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
What are the 6 most common diagnosis subheadings in dentistry:
1. Caries 2. Periodontal 3. NCTSL 4. Orthodontic 5. Endodontic 6. Aesthetic
26
What are the 6 tx planning stages:
1. Immediate tx 2. Prevention Phase 3. Stabilisation Phase 4. Restorative Phase 5. Maintenance Phase 6. Recall
27
what would you carry out at the immediate phases of tx?
emergency extripations temporary fillings urgent XLAs
28
what would you carry out at prevention phase?
OHI fluoride advice diet advice smoking cessation alcohol advice
29
what would you carry out at stabilisation phase:
XLA of unrestorable teeth restorations periodontal tx
30
what would you carry out at the restorative phase?
study models dentures permanent restorations
31
according to NICE 2014 guidelines what is the recall periods?
3 months shortest 24 months longest - adults 12 months longest - children
32
what is valid consent?
written and verbal consent
33
if you have concerns about an individuals ability to consent what should you do?
AMCUR
34
what does AMCUR stand for?
act make communicate understand retain decisions