outreach Flashcards
A patient mistakenly claims exemption for NHS dental treatment costs during a course of treatment. Which action would the NHS BSA take?
£100 penalty fine plus the cost of the treatment band.
A dental HYGIENIST and THERAPIST can provide treatment to patients without the prescription of a dentist (Direct Access). What procedures/treatments would still require a prescription from a dentist?
a. tooth whitening
b. radiographs
c. fissure sealants
d. temporary re-cement of a crown
a. tooth whitening
You are considering an appropriate recall interval for a patient and have consulted the SDCEP guidance to help you record their oral health risk. You have communicated to the patient that they have a medium risk of developing dental caries. What follow up period should be advised?
a. 3 months
b. 12 months
c. 6 months
d. 9 months
c. 6 months
(a patient with medium risk should be reviewed every 6 months to monitor their compliance and reinforce all OHI given).
A patient completes their PR form but is unsure whether they have to pay for their dental treatment. What should you do?
Ask them to pay the appropriate NHS band charge and claim it back at a later date.
When carrying out an OH assessment, what modifying factors would you consider using to evaluate a patient’s level of risk for development of oral diseases such as periodontal disease?
a. Diabetes
b. Poor OH
c. Smoking Habits
d. Alcohol Intake
e. Occupation
a. diabetes, b. poor OH and c. smoking habits
True or False
A newly qualified dentist or therapist would be expected to provide treatment to NHS patients at a Level 2 complexity.
False - level 2s are procedures requiring a clinician with enhanced skills and experience who may or may not be on a specialist register.
When carrying out an OH assessment, what modifying factors would you consider using to evaluate risk of oral cancer?
a. occupation
b. smoking habits
c. alcohol intake
d. absence of fruit and veg in diet
e. salivary flow rate.
ALL OF THE ABOVE
a. occupation - outdoor workers.
b. smoking habits
c. alcohol intake
d. absence of fruit and veg in diet
e. salivary flow rate - xerostomia.
You have just completed a dental examination of a patient previously assessed as high risk for dental caries. You regard this past disease as being stabilised and not active but are aware that several risk factors could increase the patient’s likelihood of developing more carious lesions.
When would you review this patient again?
3 months
(discuss the risk factors with the patient and provide a high fluoride supplement).
From the options below, what best describes the differences between Level 1, 2 and 3 complexity?
a. type of dental setting the treatment is provided in.
b. practitioners specialist qualifications
c. type of dental contract the provider is performing under.
d. procedural difficulty.
d. procedural difficulty
(levels of complexity describe procedural difficulty, patient modifying factors and competence required of the clinician to deliver care of that level).
A dental therapist is providing a restoration for a patient on referral from a dentist. LA has been given and during caries removal, a small pinhead of pulp horn is exposed. The dentist is away on holiday and there is no other on site.
What would you expect the therapist to do within their scope of practice?
- Remove any soft caries with an excavator, clearing the ADJ.
- Pulp cap the exposure and restore/dress.
- Document and warn the patient about symptoms and possible RCT.
- Inform referring dentist.
(stabilising the tooth is the most appropriate option until it can be reviewed by a dentist).
Which members of the dental team can prescribe radiographs without the prescription of a dentist to help in monitoring a patients oral disease?
a. dental nurse
b. dental receptionist
c. dental therapist
d. clinical dental technician
c. dental therapist
When working to a Patient Group Direction (PGD), it is important to understand the limitations of your scope of practice.
What are are PGDs required for to administer?
For a dental care professional to administer a prescription only medicine which can be provided without a dentist present in the practice.
The Community Dental Service can offer appointments and treatments to which following patients?
a. medically compromised
b. patients requiring routine extractions
c. patients with learning and physical disabilities
d. patients requiring routine extractions under sedation
a, c, d
a. medically compromised
c. learning and physical disabilities
d. routine XLAs under sedation
(can’t treat patients who require routine treatment which could be easily provided in a GDP setting).
When working in a primary care practice, a PSD can be used to allow a dental care professional such as a therapist to administer and in some instances supply prescription only medicines.
Which POMs would this apply to?
a. antimicrobial mouthwash (chlorhexidine)
b. topical fluoride (duraphat varnish)
c. toothpaste (duraphat toothpaste)
d. LA
b, c and d
Which members of the dental team may be able to take radiographs without the prescription of a dentist to assist in the monitoring of a patients oral disease?
a. dental therapist
b. dental nurse
c. dental technician
d. clinical dental technician
a. dental therapist
