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Dental Hygiene Last Exam Ever > Mod 1, 2 > Flashcards

Flashcards in Mod 1, 2 Deck (66)
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1

What are examples of Temporary special needs

broken arm, heart surgery

2

In a person with special needs you should focus on the _________ first and the ______ last

person, disability

3

What is a high functioning s needs pt

complete self care, varying degrees of motivation and supervision

4

what is a mod functionin s needs pt

partial care
require training, assistance, and direct supervision

5

what is a low functioning s needs pt

total care dependent
wheelchair confined, bed ridden
can attempt portion of oral care w training

6

What needs to be established with s needs pts that may take time, and patience

trust

7

what needs to be emphasized to patients and caregivers

the reasons for good oral infection control therapy

8

when should prevention be started

early

9

who are at risk for more oral problems

SHCN patients

10

What are the parts of prevention for s needs pts

biofilm control
fl2
sealants
CHX
dietary counseling
regular exams

11

What are the steps in biofilm control

-basic info
-disclose and SHOW
-tb demo
-flossing
-dentifrice

12

why may a pt not be able to use a dentifrice

problems swallowing, can brush w/ H20 or CHX

13

what should be done to educate caregiver

-establish amt of dependency
-demonstrate and verbilize techniques
-practice and repeat instructions
-include them in the appt

14

what are some adjunctive therapys for s needs patients

xylitol
CHX
Fl2
behavior modification
home care aids
dietary counseling

15

what are complications of medications

xerostomia
decreased appetite
altered taste

16

what are barriers experienced by patients

fear of unknown
financial
lack of knowledge
time
access to care (transportation)

17

What should be considered when deciding when to treat or refer pt

-skill and comfort level
-equipment
-time
cost

18

When treating s needs pts what are some tx considerations

-treat quad by quad- most diseased one first
-chairside assistance
-unbreakable mirrors
tx in hospital
informed consent
chart entries

19

how can you manage s needs pts

whole team
gain pts trust
restraints

20

how should you schedule s needs pts

-after hours/weekends
longer appts
frequent recall

21

when instrumenting what are some thing to consider w s needs pts

patients
adapt fulcrum, pt positioning and operator
need for assistance and bite block
single ended instruments
ultrasonic often contraindicated

22

what is an endosseous implant

within the bone *most common

23

what is a sub periosteal implant

metal framework

24

what is a transosteal implant

it extends through the mandible

25

what are the 3 components of implant

abutment, crown, implant

26

what is an ASA 1

healthy

27

What is an asa 2

well controlled systemic disease

28

what is an asa 3

uncontrolled mult medical problems

29

ASA 4/5

serious medical problems

30

what is osseointegration

attachment of the bone to the implant

31

how much osseointegration has to happen for implant success

35%

32

what are signs and symptoms of implant failure

exudate, mobility, bleeding, pocketing, inflamed, dull percussion sound, radiolucency, depresses vertically

33

what is the role of the DH in the maintenance of implants

assess HHX, home care and oral health, educate pt in procedures and home care

34

Implants placed in which arch take longer to osseointegrate and why

maxilla, because the bone is less dense

35

when are radiographs advised to eval implants

best way to eval (better than probing)
- at 6 months, 12 mo, and 18 mo

36

what recall interval for implant pts

6 mo max, 3 mo for first year

37

what homecare aids for implant pts

superfloss, metal free proxabrush, end tuft brush, perio aid, implant floss, CHX, rubber tip

38

types of instruments in assessing implants

plastic, CHX dipped, coated ultrasonic tip

39

what is the titanium oxide surface of implants

exterior coating, stable ceramic, non corrosive, biocompatible SCRATCHES EASILY

40

implant vs natural tooth- epithelium

sulcus and JE are the same

41

implant vs natural tooth- conn tissue

implant- more collagen, collagen runs parallel to implant, less fibroblasts and blood vessels NO PDL
Natura- less collagen, run horiz on insert into cementum

42

peri-implant mucositis

-similar to ging, reversible
-inflammation of cuff of implant
-edema, BOP
-no boneloss

43

peri-implantitis

advanced, involves tissue around implant, edema, exudate, leads to bone loss

44

What should every recall appt include in pts with implants

assess of health, OH habits, palpation of implants, probing of implant, deposit removal

45

at the very first 3 mo appt after implant placement what should be done

debride soft tissue but avoid sub ging instrumentation, eval mobility, tissue condition, probe

46

can bruxism cause implant failure

yes

47

what should be done at the second 3 month appt after implant placemtn

x-rays, probe, mobility, occ forces, remove deposit

48

What is a class I maintenance of implants

healthy, debride of crown and prosthesis

49

what is a class II maintenance

probe depths above 4 mm, debride around transmucosal portion

50

what is a class III maintenance of implant

sig pocket depths, bone loss, debride transmucosal portion and implant

51

what types of instruments should never be used on implants

stainless steel

52

If a prosthesis can be removed that is attached to implants how often should it be removed for cleaning

every 18-24 months

53

should pts with implants direct flow of oral irrigator into sulcus

no

54

when should you probe implants

follow recommendation of practictioner who placed implant, many recommend not probing, eval tissue

55

what technique should be used to eval implants

paralleling

56

when should x-rays be taken of implants

baseline, 6 mo, 12, 18

57

what are absolute contraindications to dental surgery

recent MI (6 to 12 mo)
valvular prosthesis (15-18 mo)
radiation tx
severe renal disorder
uncontrolled diabetes
osteoporosis
hormonal deficiencies
drug or alcohol addiction
HEAVY SMOKER

58

What is the bacterial influence on implant success

perio pathogens in other pockets, homecare efficacy

59

What is the systemic influence on implant success

smoking, medications, systemic disease

60

what is the occlusions influence on implant success

bruxing malocclusion

61

what clinical factors influence success of implants

healthy bone, not overheating bone, fibro-osteal integration should NOT take place, pt OH level

62

Stage one of one step implant

seated in bone w/ cover screw

63

stage 1 of two step implant

implant submerged under tissue, healing collar placed at later date

64

stage 2 of two step

abut and crown prep

65

how long should the load not be placed on implant a

at least 4-6 months

66

implants are the ______ of care

standard