Patient Assessment Flashcards
(44 cards)
1
Q
patient assessment: aims & objectives
A
- Introduction to pediatric dentistry
- Risk assessment and oral exam
- Prevention of dental diseases
- Treatment of dental diseases
2
Q
history taking: order
A
- chief complaint
- dental history
- medical history
- current medical treatment
- pregnancy history
- growth and development
- family and social history
3
Q
establishes the reason for the patient’s visit
A
chief complaint
4
Q
OLD CHARTS
A
- onset
- location
- duration
- characteristics of pain
- aggravating/alleviating factors
- radiation
- time
- severity
5
Q
reason for knowing the characteristics of pain
A
- know level of pain
- proper diagnosis and treatment options
6
Q
included in dental history
A
- previous dental treatment
- attitude of child/patient towards the treatment
7
Q
included in other dental history
A
- oral habits
- oral hygiene
- dietary
8
Q
included in oral habits
A
- type
- duration
- frequency and intensity
9
Q
included in oral hygiene
A
- frequency and method of brushing
- type of brushing and frequency of replacement
- use of fluoridated/non-fluoridated toothpaste
- assessment of plaque index
10
Q
included in dietary
A
diet chart
11
Q
diet chart indicates the following:
A
- cariogenicity of diet
- frequency
- nutritional deficiency
12
Q
included in medical history
A
- review of systems
- current medical history
13
Q
included in current medical history
A
- medications
- current treatment
- immunization
14
Q
types of immunization
A
- MMR
- BCG
- DPT
- Polio
- Hepa B
- Dengvaxia
- COVID-19
15
Q
included in pregnancy history
A
- length of confinement
- birth weight
- APGAR scores
- antenatal, perinatal problems esp. during delivery
- prematurity and treatment in special/neonatal intensive care nursery
16
Q
included in growth and development
A
- developmental milestones
- speech and language development
- motor skills
- socialization
17
Q
included in family and social history
A
- family history of serious illness
- family pedigree tree
- school performance in class
- speech and language problems
- pets/hobbies or other interests
- parent’s occupation
18
Q
reason for knowing patient’s hobbies or interests
A
- build trust and rapport with patient
- get to know patient, socialize, and keep them focused
19
Q
reason for knowing parent’s occupation
A
financial capacity of parents
20
Q
included in clinical examination
A
- extraoral exam
- intraoral exam
- special exam
21
Q
general appraisal of the child’s wellbeing
A
extraoral exam
22
Q
assessed during extraoral examination
A
- facial symmetry and profile
- eyes
- skin color and appearance
- TMJ
- lymph nodes
*swelling, clubbing
23
Q
assessed during intraoral examination
A
- soft tissues (+ oropharynx, tonsils, uvula)
- oral hygiene and periodontal status
- dental hard tissues
- occlusion and orthodontic relations
- quantity and quality of saliva
24
Q
thorough; details the current state of the dentition and plan of future treatment
A
charting
25
special examinations
- radiography
- pulp testing
- blood investigation
- microbial investigation
- anatomical pathology
- caries activity test
- photography
- caries risk assessment
- diagnostic casts
26
most common radiograph used in pediatric dentistry
bitewing
27
other imaging exams
- computerized axial tomography scan
- magnetic resonance imaging
- nuclear medicine
- ultrasonography
- CBCT
28
pulp testing
- electric stimulation
- thermal
- percussion
- mobility
- transillumination
29
blood investigation
- chemical chemistry
- complete blood count w/ differential white cell count
30
microbial investigation
- culture of MOs
- antibiotic sensitivity
- serology
- direct and indirect immunofluorescence
31
anatomical pathology tests
- histologic exam and biopsy specimen
- hard tissue sectioning
32
caries activity test
- diet history
- salivary flow rate
- salivary buffering capacity
- S. mutans and lactobacillus colony count
33
provides invaluable record of growing children
photography
34
important as legal document in cases of abuse and trauma or as an aid in the diagnosis of anomalies or syndromes
photography
35
essential in orthodontic or complex restorative treatment planning and for general record keeping
diagnostic casts
36
initiated only after the complete and comprehensive diagnosis is obtained
treatment planning
37
developed in an organized and efficient sequence to provide care
treatment planning
38
most critical step in the successful future management of the child and parent
treatment planning
39
philosophy of treatment planning
1. Gain the trust and cooperation of the child
2. Make an accurate diagnosis and devise a treatment plan appropriate to the child’s need
3. Comprehensive preventive care(fluoride therapy,
sealants, oral hygiene instruction)
4. Deliver care in a manner the child finds acceptable
5. Use materials and techniques which provide effective and long lasting results
40
advantages of treatment planning
1. Commits operator in advance to a certain sequence of care.
2. Provides estimated time required to complete the treatment.
3. Fee payments can be arranged.
41
occurs when there is no treatment plan
- disorganized and inefficient
- dissatisfaction and confusion
42
treatment priorities
1. Emergency procedures
2. Plaque control program
3. Restorative therapy
4. Ortho and Prostho
5. Patient Recall
43
accurately inform the parents of the following:
1. Dental needs of the child
2. Restorative procedures required
3. Amount of time required to perform the projected
procedures
4. Total cost of rendering the services
5. Preventive measures
44
problems should be discussed in the following manner:
1. Point out the problem using casts, radiograph or the
patient’s mouth
2. State probable cause of the problem
3. State the outcome of the problem
4. Show how the problem will be resolved
5. Stress the benefit the patient will receive from the
treatment
