Module 2

  1. What are the six components to the dental hygiene process of care
    • Assess
    • Diagnose
    • Plan
    • Implement
    • Evaluate
    • Document
  2. What is subjective data
    obtained by observation and interaction with the patient; includes chief complaint, perception of health, care and the value placed on oral health
  3. What is Objective data
    includes physical and oral assessment; records clinical and radiographic findings to show evidence of disease in teeth and periodontal attachment; dental carious lesions, and defective restorations
  4. What is The Chief Complaint
    • –Patient’s reason for seeking dental and dental hygiene care
    • If a patient has a significant concern such as pain, this need must be addressed first
  5. What are risks factors
    attributes associated with an increased risk of disease or infection for the patient
  6. What are some risks factors for periodontal disease
    • Behavioral factors – inadequate biofilm removal, diet, noncompliance
    • Tobacco use
    • Systemic conditions – diabetes, compromised immune system, osteoporosis
    • Hormonal considerations – pregnancy, menopause
    • Nutritional status- good nutrition is essential for a healthy immune system
    • Iatrogenic factors - a factor induced by a physician
    • Genetic factors – inherited predisposition
  7. What are systemic conditions that periodontal disease is a risk factor for
    • Infective endocarditis
    • Cardiovascular Disease
    • Diabetes mellitus
    • Respiratory disease
    • Adverse pregnancy outcomes
    • Osteoporosis
    • Metabolic Syndrome (high blood pressure, high blood sugar, unhealthy cholesterol and abdominal fat)
  8. What are some Risk Factors for Dental Caries
    • Behavioral factors – inadequate biofilm removal
    • Dietary factors - frequent use of cariogenic foods/beverages
    • Low fluoride - systemic as a child, topical as a child or adult
    • Tooth morphology and position- deep occlusal pits and fissures, exposed root surfaces/recession, rotated positioning
    • Personal and family history – dental caries/restorative dentistry
    • Developmental factors - modifications of dental enamel such as hypocalcification
    • Genetic factors – immune response
    • Xerostomia
  9. Xerostomia can be caused by
    –medications, cancer therapy, nerve damage, tobacco use, methamphetamine use, mouth breathing, and other health conditions
  10. What are some Risk Factors for Oral Cancer
    • Tobacco use
    • Heavy alcohol use – especially combined with tobacco
    • Excessive sun exposure – lips and face
    • Exposure to the human papillomavirus
    • Genetic susceptibility
  11. What are the two systems for determining the patients overall physical status
    • ASA
    • OSCAR planning guide
  12. What is an ASA I
    • normal healthy patient with little or no dental anxiety
    • Can walk up a flight of stairs w/ no distress
    • No modifications to dh treatment
    • IADL level 0
  13. What is an ASA II
    • mild systemic disease or extreme dental anxiety
    • need to stop talking after walking one flight of stairs because of distress
    • Well controlled chronic conditions
    • smoker
    • healthy pregnant woman
    • IADL level 1
  14. What is an ASA III
    • Systemic disease that limits activity but it not incapacitating
    • Needs to stop en route to walking one flight of stairs
    • Insulin dependent diabetes
    • IADL level 2 or 3
  15. What is an ASA IV
    Incapacitating disease that is a constant threat to life
  16. What is an ASA V
    Patient is moribund and not expected to survive
  17. What does the OSCAR planning guide stand for
    • Oral
    • Systemic
    • Capability
    • Autonomy
    • Reality
  18. What are Activities of Daily Living (ADL)
    Measures ability to carry out basic tasks needed for self care such as brushing, flossing, and using interdental aids
  19. What are Instrumental Activities of Daily Living (IADLS)
    Measures ability to perform more complex tasks that require a combination of physical and cognitive ability such as the ability to make and keep a dental appointment
  20. Level 0 of Measures of Patient Functioning
    Ability to perform the task without assistance
  21. Level 1 of Measures of Patient Functioning
    Ability to perform task with some human assistance; may need a device or medical aid
  22. Level 2 of Measures of Patient Functioning
    Ability to perform the task with partial assistance
  23. Level 3 of Measures of Patient Functioning
    Requires full assistance to perform the task; totally dependent
  24. PC-1
  25. PC-2
    Slight or early periodontitis
  26. PC-3
    Moderate periodontitis
  27. PC-4
    Advanced periodontitis
  28. Class 0 Subgingival calculus
    no calculus present
  29. Class 1 Subgingival calculus
    Deposits on 1-6 teeth
  30. Class 2 Subgingival calculus
    Deposits on 7-14 teeth
  31. Class 3 Subgingival calculus
    Deposits on 15-28 teeth
  32. Class 4 Subgingival calculus
    Class III and deposits in pockets 6mm or greater on more than 4 teeth
  33. What is a dental hygiene diagnosis
    A dental hygiene diagnosis encompasses patient needs that can be met by implementing treatment and education interventions that are within the scope of dental hygiene practice
  34. What is a dental diagnosis
    A dental diagnosis is directed at diseases and conditions that require treatment provided by a dentist
  35. What is the ultimate goal of the DHCP
    is the control of oral disease
  36. What is anticipatory guidance
    –Anticipatory guidance provides the patient and/or parent with information they can use to avoid future oral health problems
  37. Expected outcomes represent _________ criteria for each intervention and are given a _________
    • measurable
    • timeframe
  38. What are goal statements
    • Goals are broadly based statements of what changes will take place, from which specific objectives or outcomes are developed
    • Ex. Eliminate BOP and inflammation
  39. What is an outcome statement and what does it include
    • Outcome are more specific than goals and describe, in a measurable way, the desired end result of the interventions
    • Include a performance verb, condition, and criterion
    • –Example:Patient will eliminate BOP and inflammation by 6mrc
  40. Appointment sequencing can be influenced by numerous factors including
    • 1. Urgency
    • 2. Severity and extent of condition
    • 3. Individual Patient Requirements
  41. What is the proper patient positioning when presenting the DHCP
    Position the patient in an upright position, face to face with the clinician (no mask)
  42. Implied consent is
    presumed permission based on the patient’s conduct
Card Set
Module 2
Module 2