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intro to clinic > final > Flashcards

final Flashcards

1
Q

PPE on

A

gown
mask
goggles
gloves

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2
Q

PPE off

A

gloves
gown
goggles
mask

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3
Q

typical pulse

A

60-80 bpm

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4
Q

standard respiration

A

12-20 bpm

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5
Q

standard temp

A

96.4-99.1

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6
Q

standard BP

A

120 (systolic/pumping) / 80 (diastolic/relaxed)

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7
Q

PTEN stands for

A

Problem, Treatment, Evaluation, Next

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8
Q

Levels of preventative care

A

1’ tech to forestall disease (hygiene)
2’ restorative care/perio treatments (treatment to terminate disease)
3’ Reconstructive care- restoring missing teeth

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9
Q

steps of preventative health program

A 
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
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10
Q

plaque causes…

A

caries, periodontitis, cardiovascular disease and gingivitis

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11
Q

how do you control plaque?

A

decrease frequency (not necessarily abundance) of fermentable carbs, remove, and OHI (individulalized oral hygiene instructions)

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12
Q

recommended brushing method

A

modified bass method

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13
Q

toothpasts anti-plaque prevention

A

triclosan

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14
Q

floss alternatives

A

floss threader, stim-u-dents or proxy brush

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15
Q

how do you get plaque index

A

divide # of surfaces w/ plaque (occlusal doesn’t count) by # of teeth x 4

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16
Q

goal of plaque index

A

0-10%

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17
Q

what will a high plaque score delay?

A

perio treatment

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18
Q

when do you do plaque score?

A

after treatment planning but before initiation of treatment.

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19
Q

fluoride benefits

A

decrease enamel solubility
increase size of Ca and HA crystals
increase rate of post eruptive maturation

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20
Q

Comparison of fluoride [ ] in professional treatments

A

NaF gel/foam 2%
NaF varnish 5%
APF 1.23%
SnF2 8%

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21
Q

advantages/dis of NaF

A

can be used on everyone but takes longer (4 min)

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22
Q

disadvantage of APF

A

can’t be used on tooth colored restorations

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23
Q

fluoride safety concerns

A

flavor allergies

lethal if swallowed @ 32-64 mg/Kg body weight

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24
Q

what’s on the cover of patient records

A

name and reg. # only

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25
Q

color ink you can use for PTEN

A

black

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26
Q

where do PTEN HIPPA and treatment plan go?

A

before tabbed divider

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27
Q

blue tab in patient records

A

treatment plan

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28
Q

pink tab in patient records

A

medical info, registration, informed consent and insurance info

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29
Q

yellow tab in patient records

A

initial assessment: H & N exam, radiographs, screening, dental chart, caries risk assessment, referral, treatment wrksht

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30
Q

white tab in patient records

A

recall

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31
Q

green tab in patient records

A

dental specialties

32
Q

where should you record that you’ve given a facult member patient records?

A

under Events tab in Windent

33
Q

what should be in upper R hand corner of patient records

A

patient’s name

34
Q

what should go in PTEN notes?

A

EVERYTHING: prescriptions called in, cancelled/broken appointments, phone calls, regular appointment stuff

35
Q

can patients have a copy of their records?

A

yep, school has 30 days to comply

36
Q

how many records can you check out at once?

A

5

37
Q

how will your progress notes be graded?

A

ea. semester faculty will randomly pick 10% of patients and grade their charts

38
Q

standard precautions w/ infections control

A

treat all body fluids, excretions and secretions except sweat as infectious

39
Q

if hands aren’t visibly dirty what can you use to clean them?

A

60% -OH hand rub

40
Q

how many sec’s should you wash hands for?

A

15

41
Q

are scrubs PPE?

A

NO

42
Q

can you wash gloves

A

NO

43
Q

only step in removing PPE you don’t have to wash hands after

A

removing glasses

44
Q

steps of op Asepsis up to procedure

A

wash hands, PPE, disinfect/flush lines, remove gloves, place barriers, get instruments, review charts, get patient and take vitals, re-don PPE

45
Q

asepsis after procedure

A

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

46
Q

can you wear gloves in side room?

A

NO

47
Q

needle safety tech’s

A

recap w/ scoop tech and use needleguard

48
Q

sterilization

A

removing all microorg inc. endospores, use on things that punctured tissue, or touched punctured tissue

49
Q

disinfection

A

removing microorg’s minus endospores, can use on things that touched punctured tissue or touched intact skin

50
Q

sanitation/cleaning

A

removing visible soil by washing w/detergent can use on things that only touched in tact skin

51
Q

type of dental chart we use

A

anatomical

52
Q

recommended sequence

A

1-> 32

53
Q

where is the dental chart in records?

A

yellow tab

54
Q

chart existing conditions in _____ and caries/failing restorations in _____

A

blue

red

55
Q

chart missing teeth

A

strike out -blue

56
Q

chart impacted teeth

A

circle- blue

57
Q

chart tooth colored restorations

A

draw outline - blue

58
Q

chart sealants

A

write S on surface- blue

59
Q

chart lingual retainer

A

draw o——-o in blue

60
Q

chart crowns

A

draw tooth outline - blue

61
Q

chart root canals

A

color in roots or draw rectangle - blue

62
Q

how should light be w/ max/mand? and how should patient hold their chin

A

arms length away

max: angles w/ chin-up
mand: straight above w/chin-down

63
Q

clock positions for R handed and L handed operators

A

R - 8-12

L- 12-4

64
Q

zones for 4 handed dentistry

A

11-2 static
2-4 assistant
4-8 transfer
8-11 operator

65
Q

Quadrant rec’s for patient op and assistant

A

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

66
Q

steps of sealants

A 
isolate w/ cotton rolls
etch
rinse and dry
place sealant
remove excess and cure
67
Q

types of mouth injuries

A

tissue, avulsion (knocked out), luxation (moved), fracture

68
Q

tissue injury treatment

A

apply P, clean, stitch

69
Q

avulsion treatment

A

pop back in or stick in gatorade

70
Q

luxation treatment

A

if it’s extruded or lateral displacement snap back into place; if retruded, leave alone

71
Q

fracture treatment

A

enamel-bond
pulpal- bond/endo
root - endo

72
Q

before you treat dental injuries, must obtain

A

chief complaint, history of condition, and medical history (allergies or tetanus)

73
Q

types of mouthguards

A

stock, mouth formed (boil n bite), custom fit

74
Q

type of mouthguard we used

A

EVA/polyshok - vacuum formed

75
Q

difference btwn vacuum formed and heat-pressure laminate custom fit mouth-guards

A

vacuum formed, pulled onto cast

heat-P pushed onto cast

76
Q

mouthguard criteria

A

properly extended polished borders, coves 1st molars, 3-5mm occlusal-buccal

intro to clinic (1 decks)

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