Clinic Aid Sheet info Flashcards
How long does a cold sore last?
4-14 days
What is Normal blood pressure?
How does this affect dental treatment?
<120/<80
No changes in dental treatment
What is prehypertension bp?
How does this affect dental treatment?
120-139/80-89
No changes in dental treatment. just monitor bp
What is stage 1 hypertension bp?
How does this affect dental treatment?
140-159/90-99
Inform patient of findings. They need routine medical consultation. BP needs to be monitored at each appointment. Minimize stress
What is stage 2 hypertension bp?
How does this affect dental treatment?
> =160/>=100
Inform patient. medical consultation needed. Monitor BP at each appointment.
If systolic BP is less than 180 OR diastolic is less than 100 you can perform selective dental care (exam, prophylaxis, restorative, and non-surgival perio/endo)
if systolic BP is greater than 180 or diastolic is greater than 100. They need immediate referral to medical physician. ONLY EMERGENCY PROCEDURES CAN BE PERFORMED (alleviate pain, control bleeding, infection)
What is caries risk protocol for low risk patients?
brush 2x/day with fluoridated toothpaste. Use sealants
What is caries risk protocol for moderate risk patients?
- brush 2x/day with F toothpaste.
- xylitol (gum or chewie) 6-10mg 3x/day for 5 minutes
- application of 5% NaF varnish every 6 MONTHS
- diet analysis and counseling
- sealants
- close monitoring of incipient lesions
What is caries risk protocol for high risk patients?
- brush 2x/day with F toothpaste
- xylitol 6-10 mg 3x/day for 5 minutes each
- application of 5% NaF every 6 months
- 0.12 CHX rinse 1x/day for 1 week every month for 6 months
- 0.5% NaF rinse 2x/day
- Calcium phosphate several times per day
- diet analysis and counseling
- sealants
- restore all areas of cavitation
What is recall/maintenance for low, moderate, and high risk patients with caries?
Low: recall 6-12 months, radiographs every 12-24 months
Moderate: recall every 6 months, bitewings every 6-12 months
High: recall every 6 months, bitewings every 6-12 months
What are the classes of tooth mobility?
class 1: 0.5-1mm of horizontal movement in facial-lingual direction class 2: 1-2mm of horizontal movement in facial-lingual direction class 3: greater than 2mm of horizontal movement in facial-lingual direction OR vertical movement of tooth
How many stages of periodontal disease are there?
4 stages
How many grades of periodontal disease are there?
3 A,B,C
What is interdental CAL of stage 1,2,3,4 periodontal disease?
1: 1-2mm
2: 3-4mm
3: greater or equal to 5mm
4: greater or equal to 5mm
What is the radiographic bone loss for stage 1,2,3, and 4 of periodontal disease?
1: less than 15 %
2: 15-33%
3: extending to mid-third of root and beyond
4: extending to mid-third of root and beyond
How does tooth loss affect periodontal disease staging (1,2,3,4)?
stages 1,2 there is no tooth loss due to perio disease
stage 3 is less than or equal to 4
stage 4 is less than or equal to 5
What is the general difference between grade A,B, and C perio disease?
A - slow progression
B - Moderate progression
C - Rapid progression
What is the longitudinal data (radiographically or CAL) that classifies someone as Grade A,B, or C?
A - no evidence of bone loss in past 5 years
B - <2mm of bone loss in past 5 years
B - more than or equal to 2mm of bone loss in past 5 years
What is the %bone loss/age ratio for grade A,B, and C of perio disease?
A - less than 0.25
B - 0.25 to 1
C - more than 1
How does smoking affect grading of periodontal disease?
A - non smoker
B - less than 10 cigs per day
C - more than or equal to 10 cigs per day
How does diabetes affect grading in perio disease?
A - no diabetes
B - HbA1c less than 7% in diabetic patient
C - HbA1c greater than or equal to 7% in diabetic patient
How many PSR codes are there?
5 (0-4)
What are retentive factors?
calculus, irregular margins of a restoration
