1. History, Examination, Diagnosis and Tx Planning

Question 1

What are the 8 components of history taking?

Answer 1

ID
Consent
RFA
C/O
HPC
MH
SH
DH

Question 2

What is a useful aid for a pain diagnosis?

Answer 2

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

Question 3

what medical questions should you ask your pt about?

Answer 3

any known conditions
any regular medications
any known allergies

Question 4

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

Answer 4

smoking history
alcohol intake
drug use
occupation

Question 5

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

Answer 5

OH regime
denture wear
orthodontic tx

Question 6

what are the 4 examinations required for a check up?

Answer 6

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

Question 7

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

Answer 7

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

Question 8

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

Answer 8

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

Question 9

what should be charted when examining hard tissues?

Answer 9

teeth and associated lesions
occlusion

Question 10

what should be recorded when examining the periodontium?

Answer 10

BPE

Question 11

what are the 2 types of further investigations?

Answer 11

radiographs
special tests

Question 12

list the 7 components of a dental examination:

Answer 12

History
Examination
Special Investigations
Diagnosis’s
Tx Plan
Consent
Recall

Question 13

What are sensibility tests used for?

Answer 13

to diagnose pulpal condition

Question 14

what would be a normal sensibility test response?

Answer 14

short, sharp pain that stops when stimulus is removed

Question 15

what would be an abnormal sensibility test response?

Answer 15

pain that lingers when stimulus is removed.

Question 16

what would no response to sensibility test suggest?

Answer 16

that the tooth’s nerve supply has been effected

Question 17

give 2 examples of sensibility tests:

Answer 17

Electric Pulp Test
Thermal testing

Question 18

What does vitality testing determine?

Answer 18

assess blood flow to the pulp

Question 19

give 3 examples of vitality tests:

Answer 19

laser doppler flowmetry
pulse oximetry
spectrophotometry

Question 20

list the 6 further investigative tests:

Answer 20

sensibility tests
vitality tests
percussion
palpation
3 in 1
tooth slooth

Question 21

what does percussion testing indicate?

Answer 21

indentifies any PDL involvement

Question 22

what does palpation testing indicate?

Answer 22

any areas of tenderness

Question 23

what does the 3 in 1 help diagnose?

Answer 23

dentine hypersensitivity

Question 24

what does a tooth slooth help diagnose?

Answer 24

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

Question 25

What are the 6 most common diagnosis subheadings in dentistry:

Answer 25

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

Question 26

What are the 6 tx planning stages:

Answer 26

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

Question 27

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

Answer 27

emergency extripations temporary fillings urgent XLAs

Question 28

what would you carry out at prevention phase?

Answer 28

OHI fluoride advice diet advice smoking cessation alcohol advice

Question 29

what would you carry out at stabilisation phase:

Answer 29

XLA of unrestorable teeth restorations periodontal tx

Question 30

what would you carry out at the restorative phase?

Answer 30

study models dentures permanent restorations

Question 31

according to NICE 2014 guidelines what is the recall periods?

Answer 31

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

Question 32

what is valid consent?

Answer 32

written and verbal consent

Question 33

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

Answer 33

AMCUR

Question 34

what does AMCUR stand for?

Answer 34

act make communicate understand retain decisions