2018 Flashcards
Effects of social media on dentists
-be careful
-gdc says dont be friends with patients
- if you put pts info on social media you need written and verbal consent and can’t identify pt
-can use it brand yourself
-only recommend products that you have factual evidence about and is backed up by manufacturer
-maintain appropriate relationships between yourself and staff and patients
-follow company policy
-treat everyone with respect , don’t bully or harass
-dont raise concerns on social media do it to person personally
What is criminal law?
Concerns all of society
Civil law
Lays down rules for relationship between citizens
Claimant aims to recover compensation by trying to prove case
Some accidents can be both civil and criminal
Harder to prove gross negligence in criminal law
What is quality
Ability of a material to perform a function it is deigned for
Fitness for purpose
Features of a product that bear on its ability to satisfy a stated or implied need
Dimensions of quality
MAXWELL
-equity/ is it fair
-efficiency/ use resources optimally
-effectiveness / desired outcome been achieved
-acceptability/ is service okay for its potential users
-appropriate/ is it required in community based on needs of the population
-access/ can everyone use the service
How does Audit improve quality
-identify a cause for concern or area of improvement
-find the gold standard
-collect information.
-compare and find areas for improvement
-implement improvements
-reassess within given time and reaudit
It improves quality as it allows you to re-evaluate the current policy and protocols and allows you to stay at high quality as well as identifying areas of improvement and maintain a higher standard. Clinical governance measure.
For implant considerations for edentulous mandible
-pt expectations
-alveolar ridge
-amount of resorption / mandible twice as fast as maxilla and mandibualr patterns is posterior lingual and anterior buccal. Maxillary buccal all the way
-height width depth
-relationshi to anatomy like nerves
-flabby atrophic fibrous ridge
-x rays so bone defects , pathology , ridge mapping
-medical history
-bruxism
How to connect implant to denture?
-prosthetic screw , abutment, abutment screw
-fixture level attachment
-attachments with ball shaped, locators, magnet attachments and milled bar
What is dentine hypersensitivity ?
Transient exaggerated response to hot/cold sweet or air to exposed Dentaid tubules .
Causes: Enamel erosion , recession, viability of cementum , teeeth whitening , traumatic toothbrush
Hydrodynamic theory; Stimuli causes fluid movement in the the dentinal tubules= mechanical distortion of tissue= stimulation of the nerves in the pulp.
Hydrodynamic flow of fluid through the tubules which elicits pain.
•Risk factors:
o Exposure of dentine due to loss of enamel → Erosion, teeth whitening, sensitivity, viable cementum, abrasion, recession
o Exposure of dentinal tubules that open onto pulp → smear layer removed.
How to treat dentine hypersensitivity?
-ohi for toothbrushing technique
-desensitising toothpastes
-tooth mouse
-fluoride varnish
- seal tubules
-restore
Post core considerations?
-Choice of material like rigid gold or flexible titanium
-ferrule minimum 1.5mm sounddentine 360 degrees
-antirotation shape of access cavity
-bonded or not
-cast or prefabricated
-length width depth diameter , 2/3 working length with 3-5mm gp underneath
-active or passive passive better as active introduces stress
-surface configuration sand blasted, roughness etched grooved
-parallel or tapered
Aims of perio?
-visualisation of bony defects
-crown lengthening
-regernation of peri support
-improve aesthetics
-reduction in pocket depths
-tissue contour
-improves access for effective debridement
-removal of hyperplastic and chronically inflamed gingival tissue
Perio indications
Continued inflammation
Progressive breakdown
Aesthetics
Fraenal pull
Pocketing beyond MGJ
Advanced restorative procedures
Improved tissue contour
Not respoiive to non surgical rsd
False pocketing
Factors to consider before referral for surgery
Has non surgical been attempted and reviewed
Smoking , plaque under control , risk factors,
MH- bleeding disorder blood thinners diabetes
Consent
Risks like recession
Emotion and psycho status
Pt expectations
Hypoplastic teeth prevention and interventions
Quantity defect so reduced enamel formation due to genetics or enamel
Pitting and grooving teeth
Oh prevention high caries risk
Composited manage sensitivyt
Ss crown
Cast onlays
