Flashcards in Study Guide Exam 3 (Chapters 24, 25, 49, 50) Deck (64):
ADLs (Activities of daily living)
Measure of the ability to carry out the basic tasks needed for self care.
Patient education and oral hygiene instructions that anticipate potential oral and systemic health problems associated with risk factors identified during patient assessment.
American Society of Anesthesiologist; originally developed the ASA Classifications to determine modifications necessary to provide general anesthetics to patients during surgical procedures.
The patient's concern as stated during the initial health history preparation; may be the reason for seeking professional care; a complaint such as pain or discomfort may require emergency dental diagnosis.
a statement of the problem; a concise technical description of the cause, nature, or manifestations of a condition, situation, or problem; identification of a disease or deviation from normal condition by recognition of characteristic signs and symptoms.
identification of which one of several diseases or conditions may be producing the symptoms.
Prediction of outcome; a forecast of the probable course and outcome of a disease and the prospects of recovery as expected by the nature of the specific condition and the symptoms of the case.
an attribute or exposure that increases the probability of disease, such as an aspect of personal behavior, environmental exposure, or an inherited characteristic associated with health-related conditions.
Anticipatory Guidance (Pedo)
Provide information to parents and caregivers on what to expect in a child's current and next developmental stage so that the child's needs can be anticipated and properly managed.
Acronym that refers to the phrase "caries management by risk assessment."
eating or drinking at-will throughout the day or evening.
Child younger than 1 year of age.
Sucking fingers, thumb, pacifiers or other objects for comfort.
What are the risk factors for caries?
-Tooth Morphology and position
-Personal and family history of dental caries
What are the risk factors for Periodontal infections/ poor response to periodontal therapy?
Periodontal disease as a risk factor for systemic conditions
-Cardiovascular disease and atherosclerosis
-Adverse Pregnancy outcomes
What are the risk factors for oral cancer?
Why should OTC teething products containing Benzocaine not be used on teething babies under 2 years old?
Because is causes a rare but fatal disease called methemoglobinemia.
Without systemic disease; a normal, healthy patient with little or no dental anxiety.
Mild systemic diseases or extreme dental anxiety.
Systemic Disease that limits activity but is not incapacitating.
Incapacitating disease that is a constant threat to life.
Patient is moribund and not expected to survive.
What are the factors that affect sequence of care?
2.Existing Etiologic Factors
3. Severity and Extent of Condition
4. Individual Patient Requirements
Knee-to-Knee exams are also called what?
Hold and go technique
Why do we not use Varnish on people who have a tree-nut allergy?
Bc varnish is emulsified in some type of tree-nut oil.
What is the Show-tell-do technique?
-Always explain everything you use bf doing so
-Use fun names – like: tooth feeler, slurpy straw, elevator chair
-Keep explanations brief and do procedure quick
-Let them watch you w/hand mirror (eliminates fear of unknown)
What is vertical transmission?
When bacteria is transferred from parent to child.
When is the best time to schedule a pedo patient?
early mornings or after naps.
When should a pedi patient have their first dental appointment?
within 6 months of eruption of first tooth.
What are the predisposing factors of ECC?
-Placing child in bed with bottle.
-Bottle contains sweetened milk or other sucrose-sweetened fluids.
-Prolonged at will, breast or bottle feedings as a sleep or behavioral control.
-Ineffective or no daily biofilm removal from teeth.
What teeth does ECC Effect?
-Maxillary anterior teeth and primary molars are first to be affected.
-Lesions develop on all but the mandibular anteriors.
-Mandibular incisors and canines are protected.
How do we recognize ECC?
-Demineralization on cervical 1/3 of max. anteriors and proximal surfaces.
-remineralization can occur with use of fluoride paste and topical application.
-at later stage- lesions appear dark brown.
-Eventually the crown of the tooth may be destroyed, access can occur, as well as pain and discomfort.
What does demineralization look like?
White chalky spots
What is the best fluoride to use on demineralization?
What is the best fluoride to use on pedi patients? why?
Varnish because there is a lowered risk of ingestion.
Why do we need to restore primary teeth?
Because it can affect the permanent dentition coming in behind those teeth.
When should infants be weaned from the bottle, breast, or pacifier?
should be discontinued by age of 1. between 6-12 months
When are infants more likely to receive restorative treatment?
If dental appointments are held off until age of 2-3
When can children usually brush adequately by themselves?
if they have developed fine motor skills enough to tie their own shoelaces (i.e. 7-8 yrs. old).
ADA code for Comprehensive Evaluation-New or established patient?
Only be done 1x yearly
ADA code for periodic evaluation-Established patient?
ADA code for limited oral evaluation-problem focused?
ADA code for Adult prophylaxis?
ADA code for Child prophylaxis?
ADA code for Topical application of fluoride varnish?
ADA code for Topical application of fluoride-excluding varnish?
ADA code for Sealant- per tooth?
ADA code for sealant repair- per tooth?
ADA code for Periodontal scaling or root planing- 4 or more teeth per quad?
ADA code for Periodontal scaling or root planing-one or three teeth per quad?
Link observed or potential oral health problems identified during the patient assessment to probable etiology or risk factors.
-Relate to problems and solutions that can be addressed within the dental hygiene scope of practice.
Examples of Diagnostic
-Hypersensitivity related to exposed cementum/gingival recession.
-Gingival bleeding related to biofilm accumulation causing inflammation.
How do we use CHX and different types of fluoride for high risk caries?
-Caries management for high caries risk patients may include rinsing with 0.12% CHX, once a day with 10ml for 1 minute 1 week each month.
-CHX is highly effective against mutant streptococcus infections.
-Neutral sodium fluoride 1.1% dentifrice applied twice daily for the 3 weeks following CHX short-term rinse.
-Varnish applications at dental hygiene appointments.
Oral soft tissue conditions in children 6mon-5yrs
-Primary herpetic gingivostomatitis
Past Dental Experience
-Primary Prevention: sealants
-Secondary Prevention: Restorations
-Tertiary Prevention: Extractions and replacement of teeth
Good Prognosis following periodontal therapy
-Adequate control of etiologic factors
-Adequate patient self-care ability
-Adequate periodontal support
Fair Prognosis following periodontal therapy
-Adequate control of etiologic factors
-Adequate patient self-care ability
-Less than 25% attachment loss
-ClassI or less furcation involvement
Poor Prognosis following periodontal therapy
-Greater than 50% attachment loss with Class II furcation
-Patient self care difficult due to location and depth of furcation.
Questionable Prognosis following periodontal therapy
-Greater than 50% attachment loss with poor crown-to-root ratio
-Poor root form: Instrumentation access
-Inaccessible Class II furcation or class III furcation
-Greater than 2+ mobility
-Significant root proximity
Hopeless Prognosis following periodontal therapy
-Inadequate attachment to maintain the tooth.
Health Considerations for ECC
-Gaining Cooperation: Make it fun
-Brushing and Flossing: Establish a routine. Brush before bed.
-Parental Involvement and Supervision: Assist child, keep fluoride out of reach, floss child.
-Toothpaste:Under 6: Peasize
-Instructions for parents: Under 3: Smear, Teach to spit out, keep out of reach.