Exam 2: Types of Dental Clinical Exams

Question 1

What are the different types of clinical examinations?

Answer 1

1. COMPREHENSIVE DENTAL DIAGNOSIS
2. PERIODIC/RECALL/RECARE DIAGNOSIS
3. DIAGNOSIS OF A SPECIFIC PROBLEM (LIMITED)
4. EMERGENCY DIAGNOSIS
5. SCREENING DIAGNOSIS

Question 2

THE FOUNDATION OF ANY FORM OF SUCCESSFUL TREATMENT IS…

Answer 2

Accurate Diagnosis

Question 3

What is diagnosis the bridge between?

Answer 3

study of disease and treatment of illness

Question 4

What are the chief complaints that require immediate attention?

Answer 4

PAIN, ACUTE INFECTION, BLEEDING, OR TRAMATIC INJURY

Question 5

What patients should you do a comprehensive dental diagnosis exam?

Answer 5

APPROPRIATE FOR THE PATIENT WHO REQUESTS TOTAL DENTAL CARE AND HAS NOT BEEN EVALUATED PREVIOUSLY

Question 6

What is the most extensive diagnostic assessment?

Answer 6

comprehensive dental diagnosis exam

Question 7

What reasons would you perform a comprehensive dental diagnosis exam?

Answer 7

• patient’s total dental care has not been evaluated previously
• has not been seen in several years (3-5)
• major change in medical/dental history

Question 8

What should happen during a comprehensive dental diagnosis exam?

Answer 8

1. PHYSICAL EXAM AND ASSESSMENT- starts the minute you see the patient.
2. DETAILED MEDICAL HISTORY-systemic diseases, surgeries, current medications ( BOTH Rx & OTC), allergies. Establish ASA class
3. INTRA/EXTRA ORAL EVALUATION & PERIORAL/PERIODONTAL CONDITIONS
4. DENTAL RADIOGRAPHS
5. DIAGNOSTIC CASTS

Question 9

What is the value of a comprehensive dental diagnosis?

Answer 9

• reflects the patient’s initial status
• sound diagnostic foundation for dental care
• protects clinician by documenting the patient’s intial status

Question 10

When is it appropriate to do a periodic (recall) diagnosis?

Answer 10

APPROPRIATE FOR A PATIENT WHO REQUESTS TOTAL DENTAL CARE WHEN THE RESULTS OF A PRIOR COMPREHENSIVE DENTAL DIAGNOSIS ARE AVAILABLE.

Question 11

What is the usual interval for a periodic (recall) diagnosis?

Answer 11

6-month

Question 12

What is the goal of a periodic exam?

Answer 12

TO IDENTIFY THE CONDITIONS THAT HAVE CHANGED AND SUPPLEMENT THE PRIOR DATABASE SO THAT IT REFLECTS THE PATIENT’S CURRENT STATUS.

Question 13

What is the SOAP evaluation definition?

Answer 13

AN EFFECTIVE APPROACH TO SUCH SITUATIONS IF THE AVAILABLE DIAGNOSTIC DATABASE IS CURRENT AND ACCURATE

Question 14

What does SOAP stand for?

Answer 14

S - subjective
O - objective
A - analysis
P - plan

Question 15

What is the subjective part of the SOAP eval?

Answer 15

Subjective information or symptoms of the condition as supplied by the patient. Patient’s chief concern or complaint. It is recorded in the patient’s own words.

Question 16

What is the objective part of the SOAP eval?

Answer 16

Objective or physical findings of the clinician. Includes visual findings, periodontal assessment, clinical tests (percussion, palpation, vitality tests)

Question 17

What is the analysis of the SOAP eval?

Answer 17

Analysis or clinical impression of the condition by the clinician This is the diagnosis

Question 18

What is the plan part of SOAP eval?

Answer 18

Plan or recommended management of the problem. May be specific treatment, referral, or dismissal of the condition as clinically insignificant.

Question 19

What evaluation is sacrificed in the interest of providing attention to an urgent problem?

Answer 19

comprehensive diagnostic evaluation

Question 20

What is an emergency diagnosis?

Answer 20

DESIGNED TO MANAGE A CHIEF COMPLAINT SUCH AS PAIN, BLEEDING, OR ACUTE INFECTION THAT REQUIRES IMMEDIATE ATTENTION.

Question 21

What can interfere with obtaining an adequate patient history during an emergency diagnosis?

Answer 21

the patient’s chief complaint

Question 22

What is a screening diagnosis?

Answer 22

ANSWERS A SPECIFIC QUESTION ABOUT THE PATIENT

Question 23

Why do institutions use screening diagnosis?

Answer 23

INSTITUTIONS OFTEN RELY ON THIS TO DETERMINE THE PATIENT’S GENERAL DENTAL TREATMENT NEEDS.

Question 24

What is the screening diagnosis limited to?

Answer 24

OBTAINING THE INFORMATION NEEDED TO ANSWER THE QUESTION WITHOUT ACCEPTING COMPREHENSIVE DIAGNOSIS OR TREATMENT RESPONSIBILITY FOR THE PATIENT.

Question 25

What is the most common symptom arising in the mouth, face, and neck?

Answer 25

pain

Question 26

What is the most common reason for emergency appointments?

Answer 26

pain

Question 27

What are questions to ask when someone is in pain?

Answer 27

• HOW WOULD YOU DESCRIBE THE PAIN? (DULL/THROBBING, SHARP/STABBING, BURNING)
• WHEN DID YOU FIRST NOTICE IT?
• IS THE PAIN CONTINUOUS OR DOES IT GO AWAY?
• How long does it last?
• DOES IT WAKE YOU UP AT NIGHT?
• HAS IT GOTTEN BETTER/WORSE or STAYED THE SAME?
• ANYTHING MAKE IT WORSE? ANYTHING MAKE IT BETTER?
• HAVE YOU TAKEN ANYTHING FOR THE PAIN?

Question 28

Pain arising from pathology is usually unilateral or bilateral?

Answer 28

unilateral

Question 29

What are other symptoms that are common to the head, neck, oral area and may indicate an infective orgin?

Answer 29

SWELLING, DISCHARGE, BAD TASTE, BAD BREATH, ELEVATED TEMPERATURE, MALAISE OR CERVICAL LYMPHADENOPATH