Ch 12 and 13

Question 1

what is ADPIE

Answer 1

• assessment
• dental hygiene diagnosis
• planning
• implementation
• evaluation

Question 2

what does the assessment include

Answer 2

• data collection

- must be performed before diagnosis and observation of disease

Question 3

what are the first clues of perio

Answer 3

• drifting teeth
• longer
• getting loose
• odor/smell
• taste potentially could be an indicator

Question 4

what is the focus of the dental hygiene diagnosis

Answer 4

• educating the patient on the need and benefits of proper plaque control
• diagnosis of disease with individuals cause and contributing factors
• within scope of practice

Question 5

what does the dental hygiene diagnosis also determine

Answer 5

• the cause of the condition, not just the extent

Question 6

what does planning include

Answer 6

• establishing realistic goals and the treatment strategies to facilitate optimal periodontal health
• development of a plan that is individualized, provides alternatives, is agreed upon and includes education of the plan

Question 7

what does education of the plan require

Answer 7

• an entire appointment just or discussing findings and options
• patient must be educated and show motivation and compliance to increase the success
• high level of professionalism and communication skills

Question 8

what does the implementation phase include

Answer 8

• preparing the operatory
• using proper infection control
• periodontal debridement procedures
• pain management (LA or topical)
• apply chemotherapeutic agents (clhx rinse and antibiotics)
• consultations where required
• apply fluoride agents
• coronal polishing
• care of oral prostheses
• health education and preventive counselling (smoking, nutritional)
• documentation (crucial for follow up and eval)

Question 9

what does the evaluation phase include

Answer 9

• outcomes of treatment

- follow up visits for the patient that are patient specific

Question 10

what is the minimum time frame necessary before a follow up appointment

Answer 10

• minimum of 2 weeks to allow for healing

- however, clinical difference in 2 days is possible

Question 11

what is the maintenance phase

Answer 11

• initial treatment completed and evaluated

- surgery not required or completed

Question 12

what are the 3 factors that must be considered in order to select the correct treatment

Answer 12

1. social
2. economic
3. cultural

Question 13

what does the patient history include

Answer 13

• the interview
• personal profile
• social history
• chief complaint
• medical history
• present and past
• dental history