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Dynamics of Health Care > chapter 5 > Flashcards

chapter 5 Flashcards

1
Q

What shows that people understood the need to keep their teeth clean?

A
  • toothbrushes made from twigs

- Etruscan (people of ancient Italy and Corsica) fashioned crowns and bridges

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2
Q

What are crowns

A

caps for broken or weak teeth

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3
Q

What are bridges

A

artificial teeth or crowns attached to adjoining teeth

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4
Q

Who was the earliest dentist

A

Egyptian Hesi-Re

- died about 2600 B.C

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5
Q

What was the Romans view of dentistry

A

great believers in oral hygiene

- used tooth-cleaning powders and fancy toothpicks in between courses

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6
Q

What 3 cultures performed dentistry as part of medical duties

A

rome
india
islam

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7
Q

Who provided dental care in Europe

A

monks

- barbers who visited monks became surgical assistants

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8
Q

When did barbers become dentists

A

The Catholic Church forbade monks from providing medical and dental care in Rome
- Barber Surgeons

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9
Q

What lead to the recognition of dentistry as a separate area of science

A

renewed interest in human anatomy and surgery during the renaissance

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10
Q

Who performed extractions in colonial america

A

tooth-drawers
surgeon dentists
barbers
blacksmiths

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11
Q

What did paul revere

A

identification of the corpse of Dr.Joseph Warren based on the tooth bridge he made for him

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12
Q

what happened in 1840 in colonial America (dentist)

A

first dental college was established in Baltimore

  • first national organization of dentists formed
  • increase of publication in dnetal literature
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13
Q

What professional journal for dentists was created in 1840

A

American Journal of Dental Science

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14
Q

what happened in 1859 for dnetists

A

26 dentists meet in Niagara Falls, N.

- formed American Dental Association (ADA)

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15
Q

what important change happened in the 20th century for dentists

A

professional standards

  • ADA tightened state laws
  • 1926 landmark report on dental education highlighted problems in some dental schools
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16
Q

What happened in 1928 for dentists

A

ADA formed National Board of Dental Examiners

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17
Q

What happens in 1933 for dentists

A

first National board dental examinations were given

  • dental specialties were established
  • dental tech advanced
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18
Q

what are the two requirements for dental school admission

A
  • at least two years of undergraduate

- DAT (dental admission test)

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19
Q

what do students do in the first 2 years of dental school

A

learn basic principles of diagnosing and treating tooth and gum disease
- practice on models or manikins

treat patients in the second year

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20
Q

what do students in the last 2 years of dental school

A

treat patients under the supervision of licensed dentists
- work in other settings

take classes useful in managing dental practice

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21
Q

what two degrees can dentistshave

A 
D.D.S = doctor of dental surgery 
D.M.D = doctor of dental medicine
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22
Q

how are dentists licensed

A

take National Board Dental Examination

  • renewal 1-3 ears
  • continuing education
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23
Q

how many things can a dentist specialize in

A

9

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24
Q

Name 10 tasks of a dnetist

A 
examine patient's teeth, gums, mouth
interpret x-ray
formulate plan of treatment
administer anesthetic
fill cavity, give dentures 
apply crown
root canal
extract tooth
apply braces
insert dental implant
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25
Q

name and describe the 9 dental specialities

A

orthodontics
- straighten teeth with braces and retainers

oral and maxillofacial surgery
- surgery on mouth and jaws

pediatric dentistry
- dental treatment of children

periodontics
- care of gums and bones supporting teeth

prosthodontics
- replacement of broken parts of teeth or missing teeth with crowns, bridges, dentures

endodontics
- treatment of interior of tooth (root canal)

dental public health
- promotion of oral health and disease prevention

oral and maxillofacial pathology
- diagnosis and treatment of oral disease

oral and maxillofacial radiology
- use of imaging to diagnose head and neck disease

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26
Q

what is the largest dental specialty

A

orthodontics

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27
Q

what is a root canal

A

pulp filled cavity in root of the tooth

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28
Q

what is a pocket

A

a space between an inflamed gum and surface of the tooth

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29
Q

what does a probe do

A

assess and measure pockets

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30
Q

where is a pocke tmeasured from

A

the gingival margin

- border of gum that surrounds but is not attached to the tooth attached to periodontal tissue

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31
Q

what are the four reasons for increased demand

A

population growth

preventive care for younger people

increased dental coverage among private insurance companies

rising popularity of cosmetic dental services

32
Q

describe specialty distribution fro dentists

A

5% are orthodontists
5% are oral maxillofacial surgeons
rest are other specialties

33
Q

what is the national professional organization for dentists

A

ADA

34
Q

who accredits dental programs

A

Commission on Dental Accreditation

35
Q

who do most patients see first during a dental checkup

A

dental hygienist

36
Q

what does the history of dental hygienists show

A

people understood that there was a connection between caring for their teeth and preventing dental disease

37
Q

what happened in 1890 (dental hygienists)

A

publication of Microorganisms of the Human Mouth

  • by Willoughby D.Miller
  • described basic theoretical understanding of dental decay
38
Q

