lecture 1 Flashcards

1
Q

ASA 1

A

Healthy patient, able to walk one flight of stairs with no distress, BP <120-<80

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2
Q

ASAII

A

Mild systemic disease, well-controlled chronic conditions, healthy pregnant woman, Prehypertension & Stage 1 hypertension

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3
Q

ASA III

A

Systemic disease that limits activity but no incapacitating, must stop en route walking one flight of stairs, chronic cardio conditions, controlled insulin dependent diabetes, chronic pulmonary disease, elevated blood pressure, Stage 2 hypertension

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4
Q

ASA IV

A

Incapacitating disease that is a constant threat to life, unable to walk up one flight of stairs, unstable cardio conditions, uncontrolled epilepsy, uncontrolled insulin dependent diabetes, BP >180 ->110

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5
Q

ASA V

A

Patient is moribund and not expected to survive

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6
Q

Stress

A

causes most dental emergencies such as stroke, epileptic seizure or raised blood pressure

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7
Q

Amoxicillin dose

A

2g

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8
Q

Cephalexin dose for penicillin allergy

A

2g

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9
Q

Clindamycin dose for penicillin allergy

A

600 mg

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10
Q

Azithromycin or Clarithromycin dose for penicillin allergy

A

500 mg

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11
Q

normal body temperature

A

96.0 to 99.5 F typically 98.6F

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12
Q

Normal respirations

A

14-20 per minute

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13
Q

Normal pulse

A

60-100 per minute

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14
Q

Normal blood pressure

A

<120-<80

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15
Q

pre-hypertension

A

120-139 over 80-89

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16
Q

Stage 1 hypertension

A

140-159 over 90-99

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17
Q

Stage 2 hypertension

A

> 160 over >100

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18
Q

Conditions that require antibiotics before dental care

A

Artificial cardiac valves, joint replacements, previous bacterial endocarditis, transplants

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19
Q

Infective endocarditis

A

an inflammation of the heart valves and lining of the heart as a result of bacterial infection

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20
Q

Leukemia

A

abnormal proliferation of leukocytes

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21
Q

Thrombocytopenia

A

Number of platelets are reduced, most common bleeding disorder

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22
Q

Blood thinners

A

warfarin, coumadin, aspirin, acetaminopnen expect more bleeding

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23
Q

Sickle Cell Anemia

A

Red blood cell disorder, anemic Take folic acid supplement

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24
Q

Diabetes

A

metabolic disorder caused primarily by a defect in the production of insulin by the islet cells of the pancreas resulting in an inability to use carbohydrates, Type I and Type II

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25
Q

What is the purpose modified stillman’s method

A

plaque removal from cervical areas–message gingiva

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26
Q

what is the motion for stillman’s method

A
  1. vibrate bristles for a count of 10
  2. Turn wrist and work the vibrating brush over gingiva and tooth
  3. repeat 5 times move to next area
27
Q

What is the purpose of the roll method

A
  1. Clean exposed tooth surface
  2. Can stimulate gingiva and increase gingival tone
  3. Used in conjunction with other methods
  4. easy to learn
28
Q

What is the motion for the roll method

A
  1. roll brush slowly over teeth in incisal/occlusal direction by turning wrist
  2. bristles remain flexed and roll over gingiva and tooth
  3. stroke should end with bristle pointing in occlusal/incisal direction
  4. replace and repeat for each group of teeth
29
Q

What is the purpose of Charter’s method

A

clean exposed proximal surfaces, massage interdental and marginal gingiva and for use in open embrasures

30
Q

What is the motion for Charter’s method

A
  1. short vibratory motion
  2. bristle ends remain in place
  3. Count slowly to 10
  4. repeat several times then move to next area
31
Q

What is the purpose of electric toothbrushes

A

patients with ineffective biofilm removal, aggressive pushers, disabilities, anyone

32
Q

What is the purpose of the Circular (Fone’s) method

A

young children, easy to learn

33
Q

What is the method of the Circlular (Fone’s) method

A

(historical method)

  1. fast, wide circular motion
  2. little pressure
  3. anterior teeth go edge-to-edge
  4. posterior teeth go back and forth
34
Q

What is the method of the Vertical (Leonard) method

A

(historical method)

  1. bush vigorously without great pressure up an down with slight rotary movement
  2. bristles placed against teeth perpendicular to long axis
35
Q

What is the scrub brush method

A
  1. vigorously combined horizontal, vertical and circular strokes with some vibratory motions
    - -encourages gingival recession and can sometimes cause tooth abrasion
36
Q

When does the patient sign the patient authorization and release box on the medical history

A

at the initial appointment and at the recall appointment

37
Q

What are the 4 parts of the medical history?

A

personal, dental, medical, sig/authorization

38
Q

What is the most common cause of bleeding disorders

A

Thrombocytopenia (number of platelets are reduced)

39
Q

What are examples of blood thinners

A

1) warfarin
2) Coumadin
3) aspirin
4) acetaminophen

40
Q

What is sickle cell anemia and what supplement do you take

A

red blood cell disorder, anemic

take folic acid supplement

41
Q

How often would you see a diabetic

A

every 3 months

42
Q

How much amoxicillin would children take

A

50 mg/kg

43
Q

If a patient can’t take oral medication what are their options

A

Ampicillin
Celtriaxone
Cefazolin

44
Q

How much celtriaxone would and adult take

A

2g

45
Q

How much Cefazolin would a child take

A

50 mg

46
Q

If a patient is allergic to penicillin or ampicillin oral what are their options

A

Cephalexin
Clindamycin
Azithromycin
Clarithromycin

47
Q

How much cephalexin for a kid

A

50 mg

48
Q

how much clindamycin for a kid

A

20 mg

49
Q

how much clarithromycin for a kid

A

15mg

50
Q

how much azitromycin for a kid

A

15 mg

51
Q

How much azitromycin for an adult

A

500 mg

52
Q

If allergic to penicillin or ampicillin and unable to take oral medications what are their options

A

Cefazolin
Ceftriaxone
Clindamycin

53
Q

How much Cefazolin for an adult

A

1g

54
Q

How much ceftriaxone for an adult

A

1g

55
Q

How much cefazolin for a child

A

50 mg

56
Q

How much clindamycin for an adult

A

600 mg

57
Q

How much cindamycin for a child

A

20 mg

58
Q

What is a normal straight facial profile

A

mesognathic

59
Q

What is a prominent maxilla and a deficient, extruded mandible

A

Retrognathic

60
Q

What is a prominent, protruded mandible and a normal maxilla

A

Prognathic

61
Q

What is a class one occlusion

A

a) mesiobuccal cusp of maxillary 1st molar occludes with the buccal groove of mandibular 1st molar
b) Maxillary canine occludes with the distal half of the mandibular canine and the medial half of the mandibular first premolar

62
Q

What is a class two distocclusion

A

a) buccal groove of mandibular first molar is distal to mesibuccal cusp of maxillary first molar by at least the width of a premolar
b) The distal surface of the mandibular canine is distal to the midline of the maxillary canine by at least the width of a premolar

63
Q

What is a class three mesiocclusion

A

a) Buccal groove of mandibular first molar is medial to the mesiobuccal cusp of the maxillary first molar by at least the width of a premolar
b) The distal surface of the mandibular canine is medial to the midline of the maxillary Caine by at least the width of a premolar