Clinical Dentistry Flashcards

1
Q

Taking a history from a patient (5)

A
  1. C/O
  2. HPC
  3. PDH
  4. MH
  5. SH
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2
Q

Ramfjords teeth (6)

A

16, 21, 24, 36, 41, 44

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3
Q

SOCRATES

A

Site
Onset
Character
Radiation
Associated factors
Timing
Exacerbating factors
Severity

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4
Q

Social History - SAMML CHOFD

A

Smoking
Alcohol
Mobility
Marital Status
Living Condition
Carers
Habits
Occupation
Family History
Diet

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5
Q

Caries Risk Assessment (7)

A
  1. Clinical evidence
  2. Dietary habits
  3. Social history
  4. Fluoride
  5. Plaque control
  6. Saliva
  7. Medical history
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6
Q

CRA - Clinical Evidence (3)

A
  1. Caries experience
  2. Orthodontics
  3. Prosthodontics
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7
Q

CRA - Caries Experience (3)

A
  1. DMFT =/> 5 - High risk
  2. Caries in 6s at 6yo - High risk
  3. 3 year caries increment =/> 3 - High risk
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8
Q

CRA - Diet

A

3 or more sugar intakes a day - High risk

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9
Q

CRA - Social History (3)

A
  1. SIMD category
  2. Single parents
  3. Inequalities
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10
Q

CRA - Medical History (4)

A
  1. Medically compromised
  2. Physical disability
  3. Xerostomia
  4. Long term poly pharmacy
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11
Q

CRA - Preventative Elements (8)

A
  1. Radiographs
  2. F supplements
  3. F varnish
  4. High F toothpaste
  5. Toothbrushing instruction
  6. Diet advice
  7. Fissure sealants
  8. Sugar free meds
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12
Q

5 As of smoking cessation

A

Ask
Advise
Assess
Assist
Arrange follow up

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13
Q

Smoking History (5)

A
  1. What do you smoke?
  2. How long have you smoked?
  3. How many a day?
  4. What time do you have your first?
  5. Have you ever tried/considered quitting?
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14
Q

Quitting History (4)

A
  1. When did you last try?
  2. How many times have you tried?
  3. What helped/motivated you?
  4. Would you like to try again?
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15
Q

If giving an antibiotic what must you document - general (4)

A
  1. Diagnosis
  2. Antibiotic
  3. Review date
  4. Any deviation from guidance
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16
Q

If giving an antibiotic what must you document about the antibiotic (4)

A
  1. Choice
  2. Dose
  3. Route
  4. Duration
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17
Q

Sepsis Red Flag - B.P

A

Systolic </= 90 OR
>/=40 below normal

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18
Q

Sepsis Red Flag - HR

A

> /=130 bpm

19
Q

Sepsis Red Flag - Oxygen

A

Needs oxygen to keep SpO2 92%
88% in COPD

20
Q

Sepsis Red Flag - Urine

A

Not passed urine in last 18 hours

21
Q

Sepsis Red Flag - Others (2)

A

Non-blanching rash or mottled/ashen/cyanotic
Recent chemotherapy (6 weeks)

22
Q

SIRS (4)

A

Temp <36 or 38
Pulse >90/min
Resp rate >20/min
WCC <4 or >12

23
Q

Dens in dente risks (2)

A

Increased caries risk
Increase risk of pulp necrosis

24
Q

Gemination

A

Development of two conjoined teeth from a single bud

25
Q

Fusion

A

Joining of two teeth from 2 buds

26
Q

Taurodontism

A

Elongated pulp chambers

27
Q

Taurodontism complications (2)

A

RCT
Extraction - forceps beaks engagement of furcation

28
Q

Amelogenesis imperfecta complications (4)

A
  1. Dentine hypersensitivity
  2. Increased caries
  3. Increased toothwear
  4. Aesthetic
29
Q

Dilaceration potential causes (5)

A
  1. Trauma during development
  2. Apical infection of primary during development
  3. Supernumerary
  4. Cysts
  5. Tumours
30
Q

Dentingogenesis imperfecta type I association

A

Osteogenesis imperfecta

31
Q

Enamel pearls

A

Round, well defined radiopaque structures

32
Q

Enamel pearls complications (2)

A

Perio risk - if supra-gingival - plaque retentive
Complicate extractions if around roots

33
Q

What fibres are affected by sharp pricking pain

A

A delta fibres

34
Q

What fibres are affected by dull aching or burning pain

A

C fibres

35
Q

Periodical radiolucency with a sound/non-carious tooth

A

Juxta apical complex

36
Q

If infection is into periodontal tissues, will pain be well localised

A

Yes

37
Q

Agenesis

A

Complete failure of a structure to develop

38
Q

What does ‘egg-shell’ crackling upon palpation typically mean

A

Cyst is breaking down bone

39
Q

Unflavoured toothpaste

A

Oranurse

40
Q

Dry mouth toothpaste

A

BioXtra

41
Q

Normal resting salivary flow rate

A

0.3-0.4ml/min

42
Q

Normal stimulated salivary flow

A

1-2ml/min

43
Q

How long does enamel take to remineralise after etch

A

24 Hours