What did Miller’s book show

A

preventive dentistry

- the focus on preventing dental disease through professional cleaning and polishing of teeth

39
Q

who is alfred c. fones

A

coin the term dental hygienist

father of dental hygiene

40
Q

what is prophylaxis

A

professional cleaning and polishing

41
Q

what did Fones do in 1913

A

open the first oral hygiene school

- Bridgeport Board of education

42
Q

what happened in 1916 (dental hygienist)

A

started first university-based hygienist program

- licensed dental hygienists in 1917

43
Q

what did dental hygienists do in 1923

A

form the national association for dental hygienists, the AHDA (american dental hygienists association)

44
Q

what happened in 1951 for dental hygienists

A

licensure was mandatory

45
Q

what happened in 1947 for dental hygienists

A

ADHA and ADA established accreditation standards for dental hygiene program

accreditation began in 1952

46
Q

what happened in 1962 for dental hygienists

A

first National Board Examination for Dental Hygienists

47
Q

what are the entrance requirements for accredited dental hygienist programs

A

high school diploma or equivalent
pertinent high school courses
college entrance exam

48
Q

what 3 areas do dental hygienists take classes in

A

basic sciences
dental sciences
dental hygiene sciences

+ 650 hours of supervised clinical work

49
Q

how do you obtain licensure as a dental hygienist

A

graduation from accredited program
pass written exam
- national exam administered by the ADA’s Joint Commission on National Dental Examination (JCNDE)

pass clinical exam
- through state or regional testing agencies

additional exam on legal issues related to hygiene practice

renewal 1-5 years depending on the state

50
Q

describe Alabama’s difference for dental hygienists

A

does not require written examination for licensure

- candidates must take courses, be trained on the job, and pass a different written exam

51
Q

Describe Indiana’s difference for dental hygienists

A

call dental hygienists
RDHs (registered dental hygienist)
LDHs (licensed dental hygienist)

52
Q

what are the 10 typical tasks of a dental hygienist

A

1.remove plaque, calculus, and stains
2. take and process x-rays
3. apply cavity-preventive agents
4. use periodontal probe
5. apply topical flouride
6. apply a light-cured sealant
7. make maxilllary preliminary impression
8 apply rubber dam
9. finish and polish amalgam restoration
10. place stainless steel crown

53
Q

what is a rubber dam

A

a piece of latex that isolates a tooth for work while protecting the surrounding teeth

54
Q

what is a amalgam restoration

A

mercury and silver alloy filling

55
Q

describe a dental hygienists ranking

A

rank first among all occupations for employment growth

56
Q

why are dental hygienists increases

A

expanding population
elderly population
preventive care

57
Q

what is the professional organization for dental hygienists

A

ADHA

- three tier structure of local, state, and national groups/associations

58
Q

what is the specific organization within the AHDA for dental hygienists

A

Institute for oral Health

59
Q

who founded dental assisting

A

Dr.C Edmund Kells

- new orleans dentist

60
Q

what did Dr.Kells do

A

first person in the US to take dental xrays

invented the aspirator

61
Q

what is the aspirator

A

device for removing fluid and other materials

62
Q

what did Dr.Kells do in 1855

A

hired a female assistant to make females more comfortable in entering the office alone

63
Q

What was the most important function of dental assistants

A

chairside assistant

- working closely with dentist as he/she performs procedure

64
Q

Who was one of the earliest dental assistants

A

Juliette Southard

-hired by Dr.Henry Fowler in 1021

65
Q

What did Juliette Southard do

A

found the- Education and Efficiency Society - eventually the ADAA

66
Q

what did the ADAA do in 1930

and in 1944

A

1930 = formed committee to develop educational guidelines and training courses

1944 = created committee to develop standards and competency exam

67
Q

what was adopted in 1946 (DA)

A

140 hour training course

68
Q

what happened in 1948 *(DA)

A

ADAA established certifying board

- Dental Assisting National Board (DANB)

69
Q

who accredits DA programs

A

commission on dental accreditation

70
Q

describe the education of a DA

A

may be trained on the job

- dental assisting programs USUALLY

71
Q

what are the two parts of a DA program

A

classwork and classroom subjects

clinical practice with dentist

72
Q

describe credentials of a DA

A

most states must be licensed or registered for advanced tasks

73
Q

what are advanced tasks of a DA called

A

expanded functions

74
Q

describe certification for a DA

A

certified dental assistant (CDA)
certified orthodontic assistant (COA)

specialty

  • radiation health
  • safety and infection control
75
Q

what are the typical tasks of a DA

A
  1. open the office
  2. prepare dental treatment room
  3. set up instrument trays
  4. seat patient
  5. take and dev. x-rays
  6. hand instrument to dentist
  7. instruct patient in oral hygiene
  8. clean and polish removable appliances
  9. complete health history records
  10. prepare bank deposits
76
Q

why are DA increasing

A

preventive care
cosmetics
elderly population

77
Q

what is the professional organization for DA

A

ADAA

- DANB

Dynamics of Health Care (21 decks)

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