CP2 Flashcards
How do you Measure BEWE?
- for each sextant
- scores
0 = no erosive tooth wear
1= intial loss
2 = <50% hard tissue loss
3 = >50% hard tissue loss
add all of the scores together
What are the Risk Levels of Total BEWE and Responsibilities?
< or equal to 2
= no risk
- routine maintenance and obvs
- repeat every 3 years
3-8
= low risk
- OHI, diet assessment
- routine maintenance and obvs
- repeat every 2 years
9-13
= medium risk
- OHI, diet assessment
- identify aetiology and develop strategies to reduce
- fluoridation
- avoid restoration
- monitor wear with study casts, photograph or silicone impression
- repeat every 6-12 months
14+
= high risk
- same steps as medium risk
How do you Take a Record in Clinic?
- read notes
- history
- dental history
- social history
- medical history
- general examination
How do you Present a Case to a Tutor?
check in
formulate treatment plan
sign off
write notes in Salud
notes signed off and CAFS
What Infection Control and Prevention Measures Should there be?
washing hands before seeing patient and before putting gloves on
eye protection
new gloves mask and gloves
dont touch anything with dirty gloves
How should Patient Complaints be Noted?
all in their own words their chief complaint
history of the complaint
do SOCRATES
How Should History Taking be done?
check patient details - confirm details
check medical history
start consultation with open question
find out referral source
What is SOCRATES?
Site
Onset
Character
Radiation
Association
Time
Exacerbating Factors
Severity
What are the Steps in Discussing with a Patient (5)
Diagnosis
Risk Assessment - caries, perio
Prognosis
Treatment Options
Treatment Plan
What is Part of the Diet Analysis? (6)
meals
pattern of eating habits
all sugar intakes and acid attacks
frequency and quantity
tooth recovery time
teeth brushing
What are Instrisic and Extrinsic Sugars
intrinsic - fruit and milk
extrinsic - sugar added by consumer/by manufacturer/fruit juices
What is VBA
30 seconds on very brief advice on smoking cessation
ASK - is patient a smoker
ADVISE - best way of quitting, know local support
ACT on patient response, build confidence, give information, refer to local clinics and communities and prescribe
- 4x more likely to stop with NHS support
** let patient know about cancer risk in smoking cessation
What is IBA?
alcohol Identification and Brief Advice
- no more than 14 units a week
- try to stretch out over a week
- if preggers dont drink
What is the Risk of Oral Cancer from High Alcohol Intake?
30%
What is the FRAMES model for Alcohol Advice?
Feedback - risks and negative consequences
Responsibility
Advice
Menu of Options
Empathy
Self-efficacy
What is Binge-Drinking
high number of units in a short amount of time
How can Patient find out their Own Unit Intake?
drink aware calculator website and enter the drinks
How do you Work out PFS
Plaque Free Score
- use plaque disclosing tablets, plaque stains dark, 30 seconds chew and spit, apply vaseline on lips
- split tooth into 4 areas for inter proximal surfaces
- add up all the stained surfaces and divide by the total x 100 = plaque score
If patients find it hard to brush, what can you recommend?
affordable electric toothbrush
help from carers
modified handles - weight and design