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

Mod 1, 2 Flashcards

1
Q

What are examples of Temporary special needs

A

broken arm, heart surgery

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2
Q

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

A

person, disability

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3
Q

What is a high functioning s needs pt

A

complete self care, varying degrees of motivation and supervision

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4
Q

what is a mod functionin s needs pt

A

partial care

require training, assistance, and direct supervision

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5
Q

what is a low functioning s needs pt

A

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

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6
Q

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

A

trust

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7
Q

what needs to be emphasized to patients and caregivers

A

the reasons for good oral infection control therapy

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8
Q

when should prevention be started

A

early

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9
Q

who are at risk for more oral problems

A

SHCN patients

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10
Q

What are the parts of prevention for s needs pts

A 
biofilm control
fl2
sealants
CHX
dietary counseling
regular exams
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11
Q

What are the steps in biofilm control

A
  • basic info
  • disclose and SHOW
  • tb demo
  • flossing
  • dentifrice
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12
Q

why may a pt not be able to use a dentifrice

A

problems swallowing, can brush w/ H20 or CHX

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13
Q

what should be done to educate caregiver

A
  • establish amt of dependency
  • demonstrate and verbilize techniques
  • practice and repeat instructions
  • include them in the appt
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14
Q

what are some adjunctive therapys for s needs patients

A 
xylitol
CHX
Fl2
behavior modification
home care aids
dietary counseling
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15
Q

what are complications of medications

A

xerostomia
decreased appetite
altered taste

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16
Q

what are barriers experienced by patients

A 
fear of unknown
financial
lack of knowledge
time
access to care (transportation)
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17
Q

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

A

-skill and comfort level
-equipment
-time
cost

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18
Q

When treating s needs pts what are some tx considerations

A

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

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19
Q

how can you manage s needs pts

A

whole team
gain pts trust
restraints

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20
Q

how should you schedule s needs pts

A

-after hours/weekends
longer appts
frequent recall

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21
Q

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

A 
patients
adapt fulcrum, pt positioning and operator
need for assistance and bite block
single ended instruments
ultrasonic often contraindicated
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22
Q

what is an endosseous implant

A

within the bone *most common

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23
Q

what is a sub periosteal implant

A

metal framework

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24
Q

what is a transosteal implant

A

it extends through the mandible

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25
Q

what are the 3 components of implant

A

abutment, crown, implant

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26
Q

what is an ASA 1

A

healthy

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27
Q

What is an asa 2

A

well controlled systemic disease

28
Q

what is an asa 3

A

uncontrolled mult medical problems

29
Q

ASA 4/5

A

serious medical problems

30
Q

what is osseointegration

A

attachment of the bone to the implant

31
Q

how much osseointegration has to happen for implant success

A

35%

32
Q

what are signs and symptoms of implant failure

A

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

33
Q

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

A

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

34
Q

Implants placed in which arch take longer to osseointegrate and why

A

maxilla, because the bone is less dense

35
Q

when are radiographs advised to eval implants

A

best way to eval (better than probing)

- at 6 months, 12 mo, and 18 mo

36
Q

what recall interval for implant pts

A

6 mo max, 3 mo for first year

37
Q

what homecare aids for implant pts

A

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

38
Q

types of instruments in assessing implants

A

plastic, CHX dipped, coated ultrasonic tip

39
Q

what is the titanium oxide surface of implants

A

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

40
Q

implant vs natural tooth- epithelium

A

sulcus and JE are the same

41
Q

implant vs natural tooth- conn tissue

A

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
Q

peri-implant mucositis

A
  • similar to ging, reversible
  • inflammation of cuff of implant
  • edema, BOP
  • no boneloss
43
Q

peri-implantitis

A

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

44
Q

What should every recall appt include in pts with implants

A

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

45
Q

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

A

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

46
Q

can bruxism cause implant failure

A

yes

47
Q

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

A

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

48
Q

What is a class I maintenance of implants

A

healthy, debride of crown and prosthesis

49
Q

what is a class II maintenance

A

probe depths above 4 mm, debride around transmucosal portion

50
Q

what is a class III maintenance of implant

A

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

51
Q

what types of instruments should never be used on implants

A

stainless steel

52
Q

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

A

every 18-24 months

53
Q

should pts with implants direct flow of oral irrigator into sulcus

A

no

54
Q

when should you probe implants

A

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

55
Q

what technique should be used to eval implants

A

paralleling

56
Q

when should x-rays be taken of implants

A

baseline, 6 mo, 12, 18

57
Q

what are absolute contraindications to dental surgery

A 
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
Q

What is the bacterial influence on implant success

A

perio pathogens in other pockets, homecare efficacy

59
Q

What is the systemic influence on implant success

A

smoking, medications, systemic disease

60
Q

what is the occlusions influence on implant success

A

bruxing malocclusion

61
Q

what clinical factors influence success of implants

A

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

62
Q

Stage one of one step implant

A

seated in bone w/ cover screw

63
Q

stage 1 of two step implant

A

implant submerged under tissue, healing collar placed at later date

64
Q

stage 2 of two step

A

abut and crown prep

65
Q

how long should the load not be placed on implant a

A

at least 4-6 months

66
Q

implants are the ______ of care

A

standard

Dental Hygiene Last Exam Ever (5 decks)

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