Assesment Flashcards

1
Q

DH process of care

A

Assessment, DH diagnosis, planning, implementation, evaluation, documentation

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2
Q

DH paradigm

A

Client, DH actions, environment, health

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3
Q

Sequence for establishing position

A

Assume clock position, establish patient chair and head position, adjust light, pause self-check, non-dominant hand, dominant hand

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4
Q

Soft oral biofilm

A

Complex, highly organized, communal arrangement of microorganisms that adhere to a surface that’s wet and nutritious

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5
Q

Planktonic

A

Free floating Bactria in biofilm able to relocate

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6
Q

Supragingival

A

Gram positive aerobic rods and cocci

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7
Q

Sub-gingival

A

Gram negative spirochetes and motile rods

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8
Q

Stages of oral biofilm formation

A

Pellicle formation (protein film), colonization (attach to pellicle and begin colonies), growth and maturation (make slime matrix) dispersion (move, can die and crystal)

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9
Q

Materia Alba

A

Loosely attached collection of oral debris (less adherent than biofilm) from food and epithelial cells

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10
Q

Disclosing agents

A

Make biofilm clinically visible (temp stain) after assessment

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11
Q

Biofilm Assessment

A

Location, amount and extent

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12
Q

Contributing factors

A

Mouth breathing, crowded teeth (retention)

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13
Q

Hard deposits (calculus)

A

Oral biofilm that has been mineralized by calcium and phosphate salts from saliva

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14
Q

Supra gingival and subgingibal calculs

A

Supra - Yellow brown
Sub - dark colour (due to blood)

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15
Q

Tooth stains

A

Exogenous stains - sources outside of tooth area (food, tabacoo)
Intrinsic stains - incorporated within the tooth surface (cannot be removed w polishing)

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16
Q

Length of time for biofilm to mineralized and gingivitis

A

10-20 days to mineralized into calculs
14-24 days for gingivitis to become visable

17
Q

Calculus formations

A

Spicules - griddy sensation (sandpaper)
Ledge - moves out and around bump
Ring - all away around
Veneer - thin

18
Q

Modes of calculus attachment

A
  1. Pellicle - easy to remove (enamel)
  2. Irregularities in tooth surface - cracks difficult to remove (sheltered)
  3. Direct contact with calcified tooth surface - interlocked with inorganic crystals on tooth (very hard to remove)