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BDS Finals > Clinical Dentistry > Flashcards

Clinical Dentistry Flashcards

1
Q

Taking a history from a patient (5)

A
  1. C/O
  2. HPC
  3. PDH
  4. MH
  5. SH
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2
Q

Ramfjords teeth (6)

A

16, 21, 24, 36, 41, 44

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3
Q

SOCRATES

A

Site
Onset
Character
Radiation
Associated factors
Timing
Exacerbating factors
Severity

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4
Q

Social History - SAMML CHOFD

A

Smoking
Alcohol
Mobility
Marital Status
Living Condition
Carers
Habits
Occupation
Family History
Diet

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5
Q

Caries Risk Assessment (7)

A
  1. Clinical evidence
  2. Dietary habits
  3. Social history
  4. Fluoride
  5. Plaque control
  6. Saliva
  7. Medical history
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6
Q

CRA - Clinical Evidence (3)

A
  1. Caries experience
  2. Orthodontics
  3. Prosthodontics
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7
Q

CRA - Caries Experience (3)

A
  1. DMFT =/> 5 - High risk
  2. Caries in 6s at 6yo - High risk
  3. 3 year caries increment =/> 3 - High risk
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8
Q

CRA - Diet

A

3 or more sugar intakes a day - High risk

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9
Q

CRA - Social History (3)

A
  1. SIMD category
  2. Single parents
  3. Inequalities
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10
Q

CRA - Medical History (4)

A
  1. Medically compromised
  2. Physical disability
  3. Xerostomia
  4. Long term poly pharmacy
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11
Q

CRA - Preventative Elements (8)

A
  1. Radiographs
  2. F supplements
  3. F varnish
  4. High F toothpaste
  5. Toothbrushing instruction
  6. Diet advice
  7. Fissure sealants
  8. Sugar free meds
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12
Q

5 As of smoking cessation

A

Ask
Advise
Assess
Assist
Arrange follow up

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13
Q

Smoking History (5)

A
  1. What do you smoke?
  2. How long have you smoked?
  3. How many a day?
  4. What time do you have your first?
  5. Have you ever tried/considered quitting?
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14
Q

Quitting History (4)

A
  1. When did you last try?
  2. How many times have you tried?
  3. What helped/motivated you?
  4. Would you like to try again?
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15
Q

If giving an antibiotic what must you document - general (4)

A
  1. Diagnosis
  2. Antibiotic
  3. Review date
  4. Any deviation from guidance
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16
Q

If giving an antibiotic what must you document about the antibiotic (4)

A
  1. Choice
  2. Dose
  3. Route
  4. Duration
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17
Q

Sepsis Red Flag - B.P

A

Systolic </= 90 OR
>/=40 below normal

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18
Q

Sepsis Red Flag - HR

A

> /=130 bpm

19
Q

Sepsis Red Flag - Oxygen

A

Needs oxygen to keep SpO2 92%
88% in COPD

20
Q

Sepsis Red Flag - Urine

A

Not passed urine in last 18 hours

21
Q

Sepsis Red Flag - Others (2)

A

Non-blanching rash or mottled/ashen/cyanotic
Recent chemotherapy (6 weeks)

22
Q

SIRS (4)

A

Temp <36 or 38
Pulse >90/min
Resp rate >20/min
WCC <4 or >12

23
Q

Dens in dente risks (2)

A

Increased caries risk
Increase risk of pulp necrosis

24
Q

Gemination

A

Development of two conjoined teeth from a single bud

25
Fusion
Joining of two teeth from 2 buds
26
Taurodontism
Elongated pulp chambers
27
Taurodontism complications (2)
RCT Extraction - forceps beaks engagement of furcation
28
Amelogenesis imperfecta complications (4)
1. Dentine hypersensitivity 2. Increased caries 3. Increased toothwear 4. Aesthetic
29
Dilaceration potential causes (5)
1. Trauma during development 2. Apical infection of primary during development 3. Supernumerary 4. Cysts 5. Tumours
30
Dentingogenesis imperfecta type I association
Osteogenesis imperfecta
31
Enamel pearls
Round, well defined radiopaque structures
32
Enamel pearls complications (2)
Perio risk - if supra-gingival - plaque retentive Complicate extractions if around roots
33
What fibres are affected by sharp pricking pain
A delta fibres
34
What fibres are affected by dull aching or burning pain
C fibres
35
Periodical radiolucency with a sound/non-carious tooth
Juxta apical complex
36
If infection is into periodontal tissues, will pain be well localised
Yes
37
Agenesis
Complete failure of a structure to develop
38
What does 'egg-shell' crackling upon palpation typically mean
Cyst is breaking down bone
39
Unflavoured toothpaste
Oranurse
40
Dry mouth toothpaste
BioXtra
41
Normal resting salivary flow rate
0.3-0.4ml/min
42
Normal stimulated salivary flow
1-2ml/min
43
How long does enamel take to remineralise after etch
24 Hours

BDS Finals (22 decks)

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