Clinical Dentistry Flashcards
Taking a history from a patient (5)
- C/O
- HPC
- PDH
- MH
- SH
Ramfjords teeth (6)
16, 21, 24, 36, 41, 44
SOCRATES
Site
Onset
Character
Radiation
Associated factors
Timing
Exacerbating factors
Severity
Social History - SAMML CHOFD
Smoking
Alcohol
Mobility
Marital Status
Living Condition
Carers
Habits
Occupation
Family History
Diet
Caries Risk Assessment (7)
- Clinical evidence
- Dietary habits
- Social history
- Fluoride
- Plaque control
- Saliva
- Medical history
CRA - Clinical Evidence (3)
- Caries experience
- Orthodontics
- Prosthodontics
CRA - Caries Experience (3)
- DMFT =/> 5 - High risk
- Caries in 6s at 6yo - High risk
- 3 year caries increment =/> 3 - High risk
CRA - Diet
3 or more sugar intakes a day - High risk
CRA - Social History (3)
- SIMD category
- Single parents
- Inequalities
CRA - Medical History (4)
- Medically compromised
- Physical disability
- Xerostomia
- Long term poly pharmacy
CRA - Preventative Elements (8)
- Radiographs
- F supplements
- F varnish
- High F toothpaste
- Toothbrushing instruction
- Diet advice
- Fissure sealants
- Sugar free meds
5 As of smoking cessation
Ask
Advise
Assess
Assist
Arrange follow up
Smoking History (5)
- What do you smoke?
- How long have you smoked?
- How many a day?
- What time do you have your first?
- Have you ever tried/considered quitting?
Quitting History (4)
- When did you last try?
- How many times have you tried?
- What helped/motivated you?
- Would you like to try again?
If giving an antibiotic what must you document - general (4)
- Diagnosis
- Antibiotic
- Review date
- Any deviation from guidance
If giving an antibiotic what must you document about the antibiotic (4)
- Choice
- Dose
- Route
- Duration
Sepsis Red Flag - B.P
Systolic </= 90 OR
>/=40 below normal