Mod 1, 2 Flashcards by Hailey Fawson

What are examples of Temporary special needs

broken arm, heart surgery

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

person, disability

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What is a high functioning s needs pt

complete self care, varying degrees of motivation and supervision

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what is a mod functionin s needs pt

partial care

require training, assistance, and direct supervision

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what is a low functioning s needs pt

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

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

trust

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what needs to be emphasized to patients and caregivers

the reasons for good oral infection control therapy

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when should prevention be started

early

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who are at risk for more oral problems

SHCN patients

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What are the parts of prevention for s needs pts

biofilm control
fl2
sealants
CHX
dietary counseling
regular exams

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What are the steps in biofilm control

basic info
disclose and SHOW
tb demo
flossing
dentifrice

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why may a pt not be able to use a dentifrice

problems swallowing, can brush w/ H20 or CHX

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what should be done to educate caregiver

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

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what are some adjunctive therapys for s needs patients

xylitol
CHX
Fl2
behavior modification
home care aids
dietary counseling

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what are complications of medications

xerostomia
decreased appetite
altered taste

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what are barriers experienced by patients

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

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

-skill and comfort level
-equipment
-time
cost

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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

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how can you manage s needs pts

whole team
gain pts trust
restraints

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how should you schedule s needs pts

-after hours/weekends
longer appts
frequent recall

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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

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what is an endosseous implant

within the bone *most common

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what is a sub periosteal implant

metal framework

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what is a transosteal implant

it extends through the mandible

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what are the 3 components of implant

abutment, crown, implant

what is an ASA 1

healthy

What is an asa 2

well controlled systemic disease

what is an asa 3

uncontrolled mult medical problems

ASA 4/5

serious medical problems

what is osseointegration

attachment of the bone to the implant

how much osseointegration has to happen for implant success

35%

what are signs and symptoms of implant failure

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

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

Implants placed in which arch take longer to osseointegrate and why

maxilla, because the bone is less dense

when are radiographs advised to eval implants

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

what recall interval for implant pts

6 mo max, 3 mo for first year

what homecare aids for implant pts

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

types of instruments in assessing implants

plastic, CHX dipped, coated ultrasonic tip

what is the titanium oxide surface of implants

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

implant vs natural tooth- epithelium

sulcus and JE are the same

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

peri-implant mucositis

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

peri-implantitis

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

What should every recall appt include in pts with implants

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

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

can bruxism cause implant failure

yes

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

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

What is a class I maintenance of implants

healthy, debride of crown and prosthesis

what is a class II maintenance

probe depths above 4 mm, debride around transmucosal portion

what is a class III maintenance of implant

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

what types of instruments should never be used on implants

stainless steel

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

every 18-24 months

should pts with implants direct flow of oral irrigator into sulcus

when should you probe implants

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

what technique should be used to eval implants

paralleling

when should x-rays be taken of implants

baseline, 6 mo, 12, 18

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 ```

What is the bacterial influence on implant success

perio pathogens in other pockets, homecare efficacy

What is the systemic influence on implant success

smoking, medications, systemic disease

what is the occlusions influence on implant success

bruxing malocclusion

what clinical factors influence success of implants

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

Stage one of one step implant

seated in bone w/ cover screw

stage 1 of two step implant

implant submerged under tissue, healing collar placed at later date

stage 2 of two step

abut and crown prep

how long should the load not be placed on implant a

at least 4-6 months

implants are the ______ of care

standard

Mod 1, 2 Flashcards

(66 cards)