Patient Care II Notable Topics/Information

Question 1

What is the most important tool in dentistry?

Answer 1

communciation

Question 2

Is simply providing care to the patient enough? What other component is needed?

Answer 2

NO; need to motivate the patient

Question 3

____ was cited as the primary cause of 68-70% of malpractice litigation cases.

Answer 3

Communication

Question 4

A genuine smile is also called a “____” smile.

Answer 4

Duchenne

Question 5

A genuine smile also involves the ___ muscles.

Answer 5

eye

Question 6

According to the ____ hypothesis, feedback from the facial muscles to the brain plays a key role in determining the nature and intensity of emotions we experience.

Answer 6

Facial Feedback

Question 7

Spinning a pen, tapping your foot, tapping your fingernails, rocking, and using hand gestures are all ____ movements.

Answer 7

kinetic (body language)

Question 8

What type of hand positioning is best or more comforting when speaking to a patient?

Answer 8

“fig leaf”

Question 9

The saying “don’t use your teeth as tools” is a ____.

Answer 9

“sound bite”

Question 10

Should you communicate with faculty away from the patient?

Answer 10

YES; sometimes you may have to

Question 11

Should you talk badly about another dentist’s work?

Answer 11

NEVER; critical comments made by dentists about another dentist’s work are one of the main contributing factors to malpractice allegations (you did not know the situation)

Question 12

What is the #1 reason people avoid the dentist?

Answer 12

FEAR

Question 13

If a patient comes to the office for recare more frequently, he or she has ___ anxiety.

Answer 13

LESS

Question 14

More fillings = ____ patient anxiety.

Answer 14

LESS

Question 15

Are females or males usually more anxious?

Answer 15

males are MORE anxious

females are LESS anxious

Question 16

How can you lessen anxiety for a patient who is afraid of feeling the pain?

Answer 16

make sure to get them profoundly numb before you start

Question 17

What 3 words describe what you should do to ease dental anxiety?

Answer 17

Show
Say/Tell
Do

Question 18

Are all “vision-impaired” patients blind?

Answer 18

NO - most have some degree of sight

Question 19

Can you use the words “see” and “look” when speaking to people who are blind?

Answer 19

YES - because there are not any reasonable substitutes

Question 20

Should you extend your hand to shake a person’s hand in a wheelchair?

Answer 20

YES - it’s still an appropriate gesture

Question 21

Is a person who uses a wheelchair in need of assistance?

Answer 21

NOT NECESSARILY - ASK first

Question 22

Is health literacy associated with age and gender?

Answer 22

NO - associated with education and race/ethnicity

Question 23

_____ Questions elicit the patient’s perspective from asked open-ended questions.

Answer 23

Kleinman’s

Question 24

Along with adhesion, what is required to ensure that the cement will perform to its highest level clinically?

Answer 24

good resistance and retention form

Question 25

Cements must be ____ to do no harm or damage oral or bodily surfaces.

Answer 25

biocompatible

Question 26

Which dental cement was the first to appear in dental literature?

Answer 26

zinc phosphate cement

Question 27

Which cement is the "gold standard" by which other cements are judged by?

Answer 27

zinc phosphate

Question 28

_____ has low solubility, low thermoconductivity, and a long shelf life, but may cause pulp irritation.

Answer 28

Zinc phosphate

Question 29

Does zinc phosphate chemically bond to tooth structure?

Answer 29

NO

Question 30

What kind of reaction does zinc phosphate elicit?

Answer 30

exothermic reaction (only small amounts of powder can be mixed at once)

Question 31

____ zinc oxide eugenol (ZOE) cement is less strong and used for temporary restorations and cementation.

Answer 31

Type I

Question 32

____ zinc oxide eugenol (ZOE) cement is reinforced and stronger and is an intermediate restorative that can last for 6-12 months.

Answer 32

Type II

Question 33

What is the benefit of ZOE, pH wise?

Answer 33

it has a NEUTRAL pH (pulpal sedative) vs. zinc phosphate which is acidic

Question 34

Cane ZOE be used with composite or acrylic resorations?

Answer 34

NO (retards setting process)

Question 35

How long is the setting time for zinc phosphate cement?

Answer 35

2.5-8 minutes

Question 36

What is the setting time for ZOE cement?

Answer 36

3-5 minutes

Question 37

Which cement requires a chilled glass mixing plate?

Answer 37

zinc phosphate

Question 38

What cement was the first to actually BOND to enamel and dentin?

Answer 38

zinc polycarboxylate

Question 39

What was the first cementing system to obtain an adhesive cemented agent that bonded to enamel and dentin?

Answer 39

zinc polycarboxylate

Question 40

What is the setting time for zinc polycarboxylate?

Answer 40

2.5 minutes

Question 41

Which cement can be mixed with large quantities of powder at one time? Zinc phosphate or zinc polycarboxylate?

Answer 41

zinc polycarboxylate

Question 42

Zinc polycarboxylate does not bond to ____ restorations.

Answer 42

gold

Question 43

What property of zinc carboxylate makes it very difficult to remove excess cement?

Answer 43

"plastic deformation"

Question 44

In the UMKC clinic, zinc polycarboxylate "Duralon" is used to temporarily seat what?

Answer 44

short crowns

Question 45

"Acid-Base cement" = _____.

Answer 45

glass ionomer

Question 46

Can glass ionomer cement restorations be suitable if they were improperly mixed?

Answer 46

YES (performance is still good)

Question 47

____ are moisture tolerant but fairly soluble.

Answer 47

Glass ionomers

Question 48

What is leeched out of glass ionomer restorations that can resist caries?

Answer 48

fluoride

Question 49

Fluoride release of glass ionomers increases in acidic conditions of the mouth and will increase the pH. What is this called?

Answer 49

buffering

Question 50

_____ have added hydrophilic methylacrylate monomers that cause lower early strength and moisture sensitivity, but have lower solubility overall.

Answer 50

resin-modified glass ionomers

Question 51

What is the setting time of glass ionomers?

Answer 51

2-2.5 minutes

Question 52

What are the two characteristics temporary cements need?

Answer 52

1) keep the temporary restoration in place | 2) be easily removed for permanent seating

Question 53

Eugenol provides an ____ effect.

Answer 53

antibacterial

Question 54

"ZONE" = ____ eugenol; "ZOE" = ____ eugenol.

Answer 54

DO NOT contain; DO contain

Question 55

Do ZOE or ZONE cements show greater retention?

Answer 55

ZONE

Question 56

Can eugenol be used in esthetic zones?

Answer 56

NO

Question 57

What MUST happen before a diagnosis and a suitable treatment plan can be developed?

Answer 57

comprehensive dental exam

Question 58

How are several complaints listed during a visit?

Answer 58

listed in order of priority, per the PATIENT

Question 59

What type of clinical examination would be appropriate for the patient who requests total dental care and has not been evaluated previously?

Answer 59

comprehensive dental diagnosis

Question 60

When does the physical exam and assessment start?

Answer 60

the SECOND you see the patient

Question 61

What is the foundation for comprehensive dental care?

Answer 61

a thorough comprehensive oral exam

Question 62

What is a "SOAP" note?

Answer 62

S - Subjective O - Objective A - Analysis P - Plan

Question 63

A ____ is any bodily change perceptible to the patient.

Answer 63

symptom

Question 64

A ____ is any bodily change which is perceptible to a trained observer.

Answer 64

sign

Question 65

What is the most common symptom arising in the head, mouth, and neck area?

Answer 65

PAIN

Question 66

Swelling, discharge, bad taste and breath, malaise or cervical lymphadenopathy indicate an ____.

Answer 66

infective origin