Exam 2 Flashcards
What is the “most important tool in dentistry”?
Communication
Is providing information enough to change pt behavior?
NO
What % of med litigation cases cited communication as the primary cause?
68% to 70%
What are the two main roadblocks to good listening?
- office distractions
- bias
Always ask patients about previous _____
dental experiences
What are the three most common reasons people avoid the dentist?
1: Fear
2: cost
3: lack of providers
6 Predictors of Dental Anxiety (in order)
Alpacas Can Slurp A Giant Albino
- Attitude towards dentists
- Check-up Frequency
- Satisfaction with mouth
- Avg # filled surfaces
- Gender
- Annual Income
What are three good initial contact questions?
- How long since last dental visit?
- Past treatment? Talk about it.
- Do you have any concerns?
What are the 3 things to do to reduce anxiety in child pts?
- Tell
- Show
- Do
What are 4 cultural factors that can affect oral healthcare?
- Eating habits and diet preferences
- What healthy teeth and gums look like
- Perception of time
- Gender roles
Health literacy is the ability of the pt to process and use med info. What is it associated with?
Education and race/ethnicity.
NOT assoc w/ age or gender
What are Kleinman’s 8 Questions?
- What caused problem?
- Why/when did it start?
- What do you think it does it you?
- How severe is it? Long or short course?
- What tx should you get?
- What do you hope to get from tx?
- Problems sickness has caused you?
- What do you fear most about sickness?
What are the 6 types of cements?
Zinc GRP
- Zinc Phosphate
- Zinc Oxide Eugenol
- Zinc Polycarboxylate
- Glass Ionomer
- Resin-Modified Glass Ionomer
- Provisional Cements
Should a good cement be thick or thin?
Thin
Is a good cement radiolucent or radiopaque?
Radiopaque
What was the first cement?
Zinc Phosphate (Gold standard)
Advantages of zinc phosphate?
- thin thickness
- low solubility (resists breakdown in mouth)
- low thermoconductivity
- long shelf life
Disadvantages of zinc phosphate
- initial low pH
- no chemical adhesion/bond
- no antibacterial prop
- poor aesthetics
- long setting time
- exothermic
What is the setting time of zinc phosphate cements?
2.5-8 mins
What type of ZOE is used for temp crowns?
Type 1
What is benefit of ZOE? What materials does it not work with?
- neutral pH (soothing to pulp)
- acrylic or composite (eugenol not compatible)
What was first cement system with adhesive agent that bonded to enamel and dentin?
Zinc polycarboxylate
What materials will polycarboxylate bond to?
Most alloys but NOT gold