Term
| What are 3 reasons for a formal written care plan? |
|
Definition
1. educating the patient
2. securing informed consent
3. communicating w/ other team members |
|
|
Term
| What does ADPIE stand for? |
|
Definition
Assess
Diagnose
Plan
Implement
Evaluate |
|
|
Term
| What is the Dental Hygiene process of care? |
|
Definition
|
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Term
| What are some risk factors for periodontal infections or poor response to perio therapy? |
|
Definition
tobacco use
systemic illness (diabetes, osteoporosis)
hormones (pregnancy, menopause)
nutrition
genetics
iatrogenic factors (overhangs, residual calc) |
|
|
Term
| What are some systemic disease risks for individuals with perio? |
|
Definition
infective endocarditis
CV disease
diabetes mellitus
respiratory disease
adverse pregnancy outcomes |
|
|
Term
| What are some risk factors for dental caries? |
|
Definition
behavioral factors (poor biofilm removal)
diet
low fluoride
tooth morphology
history of caries
genetics |
|
|
Term
| What are 3 risk factors for oral cancer? |
|
Definition
tobacco
alcohol
sun exposure |
|
|
Term
| What are 4 main risk factors that you should monitor for during your patient assessment? |
|
Definition
periodontal infections
systemic conditions
dental caries
oral cancer |
|
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Term
| A condition that can increase the patient's potential for diminished oral health is known as a? |
|
Definition
|
|
Term
|
Definition
| American Society of Anesthesiologists |
|
|
Term
|
Definition
| activities of daily living |
|
|
Term
| What are two assessment systems to determine a patient's overall medical, physical, and psychological risk prior to care? |
|
Definition
| ASA classification and OSCAR planning guide |
|
|
Term
| What are 5 assessment findings? |
|
Definition
Chief complaint
risk factors
overall health status
oral health knowledge
self-care ability |
|
|
Term
| What is a description of current and past periodontal conditions, as well as risk factors that affect the progress of disease? |
|
Definition
| current periodontal status |
|
|
Term
| What are the 4 components to the Periodontal Diagnosis? |
|
Definition
current perio status
case type
classification of periodontal disease
parameters of care |
|
|
Term
| What classification is used to determine sequences and the number of appointments needed for initial nonsurgical perio therapy? |
|
Definition
|
|
Term
| What are the 4 case types for periodontal disease? |
|
Definition
1. Gingival disease
2. Early periodontitis
3. Moderate periodontitis
4. Advanced periodontitis |
|
|
Term
| which perio case type is characterized by inflammation of the gingiva and bleeding on probing? |
|
Definition
|
|
Term
| Which perio case type is characterized by inflammation of deeper perio structures and slight bone loss? |
|
Definition
|
|
Term
| Which perio case is characterized by increased probing depth, noticable loss of bony structure, and early to moderate furcation involvement? |
|
Definition
|
|
Term
| Which perio case type is characterized by increased BOP, major loss of bony structure, furcation invasion, and increased tooth mobility? |
|
Definition
|
|
Term
| What are the 7 categories of periodontal diagnosis outlined in the Parameters of Care? |
|
Definition
1. biofilm induced gingivitis
2. chronic periodontitis (w/ moderate structure loss)
3. chronic periodontits (w/ advanced structure loss)
4. periodontal maintenance
5. acute periodontal disease
6. aggressive periodontists
7. mucogingival conditions |
|
|
Term
| What perio diagnosis tool outlines clinical diagnosis, therapeutic goals, Tx considerations,and outcomes assessment for perio disease? |
|
Definition
|
|
Term
| Which classification recognizes the extent, severity, and chronic or aggressive nature of a patient's perio disease? |
|
Definition
| classification of periodontal disease |
|
|
Term
| which diagnosis tool provides the basis for planning interventions within the score of DH practice and reflects expected outcomes of DH interventions? |
|
Definition
|
|
Term
| Which diagnosis tool reflects nursing models which focuses broadly to address health functioning and behaviors and describe actual or potential health problems that DH's can treat? |
|
Definition
| Dental Hygiene Diagnosis model |
|
|
Term
| What is the Basis of diagnosis? |
|
Definition
|
|
Term
| What is Physical assessment data? |
|
Definition
| vitals, EO/IO, perio charting |
|
|
Term
| what is another term for the anticipated outcome or endpoint? |
|
Definition
|
|
Term
| What are the 5 categories for dental prognosis? |
|
Definition
1. good
2. fair
3. poor
4. questionable
5. Hopeless |
|
|
Term
| What is tissue conditioning? Why is it beneficial? |
|
Definition
| initiate a OHI routine to reduce inflammation and bleeding on significantly spongy, soft tissue prior to scaling. develop biofilm control routine and only administer care after patient demonstrates compliance. Reduces changes for bacteremia and aerosols |
|
|
Term
| What are 8 considerations for providing care? |
|
Definition
1. role of patient (are they willing and able)
2. tissue conditioning
3. preprocedural antimicrobial rinse
4. pain and anxiety control
5. maintenance during dental therapy
6. four-handed dental hygiene
7. evidence based selection of DH protocols
8. written dental hygiene care plan |
|
|
Term
| swishing with antibacterial rinses for 1-2 minutes removes loose debris and bacteria from how many mm below the gingival margin? |
