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______ is the practice of preventive oral health care and education.
Dental Hygiene
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______ is defined as the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts.
dental public health
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______ is also important because of the interdependent relationship between dental hygiene and dental public health.
dental public health
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_______ initiated as a Public Health Profession to provide population based preventive care and education to the masses.
History of Dental Hygiene
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_______ Care that is based upon scientific evidence, clinical experience, and patient preference
Evidence-Based Care
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Evidenced-based care focuses on the _______.
multifactorial nature of disease
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As research is published,______ will have to adapt to recommendations. Thus, _____ need to be informed about:
-
-
-
- Clinicians
- providers
- -New Evidence to Oral Diseases
- -Efficacy and Safety to self-care products
- -Procedures to prevent Oral diseases
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EBC: is based off independent research done by practitioners and scientists, reported in _______.
peer-reviewed journals.
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- Host genetics
- - Stage of infection
- - Fluoride therapy
- - Water Fluoridation
- exposure
- Environment
- - Social norms
- - Local prevalence
- - Probability of exposure
- - Economic determinants
- - Risk behavior
- Agent
- Bacterial (Periodontal
- Phenotypes/Cavity
- causing phenotypes)
- - Chemical (smoke,
- alcohol)
- - Nutrition
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Dental Hygiene Process of Care is defined as...
- Assessment:Analysis of data to identify pt’s needs
- Diagnosis:Pt strengths and weaknesses that dental hygiene intervention can improve
- Planning:Establishing goals and how to achieve them
- Implementation:Carrying out the established plan
- Evaluation:Measurement of the achieved goals
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The ____ is important to
formulating the dental hygiene
diagnosis (DHDX)
dental hygiene process of care
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Abbreviation for dental hygiene diagnosis?
DHDX
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The ______ is then used to direct the
dental hygiene treatment during
each appointment to deliver
optimal oral health care
DHDX Dental Hygiene diagnosis
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two types of appointments?
- Comprehensive Exam: (D0150)
- Periodic Exam: (D0120)
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_____ is 1st exam for most, used as a baseline of dental & medical care. Also
includes EO/IO hard and soft tissue, OCS, and general assessment.
Comprehensive Exam: (D0150)
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_____ is used for established patients in a dental office, to evaluate any changes in dental or medical status since last comprehensive exam.
Periodic Exam: (D0120)
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What occurs in the mouth has disease implications for the?
entire body
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The dental provider must also thoroughly assess a patient's risk for certain oral diseases and conditions.
For instance: Periodontal Disease is linked to:
- - Cardiovascular Disease
- - Low Birth Weight Infants / Premature Babies
- - Respiratory Tract Infections
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Vital signs need to be measured at each appointment which include:
- ▪ Blood pressure
- ▪ Pulse
- ▪ Respiration
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Normal blood pressure?
120/80
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Extraoral examination should include direct observation & palpation of the
- - Head
- - Neck
- - Skin
- - Face
- - Gait (when walking to operatory)
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_______ should include screening and evaluation of the oral mucosa, lips, floor of the mouth, tongue, salivary ducts, hard and soft palate, and oropharynx.
Intraoral examination
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Dental examination is documentation in the patients chart of the:
- - Exact location and condition of teeth
- - Existing restorations
- - Dental caries
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_______ is the recognition of health, gingivitis, or periodontitis.
Periodontal examination
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The review of current self-care practices and evaluation of the patient's skill levels and Knowledge of hygiene practices should be investigated and recorded in the ______.
patient record.
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self -care practices include? examples
- Examples include:
- How many times do they brush?-
- What type of toothbrush do they use?-
- Do they use floss?-
- Have they had a cleaning
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_______ are used to confirm and diagnose the disease process.
Radiographs
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________will aid in the findings and are used in the dental hygiene diagnosis.
