Exam 8.18.2014

Question 1

What are the factors accompanying a dental hygiene diagnosis?

Answer 1

A. Risk Factors for Periodontal infections or Poor Response to Periodontal Therapy
-Behavioral factors
-Tobacco use
-Systemic conditions
-Hormonal considerations
-Nutritional status
-Iatrogenic factors
-Genetic factors
B. Periodontal Disease as a Risk Factor for Systemic Conditions.
-Infective Endocarditis
-Cardiovascular disease(CVD) and atherosclerosis
-Diabetes mellitus
-Respiratory disease
-Adverse pregnancy outcomes
C. Risk Factors for Dental Caries
-Behavioral factors
-Dietary factors
-low fluoride
-tooth morphology and position
-xerostomia
-personal and family history of dental caries/restorative dentistry
-developmental factors
-genetic factors
C. Risk factors for oral Cancer
-Tobacco use
-alcohol use
-sun exposure

Question 2

What is the purpose of the dental hygiene planning phase?

Answer 2

.To develop a plan of care that will result in the resolution of an oral health problem, the prevention of a problem, or the promotion of oral and general health

Question 3

What is the process of the dental hygiene care plan (ADPIE)?

Answer 3

.Assessment, Diagnosis, Planning, Implementation, and Evaluation of services

Question 4

What is the proper sequencing of the care plan?

Answer 4

.Priorities are based on the degree to which the dental hygiene diagnosis:

• threatens the client’s well-being
• can be addressed simultaneously with other diagnoses
• is a client priority

Question 5

What are the angles of insertion and cutting edge for the blades of your instruments?

Answer 5

.

Question 6

Which instruments are for supra and sub gingival calculus?

Answer 6

.Scalers

• file
• hoe
• jacquet
• sickle
• currettes for sub

Question 7

What is the design and purpose of each instrument?

Answer 7

.

Question 8

What is the purpose of the shanks on scalers? Why are some thin, and why are some thicker?

Answer 8

.The shank connects the working end with the handle. The shape, length and rigidity govern it’s intended purpose. A thick shank is used for heavier calculus removal and the thinner shank is used for fine tactile sensation for removal of fine deposits of calculus and for maintenance root debridement.

Question 9

What are the risk factors for dental caries?

Answer 9

Medium or high mutans streptococci and lactobacilli counts

• Visible heavy plaque biofilm on teeth
• frequent snacking between meals
• Deep pits an dfissures
• Recreational drug use
• Inadequate salivary flow
• Saliva-reducing factors
• Exposed roots
• Orthodontic appliances

Question 10

What is the primary purpose of a dental hygiene plan for a perio involved patient?

Answer 10

.

Question 11

What is the mechanism of action of fluoride?

Answer 11

.Stannous
-Deposit of fluoride ion on enamel
-tin ion from stannous fluoride interferes with cell metabolism for antimicrobial effect
Sodium
-deposit of fluoride ion on enamel
-cariostatic: inhibits demineralization and enhances remineralization

Question 12

Which bacteria are responsible for causing caries?

Answer 12

.mutans streptococci and lactobacilli

Question 13

What are the symptoms of dry mouth?

Answer 13

oral dryness, tongue sticks to palate, difficulty with mastication, swallowing or speech, impaired taste, thirst, licking of lips, smarting and burning of mucosa and tongue

Question 14

What are the difference indices (bleeding, plak, etc.)?

Answer 14

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