What is a subjective statement that is the pt's reason for seeking care, and pain supercedes dh tx?
cheif complaint
What are 7 risk factors for periodontal infections or poor response to periodontal therapy?
behavioral factors
tobacco use
systemic conditions
hormonal considerations
nutritional status
iatrogenic factors
genetic factors
What are 5 risk factors for periodontal disease as a risk factor for systemic conditions?
infective endocarditis
cardiovascular disease and atherosclerosis
diabetes mellitus
respiratory disease
adverse pregnancy outcomes
What are 8 risk factors for dental caries?
behavioral factors
dietary factors
low fluoride
tooth morphology and position
xerostomia
family history of dental caries/restorative dentistry
developmental factors
genetic factors
What are 3 risk factors for oral cancer?
tobacco use
alcohol use
sun exposure
what 3 characteristics observed determine the pts overall health status?
medical
physical
pshychological risks
The extent of the pts medical, physical, and psychological risk determines what?
modifications necessary diring treatment
without systemic disease; a normal healthy pt with little or no dental anxiety. Ableo to walk one flight of stairs with not distress. not modifications
ASA I
Mild systemic disease or extreme dental anxiety. must stop after walking one flight of stairs because of distress. minimal risk, no modifications to tretment and/or pt education may be necessry
ASA II
What are 4 conditions that would classifiy a person as ASA II?
well-controlled chronic conditions
upper respiratory infections
healthy pregnant women
allergies
systemic disease that limits activity but is not incapacitating. Must stop en route walking one flight of stairs. elective treatment is not contranidicated, but serious consideration of treatment and/or pt/care giver education modifications may be necesaary.
ASA III
What are 4 conditions that would classify a person as ASA III?
chronic cardiovascular conditions
controlled inusulin-dependant diabetes
chronic pulmonary diseases
elevated blood pressure
incapacitating disease that is a constant threat to life. unable to walk up one flight of stairs. conservative, noninvasive management of emergency dental conditions; more complex dental intervention may require hospitalization during treatment; caregiver training for daily oral care may be necessary
ASA IV
What are 4 conditions that would classify a person as ASA IV?
unstable cardiovascuar conditions
extremely elevated blood pressure
uncontrolled epilepsy
uncontrolled insulin-dependant diabetes
patient is moribund and not expected to survive. only palliative care is delivered; cargivere training for daily oral care may be necessary
ASA V
What are 4 conditions that would classify a person as ASA V?
end stage renal
end stage hepatic
infectious disease
terminal cancer
What are the 5 'issues' in the treatment plan using OSCAR?
oral
systemic
capability
autonomy
reality
which oscar factor of concern is described?
teeth, restorations, prostheses, periodontium, pulpal status, oral mucosa, occlusion, saliva, tongue, alveolar bone
oral
which oscar factor of concern is described?
normative age changes, medical diagnoses, pharmacologic agents, interdisciplinary communication
systemic
which oscar factor of concern is described?
functional ability, self-care, caregivers, oral hygiene, transportation to appointments, mobility within the dental office
capability
which oscar factor of concern is described?
decision making, dependence on alternative or supplemental decision makers
autonomy
which oscar factor of concern is described?
prioritization of oral health, financial ability or limitations, significance of anticipated life span
reality
Will the pt's use of tobacco affect oral status and dental hygiene treatment outcome?
yes
true or false. before planning individualized pt care, an attempt is made to assess the pts oral health knowledge level.
why?
true
that way planned educational interventions can build on current knowledge rather than provide info too far above or below pts current understanding
true or false. the pts ability to manipulate a tooth brush and floss and comply with suggested oral care regiments will determine the success of planned interventions
true
Why is it important to have a full and complete documentation of data?
because misunderstandings can lead to elgal involvement
planning for the number and length of appoinments in a treatment sequence will be determined by what?
the pts periodontal diagnosis
What are 4 factors to consider in making the periodontal diagnosis?
current periodontal status
periodontal case type or classification
classification of periodontal disease
parameters of care
What are the periodontal paramenters of care for diagnosis of periodontal disease? (4)
clinical diagnosis
therapeutic goals
tx considerations
outcomes assessment
What are 6 elements to consider in making the dental hygiene diagnosis that are the basis for the diagnosis?
pt interview data
physical ssessment data
treatment or educational needs
referrals to specialists/consultation
diganostic statements
diagnostic models
what provide the basis for planning interventions that are within the scope of dental hygiene practice, reflect expected outcomes of dental hygiene interventions, identify pt responses that are changeable by dental hygiene interventions, and exclude diagnoses that require treatments legally defined as dental practice
diagnostic statements
What address health functionain and behaviors and describe actual or potential health problems that dental hygienists are educated and licensed to treat, and give direction and a scientific basis from which to determine dental hygiene interventions and formulate care plans?
diagnostic models
What is the anticipated outcome, and satement of possible outcomes expected
dental hygiene prognosis
What are 4 factors the determine prognosis?
current disease status
risk factors
OHI
tx options
what type of prognosis would go with the following:
adequate control of etiologic factors pt self-care ability, and periodontal support?
good
what type of prognosis would go with the following:
adequate control of etiologic factors and pt self care ability, and less than 25% attachment loss
fair
what type of prognosis would go with the following:
greater than 50% attachment loss with cl II furcation involvement, pt self care is difficult
poor
What type of prognosis would go with the following:
greater than 50% attachment loss with poor crown-to-root ratio, poor root form, cl II or III furcation (inaccessible), and greater than class 2 mobility?
questionable
what type of prognosis would go with the following:
inadequate attachment to maintain the tooth
hopeless
What are 5 examples of the expected outcome for prevention?
eliminate iatrogenic factors
increase biofilm-free areas
pt compliance
tobacco free
modification/stabilization systemic risk factors
What are 7 examples of the expected outcome for gingival/periodontal hygiene intervention plans?
biofilm reduction
reduce/eliminate BOP
reduce probe depths
maintain attachment level
decrease/maintain mobility
resolve erythematous tissue
reduce swelling edema
What are 5 examples of the expected outcome for dental caries hygiene intervention?
no new demineralized areas
no newcarious lesions
reduced intake of cariogenic food
place sealants
increase fluoride use
What is the pt's role in planning to provide dental hygiene care?
the willingness and/or ability of pt to participate will be key to reaching goals set
What are 4 steps in the procedure for prividing dental hygiene care?
pt's level of understanding of dentl diseases, risk factors, and oral health behaviors
pts physical ability to use oral care aids
pts lifestyle factors that might impact their ability to comly with recommendations
educating pts about their responsibilities in making it happen
What are 3 purposes of tissue conditioning in preparation for scaling?
gingival healing
reduce bacteria
pt education
What are 3 steps in the procedure for tissue conditioning?
biofilm removal
antibacterial rinse after brushing and flossing
antibiotics
What is the purpose for pain and anxiety control in planning dental hygiene care?
to control discomfort during treatment
true or false. with quad scaling, it is important to treat pt areas of discomfort first, unless tissue conditioning is required
true
What are 5 indications for the use of anesthesia in scaling?