|
Definition
|
|
Term
| Should you treat the most or least complicated perio quad first? |
|
Definition
|
|
Term
| What are the 4 major concepts of the human needs conceptual model of dental hygiene? |
|
Definition
Client
Environment
Health and oral health
Dental hygiene actions |
|
|
Term
| which concept of the human needs model is a state of well-being that exists on a continuum from wellness to illness? |
|
Definition
|
|
Term
| Which concept of the human needs model focuses of the behaviors of the DH aimed at helping the client meet their 8 human needs? |
|
Definition
|
|
Term
| What are the 8 human needs related to DH care? |
|
Definition
protection from health risks
freedom from fear or stress
freedom from pain
wholesome facial image
skin and mucous membrane integrity of the head and neck
biologically sound dentition
conceptualization and problem solving
responsibility for oral health |
|
|
Term
| what are 3 reasons sharper instruments are better? |
|
Definition
more efficient
less operator fatigue
more patient comfort |
|
|
Term
| What are the 3 goals of instrumentation |
|
Definition
remove calculus
smooth surface (root plane)
minimal/no tissue trauma |
|
|
Term
| after how many strokes will a curette cutting edge begin to dull? |
|
Definition
|
|
Term
| when should you sharpen your instruments? |
|
Definition
before treatment
at the first sign of dullness |
|
|
Term
| Do dull or sharp instruments reflect light from the cutting edge? |
|
Definition
|
|
Term
| How many smooth surfaces make a cutting edge? |
|
Definition
|
|
Term
| should you sharpen parallel or perpendicular to the cutting edge? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What are the two core styles of instrument sharpening? |
|
Definition
stationary instrument, moving stone
stationary stone, moving instrument |
|
|
Term
| Which sharpening method is the most commonly used? |
|
Definition
|
|
Term
| which sharpening method cannot be used on contaminated instruments? |
|
Definition
| stationary stone, moving instrument |
|
|
Term
| What size calculus are universal curets usually used for? |
|
Definition
|
|
Term
| Does the columbia or barnhard curette have a longer lower shank? (better able to reach IP) |
|
Definition
|
|
Term
| for posterior teeth, what is the terminal shank relation for the universal curette? |
|
Definition
| terminal shank parallel to the D surface |
|
|
Term
| what angulation should your universal curette have for calculus removal? |
|
Definition
|
|
Term
| for anterior teeth, what is the terminal shank relation for a universal curette? |
|
Definition
| lower shank across the tooth surface |
|
|
Term
| where should you sit for posterior teeth instrumentation with a universal curette? (surfaces toward and away) |
|
Definition
surfaces toward 9
surfaces away 10 |
|
|
Term
| where should you sit for anterior teeth instrumentation with a universal curette? (surfaces toward and away) |
|
Definition
surfaces toward 8-9
surfaces away 12 |
|
|
Term
| for anterior instrumentation with a universal curette, which tooth should you begin with? |
|
Definition
surfaces toward
left canine mesial surface |
|
|
Term
| What is the primary use for a Gracey 1/2 |
|
Definition
| anterior teeth- all surfaces |
|
|
Term
| What is the primary use for a Gracey 3/4 |
|
Definition
| anterior teeth- all surfaces |
|
|
Term
| What is the primary use for a Gracey 5/6 |
|
Definition
**anterior and premolar teeth- all surfaces
molars- facial, lingual, mesial |
|
|
Term
| What is the primary use for a Gracey 7/8 and 9/10 |
|
Definition
Anterior and premolar teeth- all surfaces
**posterior teeth- facial and lingual |
|
|
Term
| What is the primary use for a Gracey 11/12 |
|
Definition
**posterior teeth- mesial surfaces
posterior teeth- facial , lingual, mesial
anterior teeth- M and D |
|
|
Term
| What is the primary use for a Gracey 13/14 |
|
Definition
**posterior teeth- D surfaces
anterior teeth- M & D |
|
|
Term
| What is the primary use for a Gracey 15/16 |
|
Definition
| **posterior teeth- Facial, lingual, mesial |
|
|
Term
| What is the primary use for a Gracey 17/18 (amazing gracey) |
|
Definition
| **posterior teeth- distal |
|
|
Term
| which two gracey instruments were not part of the initial series? |
|
Definition
|
|
Term
| Which gracey instrument series has standard shank length and diameter, standard blade length and width, and is best used for light deposits in pockets less than 4 mm |
|
Definition
| standard gracey series (SG) |
|
|
Term
| Which gracey instrument series has a longer lower shank with an increased diameter, standard blade length but width decreased by 10% and is best used on medium sized calculus deposits in pockets >5mm |
|
Definition
|
|
Term
| Which gracey instrument series has a longer lower shank, decreased blade length (50%) and width (10%) and is best used for medium sized deposits with small roots, tight pockets and furcas in pockets greater than 5 mm |
|
Definition
| mini-five series (SAS) rigid |
|
|
Term
| which instrument is best used for heavy tenacious calculus and has a sickle tip |
|
Definition
|
|
Term
| Which instrument is best used for sweeping the distals of the last molars and has a universal toe. |
|
Definition
| Hook/McCall- Hartzell SM 17/18 |
|
|
Term
| Which two instruments are used for heavy supragingival calculus and has a sickle tip |
|
Definition
| 30/33 and H3/H4 Jacquette |
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