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Flashcards in Quiz 2 Deck (16)
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Chief Complaint

Addressed prior to initiation of DH treatment, reason for seeking care


Risk Factors Care Plan Must Address

Periodontal infections, systemic conditions, dental caries and oral cancer


Assessment Findings

Chief complaint, risk factor, patients oral health knowledge level, patients self0care ability


DH Diagnosis

Provides the basis for planning interventions within the scope of DH practice. Uses current periodontal status (past diseases too), stage and grade, parameters of care


Stage and Grade

Stage= classification of periodontal disease, extent, severity
Grade= risk for future disease


Parameters of Care

Clinical goals, therapeutic goals, treatment considerations and outcome assessment


DH Prognosis

A look ahead to an anticipated outcome, statement of possible outcomes that can be expected


Factors that determine outcome/prognosis

Current disease status (bone loss), patients risk factors (smoking), commitment to oral hygiene care, interventions potential to reverse patients oral disease, evidence from scientific literature


Prognosis or Expected Outcomes Gingival/periodontal

No bleeding on probing, reduced probing attachments, decrease mobility, reduce swelling


Prognosis or Expected Outcomes
Dental Caries

No new mineralized areas, remineralization, reduction of cariogenic foods, placements of sealants/ITRs


Prognosis or Expected Outcomes

Elimination of iatrogenic factors (calculus, restorative overhang), compliance with daily oral care, nicotine free status, modification- stabilization of systemic risk factors (diabetes)


Considerations for Providing Care
Role of the Patient

Willingness and or ability of the patient to participate in planned oral health behaviors, determine their level of understanding, physical ability, lifestyle factors


Considerations for Providing Care
Tissue Conditioning

Preparation or conditioning of the gingival tissues. Purpose= gingival healing (less edema), reduced bacterial accumulation, patient education
procedure= daily biofilm removal (antimicrobial rinse_


Considerations for Providing Care
Pre-procedural Rinsing

Purpose= reduce bacterial load, decrease the potential for bacteremia
Procedure= force antimicrobial rinse between teeth


Considerations for Providing Care
Pain and Anxiety Control

Purpose= enhance patient comfort and compliance
Procedure= nitrous oxide, local anesthesia
Considerations= never entire mandible, treat 2 quads same side


Factors to Teach the Patient

Assessment data and use in care planning, patient specific interventions, oral disease prevention/oral health promotion, effects of comprehensive continuing care