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DENT 1520 > 1-5 > Flashcards

1-5 Flashcards

1
Q

Why use photography

A
  • legal documentation—court or for treatment progress/outcomes
  • communication—patient education/ dental labs

-Portfolios—educational/presentations

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2
Q

1-Implied Consent
2-Express Consent
3-Informed Consent

A

1-sufficient when getting information to provide healthcare w/in circle of care—describing oral lesion
2-be obtained when you share personal info for purposes other than health care–presentations
3-to take and use photos

  • verbally- w/ note in chart—is fine if its for documentation for patients treatment only
  • signature—when for purposes besides personal health
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3
Q

HIPAA & Photography

A
  • eyes are blocked out
  • Pixellating, but if patient is identifiable then must block out or try something else
  • Patients can revoke consent
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4
Q

When Documenting make sure…

A
  • clean mirrors
  • no fog
  • saliva free area
  • position patient, retractors, and mirrors properly
  • dont alter the photo
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5
Q

Front Surface Mirrors

A
  • avoids double image
  • reflective surface is at surface
  • non front= reflective surface is beneath glass
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6
Q
A

left- full arch
middle- wide buccal
right- narrow buccal

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7
Q

1-Retractor Cleaning
2- Mirror Cleaning

A

1-autoclaved
2-wiped w/ soap, dry w/ towel, wrap in towel, autoclave…no sterilization solutions

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8
Q

1-Relxed Facial Image
2-profile

A

1-inter pupillary line/incisal plane
2-center of frame is approximately 1 cm anterior to tragus

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9
Q

-Front Maximum Intercuspation

A
  • unilateral retractors
  • photograph behind patient
  • photos = inverted
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10
Q

Front Maximum Intercuspation

A
  • Bilateral retractors
  • photographer is in front of patient
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11
Q

1- Maxillary Arch
2- Mandibular Arch

A

1-photographer behind patient w/ bilateral retractors
2-tongue is position in back of the mirror, photographer is in front w/ bilateral retractors

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12
Q

L & R Lateral in occlusion

A

-photographer on contra lateral side of quadrant, focus in mirror…use a bilateral but uni retractor is preferred

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13
Q

Patient Record

A
  • recall what has happened
  • work out dispute
  • look for potential pitfalls
  • everyone on same page
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14
Q

Adv of electronic health records

A
  • legible
  • customized views
  • quality/convenient
  • patient participation
  • accuracy of diagnoses
  • care coordination
  • cost saving
  • quick retrieval

-organized + less paper

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15
Q

Disadv of Health Record

A
  • significant start up costs
  • less patient time
  • little compatibility of different systems
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16
Q

Disadv to checkbox history

A
  • patients might not understand questions
  • patient goes through it too quick
  • dentist may look for positive response and thats it
  • no in depthness
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17
Q

Patient Assessment

A
  • History
  • Clinical Exam
  • Radiology
  • Assessment/DX
  • Treatment Plan
  • Treatment
  • Prescription
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18
Q

Vital Signs

A
  • measures statistics to assess body functions
  • temperature, pulse, BP, and resp rate
  • gives a baseline
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19
Q

Treating Minors

A 
-minor = anyone under 18
exceptions= minor is pregnant, is married, emancipated, is an emergency
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20
Q

Epidemiology

A

study of health and disease states in population

  • heredity
  • behavior
  • physical
  • social
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21
Q

1-prevalance

2-Incidence
3- Index
4-Caries / Wars

A

1- # of individuals w/ disease in population at specific point of time
2- #of individuals in pop who experience new disease during specific period of time
3-standard of rating a disease on scale w/ upper and lower limits
4- = rejection from service: 1914 + 1939

22
Q

DMF Index

A 
D= decayed
M= missed
F= filled
DMFT= denotes decay, mising, filled teeth
DMFS= denotes decay, missing, filled surface
23
Q

Contributing Factors to Caries

A
  • tooth
  • bacteria in biofilm
  • time

-diet

24
Q

Bacterial Infection

A
  • unerupted teeth dont develop from caries
  • Strep Mutan and Lactobacilli
25
Diet
-Critical pH= 5.5 stephens curve -
26
Physiological Equilibrium of Caries
- local environment of teeth - Dynamics - Demin/Remin process - continous exchange of minerals between surface/biofilm saliva - imbalance in equilibrium
27
Initial Carious Process
- bacterial acids dissolve tooth structures=loss of minerals - subsurface porosities= inital white spot lesion
28
Carious Lesions/Time
-Chronic ---also because of environment/personal factors
29
Preventative Caries
Minimize- bad bacteria, acids, and (sugars) Maximize- awareness, environment, fluoride, saliva
30
Caries Stats
- 25% of population experience 75% of disease - increase in less developed countries - epidemic in emerging country - --inc in caries when dec in income
31
Caries---summary
* Multi-factorial * Bacterial driven * Chronic * Imbalance in physiologic equilibrium * Dynamic * LifestyleAssociated/ Behavioral * Mostly preventable * Highly prevalent
32
Tooth changes due to environment, habit, or systemic
- alter morphology of erupted teeth - brushes abrade, teeth grind, acids erod - --combination or overlap
33
1-Abrasion 2-Attrition 3-Erosion
1-tooth brush, oral piercings, tobacco use 2-bruxism (grinding), food/diet 3-extrinsic/intrinsic
34
Abrasion Effects
- physical wearing away of tooth by objects other than food and the opposing dentition - vshaped notched at cervical (also gingival recession) or isolate notech on incisal/occlusal - can lead to dentin hypersensitivity
35
Abrasion Causes
- toothbrushing w/ hard bristle - abrasive dentifrice (toothpaste) - parafunctional---use teeth for other things (tooth pick, as a tool) - nail biting - oral piercings - tobacco
36
Oral Piercing Abrasion
37
parafunctional abrasion
38
toothbrushing abrasion
39
Tobacco Abrasion
40
Abrasion prevention/treatment
- use soft bristled brush - good toothpaste, dentifrice - fluoride - tobacco prevention - counseling against piercing - remove piercings
41
Attrition
- Physical wearing away of tooth structure due to **tooth on tooth** contact or during **mastication** of foods - Bruxism= soreness with TMJ, headaches, broken teeth, + gingival recession * proximal contacts can be worn away
42
Attrition Bruxism
- stress reduction - Occlusal guard - botox injections
43
Attrition---Bruxism
44
Attrition- Bruxism
45
Diet Related Attrition
46
Attrition Prevention/Treatment
- Bruxism=stress reduction, occlusal guard, change in medication - food= change in diet, change in handling of food, and source of food
47
Erosion Effects
- loss of tooth structure by dissolution - teeth were dentin has been exposed by abrasion or attrition may have erosion - "cupping"---appearance of soft dentin eroding faster than enamel - restorations that are resistant to erosion than surrounding tooth= rising out - dentin hypersensitivity
48
Erosion
49
Erosion Causes
- Extrinsically---soft drinks (carbonated), fruit juice, sports drinks, vinegar, wine, work environment - intrinsic---regurgitation, vomiting
50
Erosion Dynamics
- salivary pellicle---protective function against acid - pellicle= physical and chemical barrier - Ca and P in pellicle buffer the acids and replace mineral lost - when protective system is overwhelmed= dissoltion
51
Erosion from intrinsic Acid ---from vomiting, usually on lingual surface= translucent
52
Erosion Prevention/Treatment
- Reduce consumption of erosive fluids - dont brush until after 30 min - avoide erosive environ - Bulimia - drinking water - fluoride

DENT 1520 (8 decks)

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