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Porto- Radiology
Dental Radiography Patients with Special Needs (ch:24)
33
Dentistry
Graduate
11/07/2012

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Cards

Term
What are two types of patients that we would need to modify our technique when taking radiographs?
Definition
- Patients with Gag reflexes
-patients with Disabilities
-patients with specific dental needs
Term
what are 4 examples of special considerations we may find in patients?
Definition
-Hypersensitive gag reflex
-physical or develop-mental disabilities
-pediatric patients
-edentulous patients
Term
what is gagging?
Definition
the strong involuntary effort to vomit
Term
what is the Gag Reflex?
Definition
-Elicited by stimulation of the sensitive tissues of the soft palate region.
-Includes the soft palate and the lateral posterior third of the tongue.
Term
what is Psychogenic stimuli of gagging?
Definition
Gagging is Originating in the mind.
Term
what is Tactile stimuli ?
Definition
Originating from touch
Term
what are the 4 components of patient management?
Definition
- Operator attitude
-Patient and equipment preparations
-exposure sequencing
-Receptor Placement
Term
what must the Operator convey attitude wise?
Definition
- Confidence and patient tolerance and understanding
Term
The patient may not know what a Radiograph is or has never had them taken. So what must you do in order to make the patient more comfortable with what will be happening?
Definition
explain the radiographic procedures that are about to be preformed.
Term
what must you do before placing the sensor to ensure the sensor will not be in the mouth long?
Definition
-do all preparations before placing the receptor
Term
what is less likely to happen if you place the sensor quickly and make the exposure?
Definition
Less likely to gag.
Term
where should you start in order to avoid a gagging reaction?
Definition
Anterior and move posterior
Term
when touching the palate what so you want to avoid doing?
Definition
Sliding the film along the palate
Term
How should you place film to the palate?
Definition
firmly bring the film into contact with palatal tissues using one decisive motion.
Term
how would you demonstrate receptor placement ?
Definition
- Rub a finger along the tissues near the intended area of film placement.
-Tell the patient "this is where the film/sensor will be positioned".
Term
what must the Clinician do if the patients gag reflex is uncontrollable?
Definition
Extraoral film
Term
what are different extra oral film that can be used with a gagger?
Definition
Panoramic or lateral jaw radiographs
Term
what is a different technique that can be used to obtain an image with a gagging prone patient?
Definition
the Bisecting Technique
Term
what are Helpful hints to remember when dealing with a patient who may gag?
Definition
-never suggest gagging
-Reassure the patient
- Suggest breathing through nose
-Try to distract the patient
-Try to reduce tactile stimuli
-Place salt on tongue (not if they have hypertension)
Term
what are 3 physical disabilities that may limit one or more of an individuals major life activities?
Definition
-vision impairment
-hearing impairment
-mobility impairment
Term
what are some developmental disabilities that may Limit there understanding or activities?
Definition
problems with coordination or comprehension of instructions.
Term
what are some helpful hints for people with disabilities? (things you can do)
Definition
-offer assistance
-talk directly to the person with a disability
-Explain procedure prior to radiographic procedure, discuss procedure with caretaker
-if cannot tolerate intraoral exposures, use extraoral radiography.
Term
what are a few examples of patients with specific dental needs?
Definition
-Pediatric patients
-Endodontic patients
-Edentulous patients
Term
what is Pediatrics?
Definition
the branch of dentistry dealing with the diagnosis and treatment of dental diseases in children
Term
when do you prescribe pedo dental radiographs?
Definition
depends not only on the individual needs of the child but also on the age of the child and his or her ability to cooperate with the procedures
Term
Pediatric film size for a child who is 3-6 years old would be?
Definition
size #0 film, BW or PA
Size #2 film, BW (age 6) and occlusal
Term
What size film would be used on a Transitional Age patient (7-12)?
Definition
Size #1 Film, Anterior PA
Size #2 Film, Posterior PA and BW
(Size #1 Film, posterior PA and BW for smaller Child)
Term
what are the recommended techniques for Primary or Transitional Dentition?
Definition
-Bisecting technique preferred for PA
-Bite-wing and occlusal technique
Term
what are some helpful hints you can do when taking pedo Radiographs?
Definition
-Be confident
-Show and tell
- reassure the patient
-Demonstrate Behavior
-Request Assistance
-Postpone the Examination
Term
what is an Edentulous Radiographic Examination looking for?
Definition
-Detection of root tips, impacted teeth and lesions.
-Identify objects imbedding in bone
-Establish position of normal anatomic landmarks relative to the crest of the alveolar ridge
-Observe the quality and quantity of bone that is present.
Term
what is the most common radiograph used on Edentulous patients?
Definition
a Panoramic
Term
what would a PA be used for with and Edentulous patient?
Definition
-as a follow up to the panoramic examination.
-Indicated for alveolar bone health (with implant and denture considerations)
Term
what is a helpful tool to use when taking Edentulous arch PA radiographs?
Definition
A cotton roll is helpful to keep receptor stationary.
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