osce basics Flashcards
Define Peri-Implantitis
An infection around an implant which can cause inflammation and bone loss around the implant, eventually leading to failure.
Describe the symptoms of Peri-Implantitis
- redness and inflammation
- bleeding of the surrounding gum tissue
- depending of periodontal pockets around the implant
- exposure and visibility of underlying implant threads
- implant loosening
- push discharging from the tissue around the implant
Define Peri-Implant Mucositis
Inflammation of the soft tissues surrounding implants with NO loss of supporting bone.
When looking to diagnose pulpal pain, what are the signs of reversible pulpitis?
- no pain on TTP
- no sensitivity to heat
- sensitivity to cold/sweets which goes away quickly
- sharp pain
When looking to diagnose pulpal pain, what are the signs of irreversible pulpitis?
- pain on TTP
- sensitivity to heat, cold and sweets
- last more than a few seconds, even if the stimulus is removed
- throbbing, aching or sharp pain
How to write a referral:
- referring and receiving dentist details
- pt details (name, DOB, RQ)
Dear Dr ___, I am writing to refer the above mentioned patient for a biopsy/assessment.
- the lesion in question is: (size, shape, margins, colour, texture, onset)
- attached RMH and photographs related to the case.
Name, signature.
When would you refer a patient presenting with a white patch?
If the lesion has been present for over 2 weeks.
When would you refer a pt who presents with a red and white patch?
Straight away.
In the event of emergency tx needing to be delivered to a child without the present of the parent, what should be done?
Emergency tx should not be delayed if it would mean compromising the child’s health etc, even if consent can’t be gained from someone on the PR form.
Describe Gillick Competence as outlined by the Children’s Act 1989
A child under 16 can consent for their own tx if they are deemed competent and aware of all benefits/risks.
Instances of Parental Responsibility:
- Both biological parents have PR if they were married at the time of the brith/marry later.
- Father named on the birth certificate of a child born after 1st December 2003.
- Child born before 1st December ‘03 - only mum has PR if parents are unmarried.
- father may acquire PR if he becomes registered as the child’s father/by a court order. - Step-parents can acquire PR in certain circumstances.
What can be carried out if a paeds pt presents without someone on the PR form?
acclimatisation or OHI
NO tx can be carried out until the presence of someone on the PR form is present.
When would a pulpotomy be indicated?
- If the decay or trauma is confined to the crown of the tooth.
- if the pt has bleeding disorder
- too young to have XLA (no permanent successor present/hypodontia)
When is a pulpectomy indicated?
If the tooth has irreversible pulpitis/necrosis.
(may have originally been planned for a pulpotomy but started exhibiting symptoms)
When is selective caries removal indicated?
shallow - moderately deep lesions
