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BDS - Module 9 > 1. History, Examination, Diagnosis and Tx Planning > Flashcards

1. History, Examination, Diagnosis and Tx Planning Flashcards

1
Q

What are the 8 components of history taking?

A

ID
Consent
RFA
C/O
HPC
MH
SH
DH

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2
Q

What is a useful aid for a pain diagnosis?

A

SOCRATES
site, onset, character, radiates, associated symptoms, time occurred, exacerbating factors, severity

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3
Q

what medical questions should you ask your pt about?

A

any known conditions
any regular medications
any known allergies

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4
Q

what areas of social history are useful to ask your patient about?

A

smoking history
alcohol intake
drug use
occupation

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5
Q

what questions in relation to dental history would you ask your patient about?

A

OH regime
denture wear
orthodontic tx

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6
Q

what are the 4 examinations required for a check up?

A

E/O exam
I/O exam: soft tissues, hard tissues and periodontium

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7
Q

what are the 6 areas to check in an E/O exam?

A

asymmetry, lips, nodes, tmj, facial lesions and skeletal base

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8
Q

what are the 6 areas to check in a soft tissue I/O exam?

A

palate, buccal mucosa, gingivae, fom, tongue, oropharynx

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9
Q

what should be charted when examining hard tissues?

A

teeth and associated lesions
occlusion

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10
Q

what should be recorded when examining the periodontium?

A

BPE

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11
Q

what are the 2 types of further investigations?

A

radiographs
special tests

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12
Q

list the 7 components of a dental examination:

A

History
Examination
Special Investigations
Diagnosis’s
Tx Plan
Consent
Recall

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13
Q

What are sensibility tests used for?

A

to diagnose pulpal condition

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14
Q

what would be a normal sensibility test response?

A

short, sharp pain that stops when stimulus is removed

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15
Q

what would be an abnormal sensibility test response?

A

pain that lingers when stimulus is removed.

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16
Q

what would no response to sensibility test suggest?

A

that the tooth’s nerve supply has been effected

17
Q

give 2 examples of sensibility tests:

A

Electric Pulp Test
Thermal testing

18
Q

What does vitality testing determine?

A

assess blood flow to the pulp

19
Q

give 3 examples of vitality tests:

A

laser doppler flowmetry
pulse oximetry
spectrophotometry

20
Q

list the 6 further investigative tests:

A

sensibility tests
vitality tests
percussion
palpation
3 in 1
tooth slooth

21
Q

what does percussion testing indicate?

A

indentifies any PDL involvement

22
Q

what does palpation testing indicate?

A

any areas of tenderness

23
Q

what does the 3 in 1 help diagnose?

A

dentine hypersensitivity

24
Q

what does a tooth slooth help diagnose?

A

tooth fractures - pt bites on each cusp and if there is pain on opening this indicates a fracture.

25
Q

What are the 6 most common diagnosis subheadings in dentistry:

A
  1. Caries
  2. Periodontal
  3. NCTSL
  4. Orthodontic
  5. Endodontic
  6. Aesthetic
26
Q

What are the 6 tx planning stages:

A
  1. Immediate tx
  2. Prevention Phase
  3. Stabilisation Phase
  4. Restorative Phase
  5. Maintenance Phase
  6. Recall
27
Q

what would you carry out at the immediate phases of tx?

A

emergency extripations
temporary fillings
urgent XLAs

28
Q

what would you carry out at prevention phase?

A

OHI
fluoride advice
diet advice
smoking cessation
alcohol advice

29
Q

what would you carry out at stabilisation phase:

A

XLA of unrestorable teeth
restorations
periodontal tx

30
Q

what would you carry out at the restorative phase?

A

study models
dentures
permanent restorations

31
Q

according to NICE 2014 guidelines what is the recall periods?

A

3 months shortest
24 months longest - adults
12 months longest - children

32
Q

what is valid consent?

A

written and verbal consent

33
Q

if you have concerns about an individuals ability to consent what should you do?

A

AMCUR

34
Q

what does AMCUR stand for?

A

act
make
communicate
understand
retain
decisions

BDS - Module 9 (16 decks)

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