Ch. 1 - Exam of the Mouth and Other Relevant Structures Flashcards
What do cold, clammy hands, or bitten fingernails indicate?
patient anxiety
What do callused or unusually clean hands indicate?
sucking habit
What may clubbing the of the fingers or bluish color of the nail beds suggest?
congenital heart disease
Why are head lice, ringworm, or impetigo concerning?
they’re all contagious
Why should variations of the size, shape, symmetry, or function of the head and neck structures be recorded?
Abnormalities of these structures may be related to syndromes or conditions associated with oral abnormalities
What are immunodeficient children are at risk for?
early loss of bone support
What do enlarged tonsils with purulent exudate signal?
A strep infection; which can lead to rheumatic fever. (Direct physician referral is indicated)
What can tetracycline use during pregnancy cause?
discolored, pigmented and hypoplastic primary teeth
When should a child have an established dental home?
within 6 months of eruption of the first tooth & no later than 12 months of age to conduct a CRA and provide parental education including Anticipatory Guidance for prevention of oral diseases.
Why is it important to know if a patient is taking drugs?
It is important to know if the patient is taking drugs at the time of the dental visit because there could be interactions with drugs such as nitrous oxide
Symptoms of substance abuse
depression, feelings of inadequacy, frustration, helplessness, immaturity, self-alienation, poor object relations & major deficiencies in ego structure and functioning.
Why may pain from untreated dental conditions be masked in addiction?
because a patient is taking drugs that affect normal thought processes
what is a common sign of depression and moodiness?
abrupt changes in behavior
What percentage of adolescents (12-17 years of age) have smoked one or more cigarettes in the preceding month.
12%
Of those adolescents (12-17 years of age) who have never smoked what percentage are considered susceptible to start smoking?
more than 22 %