Term
| How is a diagnosis formed? |
|
Definition
by following the data collection and assessments
and the analysis of cause and nature of a problem or problems patient is experiencing. |
|
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Term
| what are 4 types of "problem types" we will analyze for? |
|
Definition
- Actual potential problems amenable to DH care
- Problems requiring diagnosis an care by a dentist
- Problems requiring additional data
- No actual potential oral health problems exist |
|
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Term
| what is a A clinical decision made by a DH that identifies an actual or potential problem based upon assessment data? |
|
Definition
|
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Term
| what are 4 factors that are included in a DH Diagnosis? |
|
Definition
- Synthesizing, analiyzing and interpreting data
-Identification of problems
-Evidence to support diagnosis (signs and Symptoms)
-factors contributing to problems (risk factors/indicators) |
|
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Term
| what is a localized area? |
|
Definition
| less than 30% of sites in the mouth are affected. |
|
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Term
| what is a generalized area? |
|
Definition
| greater than 30% of the sites in the mouth are affected. |
|
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Term
| What are the 3 stages the oral cavity can be in? |
|
Definition
Healthy
Gingivitis
Periodontitis |
|
|
Term
| what are the 3 classifications of periodontitis? |
|
Definition
|
|
Term
| what is slight periodontitis? |
|
Definition
| progression of gingival inflammation into the alveolar bone crest resulting in slight attachment loss of 1-2 mm |
|
|
Term
| what is moderate periodontitis? |
|
Definition
| increased destruction of periodontal structures with clinical attachment loss of 3-4 mm |
|
|
Term
| what is severe periodontitis? |
|
Definition
| severe destruction of the periodontal structures, clinical attachment loss over 5mm |
|
|
Term
| what 3 things would you name when stating the diagnosis? |
|
Definition
| Extent, Severity and Disease. |
|
|
Term
| What two things would be stated to support the diagnosis? |
|
Definition
| Clinical Evidence and contributing risk factors |
|
|
Term
|
Definition
| A prediction of the course the disease will take |
|
|
Term
| what is a prognosis based on? |
|
Definition
pt's history
clinical exam
healing capacity
pt's motivation |
|
|
Term
| who sets goals, establish priorities and identify dental hygiene interventions that can lead to goal attainment? |
|
Definition
| the DH and client together |
|
|
Term
| is a treatment plan a contract? |
|
Definition
|
|
Term
| How can a DH improve treatment results by using information from the research literature? |
|
Definition
| evaluate the pros and cons of various treatments in the context of individual patients. |
|
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Term
| where can the integration of best research evidence with clinical experience, clinical circumstances and patient values be found? (3) |
|
Definition
Medline
Cochrane Collaboration
American Academy of periodontology "Parameters of Care" |
|
|
Term
| what is the evidence based decision making process? |
|
Definition
-Define the problem
-search the literature to locate valid evidence (peer reviewed journals)
- Appraise the evidence for its validity
-correctly apply the evidence to decisions made about patient care
-Evaluate findings and outcomes' |
|
|
Term
| what are the 4 components of treatment planning? |
|
Definition
1. establish priorities- Human Needs Theory
2. Set goals and evaluation measures
3. Identify interventions/treatment
4. Write the care plan & Present the case |
|
|
Term
| what are the phases of Dental Treatment? |
|
Definition
Preliminary
Phase 1 Therapy
Phase 2
Phase 3
Phase 4 |
|
|
Term
| What happens in the Preliminary phase? |
|
Definition
| acute conditions or oral lesions that causes pain for a patient takes priority. |
|
|
Term
| what takes place in Phase 1 Therapy? |
|
Definition
| reduce all etiologic and risk factors. Includes patient education, plaque control, scaling and root debridement |
|
|
Term
| what happens in Phase 2 of dental treatment? |
|
Definition
| Surgical phase of treatment including perio and placement of IMPLANTS. |
|
|
Term
| what happens in phase 3 of dental treatment? |
|
Definition
| Restorative care. Restorations, Orthodontics, Occlusal Therapy, etc. |
|
|
Term
| What happens in Phase 4 of Dental Treatment? |
|
Definition
| Maintenance Care. Supportive Periodontal Therapy or continuing care or recall. To prevent continued periodontal destruction. |
|
|
Term
| What Phases do DH do with patients in dental treatment? |
|
Definition
| Phase1 Therapy and Phase 4 Maintenance |
|
|
Term
| What is the Goal of preventive or periodontal therapy? |
|
Definition
-To prevent the initiation, progression recurrence of periodontal disease.
