t/f if a pt has pain, this needs to be addressed prior to initiating dental hygiene tx
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
cardiovascular disease (CVD) and atherosclerosis
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 ______ _______
-tooth morphology and position
-personal family history of dental caries/restorative dentistry
ARE ALL RISK FACTORS FOR _______ _____
WHAT IS ADPIE?
the dental hygiene care plan
t/f misunderstandings can lead to legal involvement from documentation of assessment data.
true! make sure you cover your bum
hypocalcification is mostly seen in _______
what is a developmental factor for dental caries?
hypoplasia (enamel didn't form correctly)
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.
past and present
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?
nope! just another thing we learn for fun
what are the four basis's for diagnosis? (hint: two data and two tx)
-pt interview data
-physical assessment data
-tx or education needs from providing oral care services within the dh legal practice
-tx needs from another licensed healthcare professional
chief complaint, identification of oral problems, and comprehensive personal/social, medical and dental health histories are all examples of ______ _______ data
patient interview 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)?
address health functioning and behaviors
describe acutal/potential health problems that dh are educated and licensed to treat
t/f prognosis is expressed in general terms for either an individual tooth or all the teeth
assessment data (current disease status)
pt's risk factors
interventions with potential to reverse pt's oral problem
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:
reduce dental biofilm
reduced probing depths
no further loss in attachment level
decrease or no change in mobility
resolution of erythematous tissue
reduced swelling and edema
the DENTAL CARIES expected outcomes are (6)
no new demineralized areas
demineralized areas resolved
no new carious lesions
reduced intake of cariogenic foods/beverages
dental sealants placed
increased fl2 use
what are the 7 PREVENTION expected outcomes?
elimination of iatrogenic factors
increased biofilm-free areas
pt demonstration of rec care procedures
compliance with daily care rec
compliance with re maint care interval
modification/stabilization of systemic risk factors
the anticipated outcomes of a tissue conditioning program include: _________ healing, reduced ________ accumulation, and ________ by the patient
reduced bacterial accumulation
learning 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 _______
practice oral health behaviors
form lifetime habits for continued maintenance
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?
nod your head...yes
what is the first choice for pre-procedural antimicrobial rinsing?
the first choice is brushing flossing
t/f vigorous rinsing with an antibacterial mouthrinse is beneficial
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?
the areas of discomfort unless tissue conditioning is necessary
if someone has pain and anxiety, which quadrant should be treated if there is no discomfort?
the one with the fewest teeth or least severe perio infection
(to help make first scaling less complicated and help orient an anxious pt to clinical procedures)
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
FALSE! like in clinic, scale either the right or left side
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
scaling and root planning
what is the purpose of 4-handed dental hygiene? (3)