Theory II

  1. t/f consent cannot exist w/o written documentation
    false it can exist (even with documentation it can be lacking if pt doesn't understand)
  2. in what two forms is expressed consent given?
    orally or written
  3. t/f implied consent is granted by pt presence in the dental chair
  4. what procedures can you perform with implied consent? 3
    • data collection
    • data analysis
    • treatment planning
  5. what type of consent do you need to do diagnosis, tx, prognosis and referrals?
    informed consent
  6. t/f refusal of care as well as any recommeded tx options are documented in permanent record
  7. what type of factors are inadequate biofilm removal, diet, noncompliance
    behavior factors
  8. what are seven factors that affect perio infections?
    • behavioral factors
    • tobacco use
    • systemic conditions
    • hormonal considerations
    • nutritional status
    • iatrogenic factors
    • genetic factors
  9. what three things cause oral cancer?
    • tobacco use
    • alcohol use
    • sun exposure
  10. t/f a pre med is needed for prosthetic cardiac valve
  11. t/f a pre med is required for a heart murmur
  12. t/f a premed is required for previous endocarditis
  13. when is a premed needed? (long answer good luck ha)
    • prosthetic cardiac valve
    • previous endocarditis
    • congenital heart disease (unrepaired cyanotic congenital heart disease including those with palliative shunts and conduits, completely repaired congenital heart disease with prostehtic material or device during first six montsh after procedure, repaired congenital heart disease with residual defects at site or adjacent to site)
    • cardiac transplantation
    • cardiac valvular disease
  14. t/f recurrence of perio means there has been a recolonization of pathogens
  15. how quickly can perio pathogens recolonize?
    42 days
  16. what is it called when you look ahead to an anticipated outcome or end point?
  17. a _____ is a statement of possible outcomes expected from the DH intervention for the pt
  18. what prognosis is adequate control of etiologic factors, adequate pt self care ability and adequate periodontal support
  19. what prognosis is adequate control of etiologic factors, adequate pt self care ability, and less than 25% attachment loss with class I or less of a furcation involvement
  20. what prognosis is greater
    than 50% attachment loss with class II furcation, pt self care difficult due to
    location and depth of furcation
  21. what prognosis is greater than 50% attachment loss with poor crown to root
    ratio, poor root form, inaccessible class II furcation or class II furcation,
    greater than 2+ mobility, significant root proximity
  22. what prognosis is inadequate attachment to maintain the tooth
  23. what factos determine prognosis? 6
    • assessment data for current disease status
    • risk factors
    • pts commitment to personal care
    • interventions w/potential to reverse pt oral problems
    • tx alternatives
    • evidence from scientific literature
  24. what are the expected clinical outcomes for gingiva/periodontal? 7
    • reduced dental biofilm
    • no BOP
    • reduced probing depths
    • no further loss in attachment level
    • decreased or no change in mobility
    • resolution of erythematous tissue
    • reduced swelling and edema
  25. what is the expected clinical outcomess for dental caries? 6
    • no new deminearlized areas
    • deminerlized areas resolved
    • no new carious lesions
    • reduced intake of cariogenic food/beverages
    • dental sealants placed
    • increased fluoride use
  26. what are the expected outcomes for prevention? 5
    • elimination of iotrogenic factors
    • increased % of biofilm free areas
    • pt demonstration of recommended oral care procedures
    • compliance of daily care achieved
    • modifications/stabilaztion of systemic risk factors
  27. DH interventions are planned using ____ ____ of efficacy and efficiency
    scientific evidence
  28. what is the purpose of a preprocedural rinse
    removal of dental biofilm to lower the bacterial count in aerosols and decrease hte potential for bacteremia
  29. t/f premed is neded for all instrumenation
    true (probing, exploring and mobility determination)
  30. is a premed neded for manipulation of gingival tissues
  31. is a premed needed for procedures that involve periapical region of the teeth
  32. t/f premed is not needed for perforation of oral mucosa
    FALSE it is needed for perforation of oral mucosa
  33. what are four examples of DH supplemental care procedures?
    • smoking cessation assistance
    • desensitization of sensitive areas
    • special care for implants and fixed prostheses
    • referral for retreatment evaluation
  34. what does recurrence or perio depend on?
    pt contributing factors - inadequate biofilm control, lack of compliance w/mainenance appts, incomplete professional tx, tobacco use, systemic disease, genetic factors
  35. what would you expect to see if a pt has inadequate biofilm control, lack of comliance with mainenace appt, incomplete professional tx, tobacco use, systemic disease and gentic factors?
    recurrence of perio
Card Set
Theory II
mod 6 chapter 21