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BDS 2: Adult Restorative > History & Examination of the Adult Patient > Flashcards

History & Examination of the Adult Patient Flashcards

1
Q

What are the 6 principles of patient examination?

A
  • History
  • Clinical examination
  • Provisional/Differential diagnosis
  • Special/Further investigations
  • Definitive diagnosis
  • Treatment options
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2
Q

What is the importance of screening forms? (3)

A
  • Enable a logical and structured series of questions to be asked
  • Ensure no area is omitted
  • Enables history to be distilled into key factors
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3
Q

What information needs to obtained from the history element in patient assessment? (6)

A
  • Personal Information
  • Complaining of (CO)
  • History of Presenting Complaint (HPC)
  • Medical History (MH)
  • Past Dental History (PDH)
  • Social History (SH)
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4
Q

What will you obtain from personal information when taking a patient history (4)

A
  • Patient Name (Introduction)
  • DOB (as patients have similar names)
  • Contact details (for appointments)
  • Audit trail to clinic/student
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5
Q

What are some common presenting complaints?

A
  • No complaint
  • Pain
  • Swelling
  • Bleeding gums
  • Broken tooth
  • Lost crown/filling
  • Loose dentures
  • Remember non-dental
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6
Q

What is the main difference between signs and symptoms?

A
  • Signs are objective evidence of disease, something that is detectable by you
  • Symptoms are subjective evidence of disease, something that is experienced by the patient
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7
Q

What does the pain history SOCRATES stand for?

A
  • Site
  • Onset
  • Character
  • Radiation
  • Associations
  • Time course/pattern
  • Exacerbating factors
  • Severity (pain scale 1-10)
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8
Q

Why is it important to take a medical history during an appointment? (3)

A
  • Underlying Medical Conditions that may affect this appointment (emergency)
  • Underlying Medical Conditions that may affect presenting complaint
  • Underlying Medical Conditions that may affect treatment planning
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9
Q

Describe what you would find on a medical history pro forma (6)

A
  • Patient Identifier
  • Organ Systems check
  • Details of diagnoses
  • Relevant dates
  • Medications
  • Social history
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10
Q

What is audit C?

A
  • Assesses alcohol assumption
  • 3 questions
  • Scores 0-4
  • Overall score determines advice
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11
Q

What ‘admin’ needs ti be completed with a medical history pro forma?

A
  • Signed & dated by Patient
  • Signed & dated by Clinician
  • Checked, Signed & dated by Clinician at each appointment
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12
Q

What is included in a past dental history? (3)

A
  • Attendance
  • Treatments
  • Oral health regime
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13
Q

What are relevant questions to ask about attendance during a dental history? (6)

A
  • Last visit?
  • How often attend?
  • Regular/Irregular?
  • Pain only?
  • Registered with GDP?
  • Anxiety levels?
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14
Q

What are relevant questions to ask about treatments during a dental history? (7)

A
  • Previous fillings?
  • Experience with LA?
  • Extractions?
  • Root Canal Therapy?
  • Crowns/Bridges?
  • Implants?
  • Orthodontics?
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15
Q

What are relevant questions to ask about Oral health regime during a dental history? (6)

A
  • How often?
  • Manual/Electric?
  • Type electric?
  • Type of Toothpaste?
  • Interdental Cleaning?
  • Mouthwash & Timing?
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16
Q

What do you include in your history taking in the social history section? (4)

A
  • Occupation
  • Family situation
  • Brief diet analysis
  • Repetition of smoking and Audit C
17
Q

What needs to be included during an extra oral examination? (5)

A
  • Temporomandibular Joint
  • Facial Symmetry
  • Lymph nodes
  • Lips
  • Swellings
18
Q

During a soft tissue intra oral examination what abnormalities should you look out for? (5)

A
  • Type
  • Colour
  • Location
  • Surface texture
  • Consistency
19
Q

During a soft tissue intra oral examination what should you examine? (5)

A
  • Labial, buccal and vestibular mucosa
  • Hard & Soft Palate
  • Oropharynx & Fauces
  • Floor of Mouth
  • Tongue
20
Q

What appearances in the gingival tissues should you look for during a intra oral examination?

A
  • Pink & Healthy?
  • Red & Swollen?
  • Bleeding?
21
Q

What are the 4 main causes of tooth surface loss?

A
  • Erosion
  • Abrasion
  • Attrition
  • Abfraction
22
Q

What is a Class I molar relationship?

A

Distobuccal cusp of the lower molar meets the mid buccal groove of the upper molar

23
Q

What is a Class II molar relationship?

How does this differ from Class I?

A
  • Mesiobuccal cusp of the lower molar meets the mid buccal groove of the upper molar
  • Further back than Class I
24
Q

What is a Class III molar relationship?

How does this differ from Class I?

A
  • Mesiobuccal cusp of the lower molar meets the distobuccal groove of the more distal upper molar
  • Further forward than Class I
25
Q

What is a Class I incisal relationship?

A

Lower incisor meets the mid 1/3 of the cingulum of the upper incisor

26
Q

What is a Class II incisal relationship?

A

Lower incisor meets behind mid 1/3 of the cingulum of the upper incisor

27
Q

What is a Class III incisal relationship?

A

Lower incisor meets infront 1/3 of the cingulum of the upper incisor

28
Q

What is a lateral excursion?

A

When the jaw moves to the left or right

29
Q

What is a profusive excursion?

A

When the jaw moves forward

30
Q

What is a provisional diagnoses?

A

A diagnosis/es that a clinician has yet to commit to as requires further information

31
Q

What is a differential diagnoses?

A

A number of diagnosis/es that a clinician is considering but that resembles other similar conditions

32
Q

Name 3 radiographs

A
  • Bitewing Radiographs
  • Periapical Radiographs
  • Dental Panoramic Radiographs
33
Q

What are the 4 phases of treatment planning?

A
  • Emergency
  • Investigation/Stabilisation
  • Rehabilitation
  • Maintenance & Monitoring
34
Q

What can be included in the emergency phase of treatment planning? (4)

A
  • Pain
  • Bleeding
  • Trauma
  • Infection
35
Q

What can be included in the Investigation/ Stabilisation phase of treatment planning? (7)

A
  • Severity & distribution of periodontal disease
  • Severity & distribution of caries
  • Diet analysis
  • OHI
  • Fluoride prescription
  • Tobacco cessation
  • Alcohol advice
36
Q

What can be included in the rehabilitation phase of treatment planning? (4)

A
  • Restorations
  • Dentures
  • Complex Restorations
  • Cosmetic Procedures
37
Q

What can be included in the Maintenance & Monitoring phase of treatment planning? (3)

A
  • Risk Assessment for dental diseases
  • Recall intervals
  • Active monitoring plan

BDS 2: Adult Restorative (22 decks)

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