Term
| Name 5 sterilization methods |
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Definition
1. Steam Autoclave
2. Dry Heat Oven
3. Chemical Vapor Chemiclave
4. Ethylene Oxide Gas
5. Chemical Sterilization Liquid Immersion. |
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Term
| What is the advantage and disadvantage of the Steam Autoclave sterilization method. |
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Definition
Advantage: Good penetration, Low cost, No chemicals. Most widely used. 20-30 minutes 121 Celcius.
Disadvantage: Corrodes carbon steel, damages plastic and rubber. |
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Term
| What ar the advantages and disadvantages of Dry Heat Oven Sterilization? |
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Definition
Advantages: No corrosion of carbon steel, no toxic chemicals, low cost.
Disadvantages: Long cycle time. 60-120 minutes 160 Celcius. May char paper packaging material. |
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Term
| What are the advantages and disadvantages of Chemical Vapor Chemiclave "Harvey". |
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Definition
Advantages: No corrosion of carbon steel, Faster cycle time. 30 minutes 131 Celcius.
Disadvantages: Toxic chemicals, Damage to plastic and rubber. Requires ventilation. |
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Term
| What are the advantages and disadvantages of Ethylene Oxide Gas Sterilization? |
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Definition
Advantages: Can sterilize anything because it does not use heat.
Disadvantages: Slow cycle time, poisonous gas that needs special ventilation, Expensive so limited to hospital and dental schools. |
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Term
| What are the advantages and disadvantages of Chemical (Glutaraldehydes)Liquid Immersion Sterilization? |
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Definition
Advantages: Can use for dental items that melt with heat.
Disadvantages: Now way to test for effectiveness, often misused, harmful chemical. |
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Term
| What pathogens re transmissible by the oral cavity? |
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Definition
| TB, Hepatitis, AIDS, Herpes |
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Term
| What is the Bacteria and disease process of TB? |
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Definition
Tuberculosis bacteria Mycobacterium tuberculosis.
Disease process:
Predisposing factors include systemic and immunosupressive conditions.
Incubation period 10 weeks.
Symptoms: low grade fever, appetite loss, fatigue, weight loss, cough.
PPD or Mantoux skin test and Chest xray. |
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Term
| List knowledge of Hepatitis A |
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Definition
Most common
Transmission = Fecal/oral
Disease process:
Incubation 15-45 days and communicability is 2-3 weeks before onset of jaundice.
Symptoms= preicteric (before symptoms), icteric, anicteric (after)
PX= handwashing
Vaccine= YES
Application= sterilize instruments |
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Term
| List knowledge of Hepatitis B |
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Definition
Serum= occupation hazard for HCP
transmission= percutaneous and permucosal, needlestick injury, sexual, BLOOD.
Disease process;
Incubation 2-6 months.
indefinite carrier state
PX= vaccine YES |
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Term
| list knowledge of Hepatisi C |
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Definition
Parenterally transmitted
Transmission= percutneous and saliva
Disease process= no vaccine, Infection control procedures. |
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Term
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Definition
Aquired Immunodeficiency syndrome.
Transmission= blood
Disease process:
PX Vaccine= no, Infection control procedure. |
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Term
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Definition
Primary Herpetic gingivostomatatis.
Herpes labialis= cold sore, fever blister.
Herpetic Whitlow HSV1 = fingers.
Herpetic keratoconjuctivitis= occular herpes.
PX = infection control. Vaccine=no
TX = acyclovir |
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Term
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Definition
Herpetic gingivostomatitis = Genital herpes.
Clinical management=health history.
Prodromal state most contagious.
TX vaccine=no Acyclovir |
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Term
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Definition
Varicella-zoster = Chicken pox.
Highly contagious, lives in dorsal root ganglia
vaccine= yes TX acyclovir |
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Term
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Definition
Esptein-Barr virus
Infectious mononucleosis
Hairy leukoplakia, A marker on the tongue for HIV+
Endodontic periapical pathosis (pain in the root of the teeth).
