1. History, Examination, Diagnosis and Tx Planning Flashcards
What are the 8 components of history taking?
ID
Consent
RFA
C/O
HPC
MH
SH
DH
What is a useful aid for a pain diagnosis?
SOCRATES
site, onset, character, radiates, associated symptoms, time occurred, exacerbating factors, severity
what medical questions should you ask your pt about?
any known conditions
any regular medications
any known allergies
what areas of social history are useful to ask your patient about?
smoking history
alcohol intake
drug use
occupation
what questions in relation to dental history would you ask your patient about?
OH regime
denture wear
orthodontic tx
what are the 4 examinations required for a check up?
E/O exam
I/O exam: soft tissues, hard tissues and periodontium
what are the 6 areas to check in an E/O exam?
asymmetry, lips, nodes, tmj, facial lesions and skeletal base
what are the 6 areas to check in a soft tissue I/O exam?
palate, buccal mucosa, gingivae, fom, tongue, oropharynx
what should be charted when examining hard tissues?
teeth and associated lesions
occlusion
what should be recorded when examining the periodontium?
BPE
what are the 2 types of further investigations?
radiographs
special tests
list the 7 components of a dental examination:
History
Examination
Special Investigations
Diagnosis’s
Tx Plan
Consent
Recall
What are sensibility tests used for?
to diagnose pulpal condition
what would be a normal sensibility test response?
short, sharp pain that stops when stimulus is removed
what would be an abnormal sensibility test response?
pain that lingers when stimulus is removed.
what would no response to sensibility test suggest?
that the tooth’s nerve supply has been effected
give 2 examples of sensibility tests:
Electric Pulp Test
Thermal testing
What does vitality testing determine?
assess blood flow to the pulp
give 3 examples of vitality tests:
laser doppler flowmetry
pulse oximetry
spectrophotometry
list the 6 further investigative tests:
sensibility tests
vitality tests
percussion
palpation
3 in 1
tooth slooth
what does percussion testing indicate?
indentifies any PDL involvement
what does palpation testing indicate?
any areas of tenderness
what does the 3 in 1 help diagnose?
dentine hypersensitivity
what does a tooth slooth help diagnose?
tooth fractures - pt bites on each cusp and if there is pain on opening this indicates a fracture.
What are the 6 most common diagnosis subheadings in dentistry:
- Caries
- Periodontal
- NCTSL
- Orthodontic
- Endodontic
- Aesthetic
What are the 6 tx planning stages:
- Immediate tx
- Prevention Phase
- Stabilisation Phase
- Restorative Phase
- Maintenance Phase
- Recall
what would you carry out at the immediate phases of tx?
emergency extripations
temporary fillings
urgent XLAs
what would you carry out at prevention phase?
OHI
fluoride advice
diet advice
smoking cessation
alcohol advice
what would you carry out at stabilisation phase:
XLA of unrestorable teeth
restorations
periodontal tx
what would you carry out at the restorative phase?
study models
dentures
permanent restorations
according to NICE 2014 guidelines what is the recall periods?
3 months shortest
24 months longest - adults
12 months longest - children
what is valid consent?
written and verbal consent
if you have concerns about an individuals ability to consent what should you do?
AMCUR
what does AMCUR stand for?
act
make
communicate
understand
retain
decisions