-To Restore the periodontium to an attractive, comfortable and functional state of health for the balance of the patient's life. |
|
|
Term
| What are Changes that I hope to see clinically? |
|
Definition
| Changes to modifiable risks clinically seen in the mouth |
|
|
Term
| What are goals we as DH have? |
|
Definition
|
|
Term
| What are goals / objectives we have for our patient? |
|
Definition
| Skills/ behavior modifications of patient |
|
|
Term
| What is the Code for a periodic exam? (returning patient) |
|
Definition
|
|
Term
| What is the Code for a Comprehensive-absent from active treatment three or more years? |
|
Definition
|
|
Term
| what is the code for a Re-Evaluation- limited, problem focused? |
|
Definition
|
|
Term
| what is the Code for a Comprehensive Periodontal includes cancer evaluation, no time frame? |
|
Definition
|
|
Term
| what is the Code for a preventative prophylaxis, removal of plaque, calculus, and stains from the tooth structures in the Permanent and transitional dentition. Intended to control local risk factors? |
|
Definition
|
|
Term
| what is the Code for Primary and transitional dentition preventive Prophylaxis? |
|
Definition
|
|
Term
| What is the Code for Topical Fluoride? (child) |
|
Definition
|
|
Term
| What is the Code for Topical Fluoride (adult)? |
|
Definition
|
|
Term
| What is the code for Fluoride Varnish? |
|
Definition
|
|
Term
| All perio codes will be in what # group? |
|
Definition
|
|
Term
| what code is periodontal scaling an root planing four or more teeth per quadrant. Indicated for patient with periodontal disease and is therapeutic not prophylactic in nature. Definitive or pre surgical in nature. ? |
|
Definition
|
|
Term
| What Code is used for Periodontal scaling and root planing - one to three teeth per quadrant? |
|
Definition
|
|
Term
| what code is used in localized delivery of antimicrobial agents via a controlled release vehicle into disease crevicular tissue, per tooth? |
|
Definition
|
|
Term
| What code is used for a full mouth Debridement? |
|
Definition
|
|
Term
| How many times can a patient have a full mouth debridement? |
|
Definition
| it is limited to once /lifetime or once every 3 years |
|
|
Term
| what code is used for periodontal maintenance? |
|
Definition
|
|
Term
| According to Trisha O'Hehir, once a pt is diagnosed with Perio disease and receives treatment they will always use what code? |
|
Definition
the Perio maintenance code
D4910 |
|
|
Term
| What is all included in a Assessments (D0150)? |
|
Definition
| comprehensive exam, radiographs (code), Pt education/ Plaque control instructions (01330), Prophylaxis, establish appropriate supportive therapy intervals |
|
|
Term
| what code is pt education? |
|
Definition
|
|
Term
| what codes/ process would be used with a Generalized Moderate Chronic perio patient? |
|
Definition
Assessments (D0150)
Pt Education (D1330)
scaling and periodontal debridement by quad. (D4341)
Localized delivery of antimicrobial agents (D4381)
Re-eval and supportive maintenance interval or refer (D4910) |
|
|
Term
| What is the key to successful therapy? |
|
Definition
|
|
Term
| what must be done up front and throughout entire treatment plan and maintenance? |
|
Definition
|
|
Term
| What is very difficult but extremely important in dental care with patient education? |
|
Definition
|
|
Term
| what should happen in the case presentation to the patient? |
|
Definition
- Translate the plan
- formalize the contractual relationship between pt and DH
- Informed consent
-Mutual understanding and cooperation |
|
|
Term
| what are some other treatment plan needs that need to be discussed with the pt? |
|
Definition
Caries
smoking
sensitivity
pain management
care of dental appliances
supportive -sealants, arestin etc. |
|
|
Term
| what do we not tell pts we do as DH? |
|
Definition
|
|
Term
| how can we describe inflammation to make it sound as sever as it is? |
|
Definition
|
|
Term
| What is a active roll the pt does as a co-therapist? |
|
Definition
|
|
Term
| what are some things we provide as DH? |
|
Definition
Making appointments
Scaling /root planing
Periodontal evaluation
periodontal disease therapy
active role/co therapy
commitment
advanced procedure |
|
|
Term
| what should we stress when it comes to commitment? |
|
Definition
| that they are our co therapist and we cannot fix the problem with out them being a willing participant with a high level of commitment to their oral hygiene. |
|
|
Term
What is "I have been advised i have ______ periodontal disease i accept the recommended treatment fee $_______
-Signature" ? |
|
Definition
| The Patients statement of treatment choice. |
|
|
Term
| What is patient refuses treatment? |
|
Definition
| If a pt wants a cleaning and they need treatment , talk to dentist but do not treat lower than the standard of care, pt may need to sign a form and be dismissed from the clinic. |
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