Patient Care II Notable Topics/Information Flashcards
What is the most important tool in dentistry?
communciation
Is simply providing care to the patient enough? What other component is needed?
NO; need to motivate the patient
____ was cited as the primary cause of 68-70% of malpractice litigation cases.
Communication
A genuine smile is also called a “____” smile.
Duchenne
A genuine smile also involves the ___ muscles.
eye
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.
Facial Feedback
Spinning a pen, tapping your foot, tapping your fingernails, rocking, and using hand gestures are all ____ movements.
kinetic (body language)
What type of hand positioning is best or more comforting when speaking to a patient?
“fig leaf”
The saying “don’t use your teeth as tools” is a ____.
“sound bite”
Should you communicate with faculty away from the patient?
YES; sometimes you may have to
Should you talk badly about another dentist’s work?
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)
What is the #1 reason people avoid the dentist?
FEAR
If a patient comes to the office for recare more frequently, he or she has ___ anxiety.
LESS
More fillings = ____ patient anxiety.
LESS
Are females or males usually more anxious?
males are MORE anxious
females are LESS anxious
How can you lessen anxiety for a patient who is afraid of feeling the pain?
make sure to get them profoundly numb before you start
What 3 words describe what you should do to ease dental anxiety?
Show
Say/Tell
Do
Are all “vision-impaired” patients blind?
NO - most have some degree of sight
Can you use the words “see” and “look” when speaking to people who are blind?
YES - because there are not any reasonable substitutes
Should you extend your hand to shake a person’s hand in a wheelchair?
YES - it’s still an appropriate gesture
Is a person who uses a wheelchair in need of assistance?
NOT NECESSARILY - ASK first
Is health literacy associated with age and gender?
NO - associated with education and race/ethnicity
_____ Questions elicit the patient’s perspective from asked open-ended questions.
Kleinman’s
Along with adhesion, what is required to ensure that the cement will perform to its highest level clinically?
good resistance and retention form
Cements must be ____ to do no harm or damage oral or bodily surfaces.
biocompatible
Which dental cement was the first to appear in dental literature?
zinc phosphate cement
Which cement is the “gold standard” by which other cements are judged by?
zinc phosphate
_____ has low solubility, low thermoconductivity, and a long shelf life, but may cause pulp irritation.
Zinc phosphate
Does zinc phosphate chemically bond to tooth structure?
NO
What kind of reaction does zinc phosphate elicit?
exothermic reaction (only small amounts of powder can be mixed at once)
____ zinc oxide eugenol (ZOE) cement is less strong and used for temporary restorations and cementation.
Type I
____ zinc oxide eugenol (ZOE) cement is reinforced and stronger and is an intermediate restorative that can last for 6-12 months.
Type II
What is the benefit of ZOE, pH wise?
it has a NEUTRAL pH (pulpal sedative) vs. zinc phosphate which is acidic
Cane ZOE be used with composite or acrylic resorations?
NO (retards setting process)
How long is the setting time for zinc phosphate cement?
2.5-8 minutes
What is the setting time for ZOE cement?
3-5 minutes
Which cement requires a chilled glass mixing plate?
zinc phosphate
What cement was the first to actually BOND to enamel and dentin?
zinc polycarboxylate
What was the first cementing system to obtain an adhesive cemented agent that bonded to enamel and dentin?
zinc polycarboxylate
What is the setting time for zinc polycarboxylate?
2.5 minutes
Which cement can be mixed with large quantities of powder at one time? Zinc phosphate or zinc polycarboxylate?
zinc polycarboxylate
Zinc polycarboxylate does not bond to ____ restorations.
gold
What property of zinc carboxylate makes it very difficult to remove excess cement?
“plastic deformation”
In the UMKC clinic, zinc polycarboxylate “Duralon” is used to temporarily seat what?
short crowns
“Acid-Base cement” = _____.
glass ionomer
Can glass ionomer cement restorations be suitable if they were improperly mixed?
YES (performance is still good)
____ are moisture tolerant but fairly soluble.
Glass ionomers
What is leeched out of glass ionomer restorations that can resist caries?
fluoride
Fluoride release of glass ionomers increases in acidic conditions of the mouth and will increase the pH. What is this called?
buffering
_____ have added hydrophilic methylacrylate monomers that cause lower early strength and moisture sensitivity, but have lower solubility overall.
resin-modified glass ionomers
What is the setting time of glass ionomers?
2-2.5 minutes
What are the two characteristics temporary cements need?
1) keep the temporary restoration in place
2) be easily removed for permanent seating
Eugenol provides an ____ effect.
antibacterial
“ZONE” = ____ eugenol; “ZOE” = ____ eugenol.
DO NOT contain; DO contain
Do ZOE or ZONE cements show greater retention?
ZONE
Can eugenol be used in esthetic zones?
NO
What MUST happen before a diagnosis and a suitable treatment plan can be developed?
comprehensive dental exam
How are several complaints listed during a visit?
listed in order of priority, per the PATIENT
What type of clinical examination would be appropriate for the patient who requests total dental care and has not been evaluated previously?
comprehensive dental diagnosis
When does the physical exam and assessment start?
the SECOND you see the patient
What is the foundation for comprehensive dental care?
a thorough comprehensive oral exam
What is a “SOAP” note?
S - Subjective
O - Objective
A - Analysis
P - Plan
A ____ is any bodily change perceptible to the patient.
symptom
A ____ is any bodily change which is perceptible to a trained observer.
sign
What is the most common symptom arising in the head, mouth, and neck area?
PAIN
Swelling, discharge, bad taste and breath, malaise or cervical lymphadenopathy indicate an ____.
infective origin
