Exam 4 Study Guide Flashcards
What to do when confirming an appointment for deaf patients?
teach by demonstration & use the Telecommunication Relay Service to call a deaf patient directly
What is telecommunication relay service and how does it work?
It allows individuals with hearing and speech impairments to place and receive telephone calls
How does the Americans with disability act define such persons?
- has a physical or mental impairment that substantially limits one or more major life activities
- has a record of such impairment
- or is regarded as having such impairment
Double vision
diplopia
How is legal blindness defined?
a patient having central vision of not more than 20/200 in the better eye with correction (glasses) or having peripheral fields of no more than 20 degree diameter
What are the contraindications for patients with xerostomia?
Patients have to close their mouth often during appointment & no alcohol rinses fir the elderly
What are the reasons for ill fitting dentures in the critically ill?
weight loss
When would you use a portable headrest on the back of a wheelchair?
when the patient is in a total support wheelchair
How many visits should be scheduled for a homebound difficult patient?
as many as they need
What mouth rinse should be used after surgery?
do not rinse for 24 hours after surgery
then rinse with warm salt water
What is platinum mesh?
it is not used for immobilization
What are the Le Fort classifications?
Le Fort 1: horizontal fracture above the roots of the teeth, below the zygomatic process, and across the pterygoid plates
Le Fort 2: midline fracture over the middle of the nose and across the intraorbital rims
Le Fort 3: across the bridge of the nose, across the orbits and the zygomatic bone
What clinical signs may a patient present with a fractured jaw?
pain, mobile, muscle spasms, irregular occlusion
What is the diet plan for a patient with a fractured jaw?
protein and vitamins A, C, riboflavin
What words are used in the description of the fracture?
location, severity, nature, direction
Intermaxillary fixation are best for what type of patients? Which would be contraindicated?
Contraindicated: asthma, COPD, vomiting, dietary problems,
What is open reduction used for?
anatomic reduction functionally stable fixation atraumatic surgical technique active function prevention of infection
How long does it take for an uncomplicated mandibular fracture to heal?
6 weeks
This fracture has no communication with the outside
simple fracture
This fracture has communication with the outside
compound fracture
a shatter fracture
comminuted
“greenstick” fracture has one side of a bone broken and the other side bent
incomplete fracture
What is the preferred way to stop bleeding post surgery at home?
apply pressure with gauze or use a tea bag over the area and bite firmly for 30 minutes
What are risk factors that cause clefting?
use of tobacco alcohol consumption teratogenic agents (phenytoin, vitamin A, corticosteroids, drugs of abuse) Over 40 years old inadequate diet lack of prenatal care
What children with cleft palates are more susceptible to? Oral manifestations?
malocclusion, mouth breather, poorly formed teeth, common missing maxillary laterals and premolars,
What weeks does the cleft palate/lip form during gestation?
lip: 4-8wks
palate: 6-12wks
What is an obturator?
a prothesis designed to close a congenital or an acquired opening, such as cleft of the hard palate
Cleft of the tip of the uvula
Class 1
cleft of the uvula
class 2
cleft of the soft palate
class 3
cleft of the soft and hard palates
class 4
cleft of the soft and hard palates that continues through the alveolar ridge on one side of the premaxilla
class 5
cleft of the soft and hard palates that continues through the alveolar ridge on both sides, leaving a premaxilla
class 6
submucous cleft in which the muscle union is imperfect across the soft palate
class 7
Stages of clefting in utero:
incomplete fusion of maxillary and globular process
