Lecture IV: The Dental Exam

Question 1

Review and identify the importance of a dental-medical history questionnaire

Answer 1

• Adverse drug reactions
• Conditions of highest risk
• Some procedures need antibiotic prophylaxis
• Asthma inhaler–>dental/oral issues
• HPV oral pharyngeal cancer

Question 2

Examine multiple scenarios where dentistry and medicine interact

Answer 2

1. Dentists require routine medical consult to perform routine dental care:
   - pre-med: cardiac conditions/valves, joint replacements, diabetes, other
   - allergies
   - current meds/past
   - medical condition impacting care
2. Medical requires dental consult:
   - systemic disease presenting with severe oral complications
   - routine head and neck exam reveals dental needs
   - dental care needed prior to medical treatment regimens
   - ER visits
3. Dental requires medical consult due to findings during dental care
   - response to dental therapy
   - presentation during visit
   - complication in office

Question 3

Demonstrate the impact of medical information/patient medical status on the delivery of dental care

Answer 3

Think about it!

Question 4

List basic dental terms, definitions, and numbering systems of the dentition to facilitate communication between dentists and physicians

Answer 4

See other cards

Question 5

Identify circumstances in which patients may require dental consult

Answer 5

• Many systemic diseases/conditions have oral manifestations (e.g. Crohn’s Disease, Lupus, Nutritional deficiencies in pregnancy/hormonal issues)
• Head and neck exam reveals dental concerns (e.g. bilateral palpation, lip inspection, mouth exam – tongue/gingiva/buccal/floor of mouth/palate)
• Prior to medical treatment regimes: chemo, joint replacement, cardiac valve, HIV/Immuno-compromised, transplants, etc.)
• ER visits

Question 6

Describe the dental-systemic disease inter-relationship

Answer 6

• Dental disease of hard tissue - decay (pain, infection, extraction, antibiotics, nutrition)
• Transient bacteremia of dental origin
• Periodontal disease (microbial etiology, chronic low grade inflammation, painless, 50% incidence U.S., may adversely affect systemic health, elevated C-Reactive Protein (CRP) - a protein in blood that reflects amount of inflammation in body - is a direct risk factor for cardiovascular disease)

• Dental Symptoms←→Medical Symptoms
o Dental pain often is referred to: head, ear, eye, peri-orbital, jaw
o Medical conditions may cause pain in teeth/oral cavity: maxillary sinusitis, otitis media, TMJ, nerve disorder, migraines, psychogenic, neoplasm: leukemia

Question 7

Primary/deciduous teeth

Answer 7

baby teeth: 20

Question 8

Secondary/primary teeth

Answer 8

32

Question 9

4 Types of Teeth

Answer 9

Anteriors: Incisal

1. Incisors (central/lateral)
2. Canine

Posteriors: Occlusal

3. Premolar/Bicuspid
4. Molars

Question 10

Palatal/Lingual vs Facial/Labial/Buccal

Answer 10

Inner side of the teeth vs the outer side

Question 11

Parts of a Tooth

Answer 11

1. Crown and root

• Enamel
• Dentin
• Pulp