- Quality radiographs,,,
- These images must be good quality, properly identified and dated
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A ____ is the determination of the nature of disease made from the study of the signs and symptoms.
diagnosis
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______ and _______ are the two most common findings in diagnosis.
- Dental caries
- periodontal disease
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The _____ and_______ is based on the results of the examination and should be presented to the patient.
- diagnosis
- proposed treatment plan
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Involvement of the patient in the treatment selection will _____ their level of commitment.
increase
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During the _____ of the dental hygiene process of care, dental hygiene therapy must be determined along with the
patient's realistic goals for treatment.
planning phase
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Elements to be considered in planning appointment times are:
- - Number of appointments needed
- - Allocation of time for dental hygiene interventions
- - The sequencing of appointments
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During the ______ phase of the dental hygiene process of care , the oral health professional can then apply individualized, theory-based, and evidence-based educational and motivational strategies to facilitate behavioral change.
implementation
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The _____ of the dental hygiene process of care occurs when treatment begins.
implementation phase
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Implementation phase involves? examples
- ▪ Preparing the operatory for the treatment
- ▪ Using proper infection control
- ▪ Selecting the materials,instruments, and equipment to be used
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The _____ of the dental hygiene process of care model focuses on outcomes to determine whether modifications to the oral hygiene strategies are indicated.
evaluation phase
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Breakdown of Appointment
RDH have 1 hour, which is really “50” minutes for each patient.
Assessment (15 minutes)
▪ Health history, data collection, radiographs
Diagnosis/planning/implementation (30 minutes)
▪ Diagnosis, treatment plan, patient instruction, instrumentation, polishing, fluoride application
Evaluation/re-evalution (5 minutes)
▪ Retreatment, therapeutic agents, dental examination if necessary
Disinfection (10 minutes)
▪ Break down unit, set up for next, reschedule patients
- Breakdown of Appointment
- RDH have 1 hour, which is really “50” minutes for each patient.
- Assessment (15 minutes)
- ▪ Health history, data collection, radiographs
- Diagnosis/planning/implementation (30 minutes)
- ▪ Diagnosis, treatment plan, patient instruction, instrumentation, polishing, fluoride application
- Evaluation/re-evalution (5 minutes)
- ▪ Retreatment, therapeutic agents, dental examination if necessary
- Disinfection (10 minutes)
- ▪ Break down unit, set up for next, reschedule patients
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The American Board of Dental Public Health (ABDPH) defines the public health as:
- Science and art of preventing and controlling disease
- • Serves the community
- • Concerned with the education of the public, research
- application and the administration of public health
- programs
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Population –Based Dental Hygiene / Dental Public Health Activities five steps?
- assessment to monitor the health of communities and populations at risk by means of:
- Cancer registries
- ▪ Vital statistics
- ▪ Clinical surveys
- ▪ Non-clinical oral health surveys
- ▪ National oral health surveillance system
- Diagnosis:
- The most common findings are generalized to determine need
- Diagnosis will address the needs and be prioritized.
- Planning:
- To address the oral health needs of their residents, states are:
- Promoting education and prevention
- ▪ Increasing coverage and access
- ▪ Enhancing the dental workforce
- ▪ Improving financing and reimbursement
- ▪ Improving the quality of data and surveillance
- Implementation:
- Program begins operation.
- Revisions may be implemented at this time.
- The planner should not be discourage if revisions occur,since there any many things that may come up that could not have been foreseen
- Evaluation:
- Evaluation must be addressed at the beginning, since they are the most important step to address the success of the program.
- Ongoing revision may be necessary.
- Assess the desired outcomes of the programs
- Always use baseline data to determine the effectiveness of program.
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The ______ must formulate an individualized or population-based dental hygiene diagnosis and treatment plan.
dental provider
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______ are the dental providers who are educated to provide clinical and educational dental hygiene services to the public.
dental hygienist
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________ may provide dental care, they are primarily educated to provide clinical restorative and urgent dental care to the public.
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