ODTP process Flashcards
what to do before the appt
1) review chart
- screening notes in tx history
- review HH
- review dental and social history
- review radiographs
2) make notes for yourself
- personal worksheet
3) plan appt
4) review plan with your faculty and what other info you need (radiographs) and approve initial TP
med history reviewed
1) infectious diseases?
2) care of physician or hospitalization?
do replacements have to have prophylaxis?
1) no longer recommended (by AHA and ADA)
2) any other meds for the replacement, any complications?
high blood pressure and diabetes?
1) what meds, is it under control?
2) Hba1c? <6.5% for diabetic is controlled
3) blood pressure 120/80 is controlled
where to go to look things up
1) pacmanual
what would you change about dental appt
1) make sure the position changes are slower due to orthostatic hypotension (medication)
2) see her in morning for diabetes
- when they take pills and check sugar
3) MAKE SURE THEY KNOW TO TAKE BREAKFAST
check radiographs updated
1) make sure they are updated
2) RADRPT FORM!!!
start check
1) you have to present the patient to the faculty after pt approve TP and signs
2) present their CC
step 1
1) history, vitals, EOE, IOE
- COHRI form
- CRA form
- ODH&E
2) ask more questions
- gather dental and social histories
3) BP, pulse, resp
- you can take BG reading if applicable
4) health history risk assessment
PRESENT TO FACULTY
- and take photos if needed, or impressions if needed for TP options
step 2
1) Periodontal exam and diagnosis
- baseline clinic eval or PEBASE
2) OHI
PRESENT TO FACULTY
step 3
1) HTE
- odontogram
2) RSIOE form
- TMJ screening
3) complete CRA form
take photos and impressions if not done already
PRESENT TO FACULTY thoughts on findings and tx options
step 4
1)ideal TP and alternate TPs
- Urgent, disease control, reconstructive, maintenance
2) discuss plans and alternatives with faculty and patient
3) sequence according to patients chief concerns
4) get approval and signature
5) financial approval
6) SOAP note
