OH assessment and emergency Flashcards
time frame for emergency dental care
seen within 60 mins by clinician
timescale for urgent care
within 24hrs but call back if deterioration
time frame for routine care
access to appropriate service within 7 days
give 3 examples of conditions requiring emergency care
swelling restricting swallowing or extending to eye
avulsed permanent tooth
uncontrolled bleeding
pain management advice
avoid stimuli that worsen pain - e.g. hot or cold
hold cool water or crushed ice around tooth
can feel worse lying flat so lie propped up
painkillers that have helped you in past
avoid aspirin if there is bleeding
post extraction bleeding advice
blood stained saliva normal after extraction
damp gauze/kitchen towel and bite firmly for 20 mins while sitting upright
repeat once if necessary
rinse the mouth with warm water once
after bleeding stops, rest upright, don’t drink, don’t disturb clot
contact service if does not stop
stages of an oral health assessment
patient histories - personal details, SH MH DH
oral health status - EO IO - perio occlusion
diagnose and risk assess
personal care plan
4 components of a personal care plan
pt preferences and expectations
patient general health
clinical findings
care options
ensure all records are
accurate
dated
confidential
legible
cawood and Howell class 1
dentate
cawood and Howell class 2
immediately post extraction
cawed and Howell class 3
well rounded ridge form
class 4 cawood and Howell
knife edge ridge
class 5 cawood and howell
flat ridge form
class 6 cawood and howell
depressed ridge