Vaccine=no |
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Term
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Definition
Health Information Portability and Accountability Act of 1996.
1. Privacy of patient records.
2. Confidentiality.
3. Security |
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Term
| ** What is informed consent? |
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Definition
A medical legal document that holds providers responsible for:
ensuring patient understands the risk/benefits of procedure or medication before administered. |
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Term
| ** List the Essential Elements of Health History |
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Definition
1. Patient ID
2. History of present oral condition CHIEF COMPLAINT!
3. Family history
4. Social history
5. Vital signs.
Review of organ systems |
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Term
| What symptoms are women more prone to? Men? |
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Definition
Women: Thyroid, cerebrovascular disease, rheumatoid arthritis, fibromyalgia, sjogren syndrome, systemic lupus, TMJ disorders.
Men: Oral/Pharyngeal, genital carcinomas, HIV |
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Term
| ** What questions are asked regarding the Chief complaint? |
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Definition
1. State in patients own words.
2. Duration/progression
3. domain
4. character
5. Relation to physiologic function. |
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Term
| ** What are the AHA and ADA guidelines for Antibiodic premedication? |
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Definition
1. Heart conditions that may predispose them to infective endocarditis.
2. Total joint replacement and may be at risk for developing hematogenous infections at the site of the prosthetic. |
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Term
| ** What heart conditions need pre meds? |
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Definition
1. Artificial heart valves.
2. A history of infective endocarditis.
3. A cardiac transplant that develops a heart valve problem.
4. Certain congenital heart conditions=
Any heart disease that incompletely repaired and has shunts or conduits.
Completely repaired with any prosthetic material within 6 months of procedure.
Any repaired congenital heart defect with residual defect at the site or adjacent the site of a prosthetic patch or device. |
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Term
| ** What premed patients no longer need premeds? |
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Definition
1. Mitral valve prolapse
2. Rhuematic heart disease.
3. Bicuspid valve disease
4. Calcified aortic stenosis
5. Congenital heart conditions such as ventricular setal defect, atrial septal defect and hypertonic cardiomyopathy (thich heart muscles). |
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Term
| ** What is the antibiodic premedication prior to DH Care? |
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Definition
Amoxicillin 2 grams = 4 tablets 500mg each, 1 hour prior to treatment.
If allergic to penicillin then Clindamycin 600mg = 4x 150mg 1 hour prior |
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Term
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Definition
1. ASA1= no apparent systemic disease
2. ASA2= Mild systemic disease
3. ASA3= Severe but not incapacitating.
4. ASA4= Incapacitating and constant threat to life.
5. ASA V= Not expected to live 24hrs with or without care.
6. ASA V1= Emergency of any type. |
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Term
| ** What do you do with a patient with Herpetic gingivostomatitis? |
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Definition
| Reschedule if any lesions appear that are red, elevated, halolike as is very contagious. |
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Term
| ** What information do you obtain from patients who have been hospitalization history? |
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Definition
1. Note date of even
2. Cause
3. Any complications
4. Anesthetic complications
5. Elaborate on all findings.
6. Ask any additional questions. |
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Term
| ** What questions do you ask patients who take medications? |
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Definition
1. Name of medication
2. Dosage
3. Frequency
4. Indication
5. Dental considerations
6 Contraindications. |
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Term
| What do you need to know about patients with thyroid problems? |
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Definition
| Hyper or Hypo = no local anesthetic with vasoconstrictor, consult MD |
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Term
| What do you need to know about patients on Anti Coagulants/blood thinners? |
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Definition
1. May need MD consult.
2. prothrombin time (coagulation time) over 15 sec is abnormal.
INR International Normalization ratio 3.5 or less is ok to treat. |
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Term
| What conditions require medical consultation prior to invasive DH Care? |
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Definition
1. HIV, need current CBC, viral load and T-cell count.
2. Rhuematic fever
3. Congenital heart disease
4. Cardiac sysrhtmia abnormal heart beat.
5. History of endocarditis
6. Prsthetic heart valves.
7. Some pace makers. |
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