Chapter/power point review

Question 1

What are the assessment findings?

Answer 1

Chief complaint, Risk factors: Periodontal Infections, Systemic conditions, Dental caries, Oral Cancer

Question 2

What are assessment findings( part 2 )?

Answer 2

Patients overall health status: Physical status, tobacco use
Patients oral health knowledge level
Patients self-care ability
Documentation of assessment datat

Question 3

What is the chief complaint?

Answer 3

A patient’s statement regarding the reason for seeking dental and dental hygiene care.(If a patient is experiencing pain, this needs to be addressed first prior to dental hygiene)

Question 4

What are risk factors for Periodontal infections or poor response to periodontal therapy?

Answer 4

behavioral factors( inadequate biofilm removal, diet, and noncompliance ), tobacco use, systemic conditions( diabetes, decreased immune factors, osteoporosis, and osteopenia ), hormonal considerations( pregnancy and menopause ), nutritional status, iatrogenic factors( overhangs, residual calculus ), genetic factors

Question 5

Periodontal disease is a risk factor for which systemic conditions?

Answer 5

Diabetes Mellitus, Infective Endocarditis, Cardiovascular Disease, Atherosclerosis, Respiratory disease, Adverse pregnancy outcomes

Question 6

What is ASA?

Answer 6

American īmof Anesthesiologists

Question 7

What is assessment?

Answer 7

It’s the critical analysis or judgement of a particular condition, situation, or other subject of appraisal.

Question 8

What is anticipatory guidance?

Answer 8

Patient education and oral hygiene instructions that anticipate potential oral and systemic health problems associated with risk factors identified during patient assessment.

Question 9

Define Compromised Therapy

Answer 9

Initial therapy and continued periodontal maintenance provided as the therapeutic end point in cases where the severity and extent of the disease or the age and health of the patent preclude optimal results of periodontal therapy.

Question 10

What is definitive care?

Answer 10

Complete care; end point at which all treatment required at the time has been completed.

Question 11

Define the word diagnose.

Answer 11

To identify or recognize a disease or problem.

Question 12

What is Diagnosis?

Answer 12

A statement of the problem; a concise technical description of the cause, nature, or manifestations of a condition, situation, or problem; identification of a disease or deviation from normal condition by recognition of characteristic signs and symptoms..

Question 13

What is dental hygiene diagnosis?

Answer 13

Identification of an existing or potential oral health problem that dental hygienist is qualified and licensed to treat.

Question 14

What is differential diagnosis?

Answer 14

Identification of which one of several disease or conditions may be producing the symptoms.

Question 15

Define Evidence-base care?

Answer 15

Providing oral care base on relevant, scientifically sound research.

Question 16

What does OSCAR stand for?

Answer 16

a mnemonic that stands for Oral, Systemic, Capability, Autonomy, and Reality. Developed by the American Academy of Oral Medicine to provide a convenient, systematic approach to identifying dental, medical/pharmacologic, functional, ethical, and fiscal factors that need to be evaluated and weighed when planning treatment for geriatric individuals or those with disabilities.

Question 17

Define Prognosis.

Answer 17

Prediction of outcome; a forecast of the probable course and outcome of a disease and the prospects of recovery as expected by the nature of the specific condition and the symptoms of the case.
Dental hygiene prognosis: a judgement regarding the results expected to be achieved from oral treatment provided by a dental hygienist.

Question 18

What is a risk factor?

Answer 18

An attribute or exposure that increases the probability of disease such as an aspect off personal behavior, environmental exposure, or an inherited characteristic associated with health-related conditions.
Modifiable Risk Factor: a determinant that can be modified by intervention, thereby reducing the probability of disease.

Question 19

What are risk factors for dental caries?

Answer 19

Inadequate biofilm removal, frequent use of cariogenic foods/beverages, low flouride, tooth morphology or postition( deep occlusal pits, fissures, exposed root surfaces, rotated position ), xerostomia, personal and family history of dental caries, developmental factors( modifications of dental enamel ), genetic factors( immune response )

Question 20

What are risk factors for oral cancer?

Answer 20

Tobacco and alcohol use, sun exposure( lips and face )

Question 21

The use of tobacco will affect oral status and dental hygiene outcomes?T/F

Answer 21

True

Question 22

What is type 1 gingival disease?

Answer 22

Inflammation of the gingiva, changes in color form, size and position of margin with bleeding on probing

Question 23

What is type 2 early periodontitis?

Answer 23

Progression of inflammation into deeper periodontal structures with slight bone loss and connective tissue attachment, subgingival calculus, and measurable pocket depth with bleeding on probing

Question 24

What is type 3 moderate periodontitis?

Answer 24

A more advanced state of the preceding type( type 2 early periodontitis ), with increased destruction of the periodontal structure, increased probing depth with bleeding, noticeable loss of bony support with early to moderate furcation invasions, mobility, and fremitis.

Question 25

What is type 4 advanced periodontitis?

Answer 25

Further progression of periodontal inflammation with increased probing depths, with bleeding, major loss of bony support, furcation invasions, and possible evidence of trauma from occlusion with increased tooth mobility and fremitis

Question 26

What is patient interview data?

Answer 26

Chief complaint, oral problem identification, comprehensive personal/social, medical, and dental health histories).

Question 27

What is Physical assessment data?

Answer 27

Vital signs, extraoral/intraoral tissue examination, dental/periodontal chartings. Treatment or education needs that may be addressed by providing oral care services within the scope of DH practice. Treatment needs that may be addressed by consultation or collaboration with other healthcare professionals.

Question 28

What is a dental hygiene diagnosis defined as?

Answer 28

Patient conditions, behaviors, risk factors, client data, interventions within the scope of dental hygiene practices, planning and implementation of effective care and evaluating outcomes.

Question 29

What does a dental hygiene diagnosis include?

Answer 29

Problems or unmet needs that can be met through dental hygiene care, factors contributing to or causing the unmet needs(causes and risk factors), evidence to support the dental hygiene diagnosis(signs and symptoms)

Question 30

What is preliminary diagnosis?

Answer 30

When the RDH identifies oral disease such as gingivitis or early periodontitis

Question 31

Dental hygiene diagnoses should always be based on a cluster of information rather than a single sign or symptom? T/F

Answer 31

TRUE

Question 32

What are diagnostic statements?

Answer 32

basis for planning interventions within within scope of dental hygiene practice. Reflect expected outcomes of dh interventions, Identify patient responses that are changeable by DH interventions. Exclude diagnoses that require treatments legally defined as dental practice.

Question 33

What is diagnostic model?

Answer 33

Models that encompass a broader focus to address health functioning and behaviors and describe actual or potential health problems that DHs are educated and licensed to treat.

Question 34

What should be noted accompanying a diagnosis?

Answer 34

Factors that led to the condition or at-risk problem, objective signs observed by the hygienist, subjective symptoms reported by the client: example; Halitosis as result of bacterial biofilm on tongue

Question 35

Common errors in writing a statement include

Answer 35

Using emotional terms, Including a dental or medical diagnosis, presenting the cause as the diagnosis, presenting signs and symptoms as the diagnosis rather than in terms of the client’s unmet needs