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)
in what two forms is expressed consent given?
orally or written
t/f implied consent is granted by pt presence in the dental chair
true
what procedures can you perform with implied consent? 3
data collection
data analysis
treatment planning
what type of consent do you need to do diagnosis, tx, prognosis and referrals?
informed consent
t/f refusal of care as well as any recommeded tx options are documented in permanent record
true
what type of factors are inadequate biofilm removal, diet, noncompliance
behavior factors
what are seven factors that affect perio infections?
behavioral factors
tobacco use
systemic conditions
hormonal considerations
nutritional status
iatrogenic factors
genetic factors
what three things cause oral cancer?
tobacco use
alcohol use
sun exposure
t/f a pre med is needed for prosthetic cardiac valve
true
t/f a pre med is required for a heart murmur
false
t/f a premed is required for previous endocarditis
true
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
t/f recurrence of perio means there has been a recolonization of pathogens
true
how quickly can perio pathogens recolonize?
42 days
what is it called when you look ahead to an anticipated outcome or end point?
prognosis
a _____ is a statement of possible outcomes expected from the DH intervention for the pt
prognosis
what prognosis is adequate control of etiologic factors, adequate pt self care ability and adequate periodontal support
good
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
fair
what prognosis is greater
than 50% attachment loss with class II furcation, pt self care difficult due to
location and depth of furcation
poor
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
questionable
what prognosis is inadequate attachment to maintain the tooth
hopeless
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
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
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
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
DH interventions are planned using ____ ____ of efficacy and efficiency
scientific evidence
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
t/f premed is neded for all instrumenation
true (probing, exploring and mobility determination)
is a premed neded for manipulation of gingival tissues
yes
is a premed needed for procedures that involve periapical region of the teeth
yes
t/f premed is not needed for perforation of oral mucosa
FALSE it is needed for perforation of oral mucosa
what are four examples of DH supplemental care procedures?
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?
