Patient Assessment And Examination Flashcards
What is included in patient and denture assessment (6)
History Relevant medical history Social history Examination of the patient Examination of the denture Arriving at a problem/diagnosis
What should be assessed/carried out during a patient assessment (6)
Presenting complaint History Intra/extra oral examination Special investigations Making a diagnosis Treatment plan
How can talking to a patient help with denture assessment
Having a relaxed conversation about their teeth can reveal lots about the current device: Aesthetics Retention Speech Face height Support of the facial tissues
What questions should be asked when assessing full denture history (6)
Why were your teeth lost How long have they worn dentures for How many dentures have they had Have they got a favourite denture Have they got a preferred design Do they prefer metal or acrylic dentures
What should be identified when assessing a patients medical history
Problems which could affect:
Attending for treatment
Procedure tolerance
Living with dentures
Which medical problems can affect patients with dentures
Rheumatoid arthritis Neuromuscular problems Mucosal disease Xerostomia Osteoporosis/bisphosphonates Insertion and removal
What should be assessed when asking about a patients social history (5)
Do they live alone/supported living/care home Do they have any hobbies Do they smoke Do they drink alcohol What is their diet like
What should be assessed during an extra-oral examination (7)
If facial height is lower If naso-labial angle is obtuse Facial support Smile line Aesthetics of existing dentures Any abnormalities Limited opening
What should be carried out under a general examination
Chart the remaining teeth and any caries or restorations and carry out a basic periodontal examination