ch 21 theory II

t/f if a pt has pain, this needs to be addressed prior to initiating dental hygiene tx
True False

-behavioral factors
-tobacco use
-systemic conditions
-hormonal considerations
-nutritional status
-iatrogenic factors
-genetic factors
THESE ARE ALL ______ FACTORS FOR PERIO _________ OR ______ RESPONSE TO PERIO THERAPY

T/F presence of perio infection is a contributing factor to a variety of systemic conditions

infective endocarditis
cardiovascular disease (CVD) and atherosclerosis
diabetes mellitus
respiratory disease
adverse pregnancy outcomes
ARE ALL EXAMPLES OF _________ __________ AS RISK FACTORS FOR __________ CONDITIONS

tobaccco, alcohol, and sun exposure (lips and face) are all risk factors for ______ _______

-behavioral factors
-dietary factors
-low fl2
-tooth morphology and position
-xerostomia
-personal family history of dental caries/restorative dentistry
-dev factors
-genetic factors
ARE ALL RISK FACTORS FOR _______ _____

WHAT IS ADPIE?

t/f misunderstandings can lead to legal involvement from documentation of assessment data.
True False

hypocalcification is mostly seen in _______

what is a developmental factor for dental caries?

pt's overall health status for tx modification is determined by their _______, _______, and _______ risk

name two systems that can be used to determine modifications necessary for pt care

planning for the number and length of appointments is determined by their ________ _______

_____ and ______ perio conditions and risk factors that affect the progress of disease, determines the patients current perio status.

to help determine the sequences and number of appointments required for nonsurgical therapy, it is useful to divide the perio diagnosis into _____ _____.

parameters of care include clinical _______, therapeutic goals, ________ considerations, and outcomes assessment for perio disease. planning considerations are graded by the ________ of infection

do we use the OSCAR planning guide in clinic?

what are the four basis's for diagnosis? (hint: two data and two tx)

chief complaint, identification of oral problems, and comprehensive personal/social, medical and dental health histories are all examples of ______ _______ data

vital signs, eo/io exams, dental and perio charting are all examples of _________ ________ data

inadequate biofilm removal, diet, noncompliance with dental hygiene recommendations are all _________ factors

diabetes, decreased immune factors, osteoporosis, osteopenia are all ______ _______

pregnancy and menopause are ______ considerations

overhangs, open contacts, residual calc are ________ _________

frequent use of cariogenic foods/beverages are all ________ factors

deep occlusal pits and fissures, exposed root surfaces, and rotated positioning are _______ _______ and positioning

modifications of dental enamel are _______ factors

immune response is a _______ factor

what are two purposes of a dental hygiene model (which is like a nursing model except dh are prettier)?

t/f prognosis is expressed in general terms for either an individual tooth or all the teeth
True False

assessment data (current disease status)
pt's risk factors
pt's commitment
interventions with potential to reverse pt's oral problem
tx alternatives
evidence from scientific literature
are all factors that determine _______

in expected outcomes, what are the three parts of a three part care plan?

7 expected outcomes for improvement of GINGIVAL/PERIODONTAL status are:

the DENTAL CARIES expected outcomes are (6)

what are the 7 PREVENTION expected outcomes?

the anticipated outcomes of a tissue conditioning program include: _________ healing, reduced ________ accumulation, and ________ by the patient

gingival healing during tissue conditioning includes:
tissues become less _________ (filled with fluid)
________ is minimized
________ procedures are facilitated

the reduced bacterial accumulation tissue conditioning includes:
less likelihood that ________ will be produced during scaling
and reduced ___________ in the aerosols produced

learning by the pt while conditioning the tissues for scaling, the patient can:
practice ____ ____ behaviors
experience the benefits of a clean mouth
form lifetime _____ for continued _______

the program for tissue conditioning should:
initiate a pretreatment program of daily _____ _____.
recommend daily use of an _______ _____ after thorough brushing and flossing before going to bed.
select affected _______ for scaling only after pt cooperation has been demonstrated

will a pre-procedural antimicrobial rinse remove dental biofilm, lower the bacterial count in aerosols, and decrease the potential for bacteremia?

what is the first choice for pre-procedural antimicrobial rinsing?

t/f vigorous rinsing with an antibacterial mouthrinse is beneficial
True False

forcing mouth rinse between the teeth for ___-___ minutes can remove _____ debris and surface bacteria approximately ___ mm below the gingival margin

Which areas should be treated first when dealing with pain and anxiety control quadrant selection?

if someone has pain and anxiety, which quadrant should be treated if there is no discomfort?

the pt's previous pain control experiences
severity of the perio infection
depth of pockets
consistency and distribution of calc
potential pt discomfort during scaling
and sensitivity of the pt's tissues
ALL AID IN THE NEED FOR __________

t/f if you are going to anesthetize a patient and scale two quadrants, you should choose either the maxillary or mandibular quadrants so it is less annoying than only having half of your face numb at a time
True False

DH care during extended dental therapy includes ______ tissue assessment, probing to determine _______, biofilm check with ______ ______, reinforcement of daily oral care, _______ and _______ planning to remove calc, add. instructions for care of a new ________, and _________ encouragement

what is the purpose of 4-handed dental hygiene? (3)

a well-trained hygiene assistant can perform: (6)