final Flashcards
PPE on
gown
mask
goggles
gloves
PPE off
gloves
gown
goggles
mask
typical pulse
60-80 bpm
standard respiration
12-20 bpm
standard temp
96.4-99.1
standard BP
120 (systolic/pumping) / 80 (diastolic/relaxed)
PTEN stands for
Problem, Treatment, Evaluation, Next
Levels of preventative care
1’ tech to forestall disease (hygiene)
2’ restorative care/perio treatments (treatment to terminate disease)
3’ Reconstructive care- restoring missing teeth
steps of preventative health program
1 assess needs/risks 2 plan intervention 3 implementation 4 deliver preventative clinical services 5 evaluate progressive changes 6 plan short and long term maintenance
plaque causes…
caries, periodontitis, cardiovascular disease and gingivitis
how do you control plaque?
decrease frequency (not necessarily abundance) of fermentable carbs, remove, and OHI (individulalized oral hygiene instructions)
recommended brushing method
modified bass method
toothpasts anti-plaque prevention
triclosan
floss alternatives
floss threader, stim-u-dents or proxy brush
how do you get plaque index
divide # of surfaces w/ plaque (occlusal doesn’t count) by # of teeth x 4
goal of plaque index
0-10%
what will a high plaque score delay?
perio treatment
when do you do plaque score?
after treatment planning but before initiation of treatment.
fluoride benefits
decrease enamel solubility
increase size of Ca and HA crystals
increase rate of post eruptive maturation
Comparison of fluoride [ ] in professional treatments
NaF gel/foam 2%
NaF varnish 5%
APF 1.23%
SnF2 8%
advantages/dis of NaF
can be used on everyone but takes longer (4 min)
disadvantage of APF
can’t be used on tooth colored restorations
fluoride safety concerns
flavor allergies
lethal if swallowed @ 32-64 mg/Kg body weight
what’s on the cover of patient records
name and reg. # only
color ink you can use for PTEN
black
where do PTEN HIPPA and treatment plan go?
before tabbed divider
blue tab in patient records
treatment plan
pink tab in patient records
medical info, registration, informed consent and insurance info
yellow tab in patient records
initial assessment: H & N exam, radiographs, screening, dental chart, caries risk assessment, referral, treatment wrksht
white tab in patient records
recall
green tab in patient records
dental specialties
where should you record that you’ve given a facult member patient records?
under Events tab in Windent
what should be in upper R hand corner of patient records
patient’s name
what should go in PTEN notes?
EVERYTHING: prescriptions called in, cancelled/broken appointments, phone calls, regular appointment stuff
can patients have a copy of their records?
yep, school has 30 days to comply
how many records can you check out at once?
5
how will your progress notes be graded?
ea. semester faculty will randomly pick 10% of patients and grade their charts
standard precautions w/ infections control
treat all body fluids, excretions and secretions except sweat as infectious
if hands aren’t visibly dirty what can you use to clean them?
60% -OH hand rub
how many sec’s should you wash hands for?
15
are scrubs PPE?
NO
can you wash gloves
NO
only step in removing PPE you don’t have to wash hands after
removing glasses
steps of op Asepsis up to procedure
wash hands, PPE, disinfect/flush lines, remove gloves, place barriers, get instruments, review charts, get patient and take vitals, re-don PPE
asepsis after procedure
remove PPE, dismiss patient, get rid of disposables, wash dry and disinfect things that wont be autoclaved then return stuff to dispensary, disinfect cubicle, flush lines and remove PPE, wash hands
can you wear gloves in side room?
NO
needle safety tech’s
recap w/ scoop tech and use needleguard
sterilization
removing all microorg inc. endospores, use on things that punctured tissue, or touched punctured tissue
disinfection
removing microorg’s minus endospores, can use on things that touched punctured tissue or touched intact skin
sanitation/cleaning
removing visible soil by washing w/detergent can use on things that only touched in tact skin
type of dental chart we use
anatomical
recommended sequence
1-> 32
where is the dental chart in records?
yellow tab
chart existing conditions in _____ and caries/failing restorations in _____
blue
red
chart missing teeth
strike out -blue
chart impacted teeth
circle- blue
chart tooth colored restorations
draw outline - blue
chart sealants
write S on surface- blue
chart lingual retainer
draw o——-o in blue
chart crowns
draw tooth outline - blue
chart root canals
color in roots or draw rectangle - blue
how should light be w/ max/mand? and how should patient hold their chin
arms length away
max: angles w/ chin-up
mand: straight above w/chin-down
clock positions for R handed and L handed operators
R - 8-12
L- 12-4
zones for 4 handed dentistry
11-2 static
2-4 assistant
4-8 transfer
8-11 operator
Quadrant rec’s for patient op and assistant
UR - op: 10:00 pat: 15’ assist: 2:00
UL - op: 11 pat: 15’ ass: 2:30
LR - op: 10:00 pat: 40’ ass: 3:00
LL - op: 10:30 pat: 30’ ass: 2:30
steps of sealants
isolate w/ cotton rolls etch rinse and dry place sealant remove excess and cure
types of mouth injuries
tissue, avulsion (knocked out), luxation (moved), fracture
tissue injury treatment
apply P, clean, stitch
avulsion treatment
pop back in or stick in gatorade
luxation treatment
if it’s extruded or lateral displacement snap back into place; if retruded, leave alone
fracture treatment
enamel-bond
pulpal- bond/endo
root - endo
before you treat dental injuries, must obtain
chief complaint, history of condition, and medical history (allergies or tetanus)
types of mouthguards
stock, mouth formed (boil n bite), custom fit
type of mouthguard we used
EVA/polyshok - vacuum formed
difference btwn vacuum formed and heat-pressure laminate custom fit mouth-guards
vacuum formed, pulled onto cast
heat-P pushed onto cast
mouthguard criteria
properly extended polished borders, coves 1st molars, 3-5mm occlusal-buccal
