriction
fluoride from toothpaste or varnish
cosmetic treatments, fillings, crowns
badly decay teeth many need to be removed so dentures may need to be an option or implants. removing the cause if its diet related, consider quitting smoking or cutting down.
if a patient was on antidepressants how would you treat them?
they cause postural hypotension which is when the blood pressure drops making you feel lightheaded.
appointments in the morning
short appointment times
be mindful and respectful and listen if they want to talk
how would you be able to tell if a patient is engaging in treatment?
reduced plaque and bleeding scores or if the plaque and bleeding score has halfed since the patients last appointment.
Reduced BOP
PLAQUE BELOW 20%
Bleeding below 30%
What is a 6PPC? How would you see if pocket depths have improved or not?
What does bleeding indicate when you’re probing?
A 6PPC is recorded if a BPE of 3 or 4 is recorded the UNC 15 probe is walked around the 6 points of a tooth measuring the pocket depth, gingival margin, LOA, mobility, BOP, Furcations.
You would know if pocket depths have improved by taking a pre 6PPC and post after treatment to see if there’s improvement.
BOP indicates active disease
How do you monitor erosion?
BEWE
How do u take a BEWE score?
Split the mouth into 6 sexitants grading each sexitant 0-3 at the worst affected site on each sexetant
how would you know if a pocket is healing?
reduction in probing depth
no bleeding
reattachment of junctional epithelium
how does a weakend immune response effect periodontal healing?
Increased inflammation
slower tissue repair
A weakened immune response may make the body less capable of defending against harmful bacteria that cause gum infections.
what questions would you ask your pt if they have diabetes? how does diabetes cause and affect periodontal disease?
make sure you have asked the pt if they have eaten today to keep glucose levels up if not this could cause a hypoglycaemia attack.
if it swell controlled with meds
Weakened Immune Function: Elevated blood sugar levels can impair the immune system’s ability to fight infections. White blood cells, like neutrophils and macrophages, which play a key role in fighting infections.
Managing blood glucose levels, maintaining good oral hygiene, and seeking regular dental care are essential to reducing the risk and severity of periodontal disease in individuals with diabetes.
what side effects does immunosuppressants have?
gingival hyperplasia, dry mouth, oral thrush, delayed healing, and a higher risk of periodontal disease.
It is crucial for individuals on immunosuppressive drugs to maintain excellent oral hygiene, have regular dental check-ups, and discuss any concerns with their dentist or healthcare provider to manage and mitigate these oral health risks.
how can a dry mouth cause caries?
what would you do to manage a pt with a dry mouth?
saliva helps to neutralize acids in the mouth, wash away food particles, and provide essential minerals like calcium and phosphate that help remineralize enamel. When saliva production is reduced, these protective functions are compromised, making teeth more vulnerable to decay.
In a dry mouth, there is a higher chance for harmful bacteria to thrive
Maintaining good oral hygiene practices, drinking plenty of water, and possibly using saliva substitutes or stimulants can help protect your teeth if you suffer from dry mouth.
Why do we use lidocaine?
WHO would we not use lidocaine on and why?
Gives good anasthetic to the pulp and the surrounding tissue
Works effectively
We wouldn’t use lidocaine on someone with heart problems as the adrenaline can cause further damage
Why do we use lidocaine?
WHO would we not use lidocaine on and why?
Gives good anasthetic to the pulp and the surrounding tissue
Works effectively
We wouldn’t use lidocaine on someone with heart problems as the adrenaline can cause further damage
Why do we not use articane for an IDB?
Its a higher concentration therefore can cause nerve damage to the inferior alveolar nerve or lingual and buccal nerve
What anasthetic would we use on someone with heart problems?
Citanest-octapressin fellypressin
What allergies may a patient have in the dental setting?
what may contain this ?
LATEX
latex gloves, rubber dam, anasthetic cartridge the plunger
What are some of the ingredients in sensitive toothpaste?
Potassium nitrate
Strontchum chloride
Stannous fluoride
