Patient Care II Notable Topics/Information Flashcards

1
Q

What is the most important tool in dentistry?

A

communciation

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2
Q

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

A

NO; need to motivate the patient

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3
Q

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

A

Communication

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4
Q

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

A

Duchenne

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5
Q

A genuine smile also involves the ___ muscles.

A

eye

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6
Q

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.

A

Facial Feedback

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7
Q

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

A

kinetic (body language)

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8
Q

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

A

“fig leaf”

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9
Q

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

A

“sound bite”

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10
Q

Should you communicate with faculty away from the patient?

A

YES; sometimes you may have to

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11
Q

Should you talk badly about another dentist’s work?

A

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)

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12
Q

What is the #1 reason people avoid the dentist?

A

FEAR

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13
Q

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

A

LESS

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14
Q

More fillings = ____ patient anxiety.

A

LESS

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15
Q

Are females or males usually more anxious?

A

males are MORE anxious

females are LESS anxious

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16
Q

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

A

make sure to get them profoundly numb before you start

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17
Q

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

A

Show
Say/Tell
Do

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18
Q

Are all “vision-impaired” patients blind?

A

NO - most have some degree of sight

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19
Q

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

A

YES - because there are not any reasonable substitutes

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20
Q

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

A

YES - it’s still an appropriate gesture

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21
Q

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

A

NOT NECESSARILY - ASK first

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22
Q

Is health literacy associated with age and gender?

A

NO - associated with education and race/ethnicity

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23
Q

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

A

Kleinman’s

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24
Q

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

A

good resistance and retention form

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25
Q

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

A

biocompatible

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26
Q

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

A

zinc phosphate cement

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27
Q

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

A

zinc phosphate

28
Q

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

A

Zinc phosphate

29
Q

Does zinc phosphate chemically bond to tooth structure?

A

NO

30
Q

What kind of reaction does zinc phosphate elicit?

A

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

31
Q

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

A

Type I

32
Q

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

A

Type II

33
Q

What is the benefit of ZOE, pH wise?

A

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

34
Q

Cane ZOE be used with composite or acrylic resorations?

A

NO (retards setting process)

35
Q

How long is the setting time for zinc phosphate cement?

A

2.5-8 minutes

36
Q

What is the setting time for ZOE cement?

A

3-5 minutes

37
Q

Which cement requires a chilled glass mixing plate?

A

zinc phosphate

38
Q

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

A

zinc polycarboxylate

39
Q

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

A

zinc polycarboxylate

40
Q

What is the setting time for zinc polycarboxylate?

A

2.5 minutes

41
Q

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

A

zinc polycarboxylate

42
Q

Zinc polycarboxylate does not bond to ____ restorations.

A

gold

43
Q

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

A

“plastic deformation”

44
Q

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

A

short crowns

45
Q

“Acid-Base cement” = _____.

A

glass ionomer

46
Q

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

A

YES (performance is still good)

47
Q

____ are moisture tolerant but fairly soluble.

A

Glass ionomers

48
Q

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

A

fluoride

49
Q

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

A

buffering

50
Q

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

A

resin-modified glass ionomers

51
Q

What is the setting time of glass ionomers?

A

2-2.5 minutes

52
Q

What are the two characteristics temporary cements need?

A

1) keep the temporary restoration in place

2) be easily removed for permanent seating

53
Q

Eugenol provides an ____ effect.

A

antibacterial

54
Q

“ZONE” = ____ eugenol; “ZOE” = ____ eugenol.

A

DO NOT contain; DO contain

55
Q

Do ZOE or ZONE cements show greater retention?

A

ZONE

56
Q

Can eugenol be used in esthetic zones?

A

NO

57
Q

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

A

comprehensive dental exam

58
Q

How are several complaints listed during a visit?

A

listed in order of priority, per the PATIENT

59
Q

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

A

comprehensive dental diagnosis

60
Q

When does the physical exam and assessment start?

A

the SECOND you see the patient

61
Q

What is the foundation for comprehensive dental care?

A

a thorough comprehensive oral exam

62
Q

What is a “SOAP” note?

A

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

63
Q

A ____ is any bodily change perceptible to the patient.

A

symptom

64
Q

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

A

sign

65
Q

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

A

PAIN

66
Q

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

A

infective origin