Patient Screening & Education Flashcards
15%
What is part of the patient record?
- Medical & Dental Health History
- Personal Information Form
- Patient Chart - record of key clinical data (charting)
- Informed Consent - written consent - signed and dated prior to the beginning of the treatment
- Dental Radiographs - legal document
- Diagnostic Models - study models - three-dimensional view of teeth and soft tissue
Health History Form
- List of questions about patient past and present medical and dental health history. The purpose of this form is to prevent medical emergency
- Information on medications, allergies and medical conditions that would affect dental treatment. For example, there are conditions that require antibiotics prior to a dental treatment. Should be review prior to a dental treatment
- Should be updated periodically - health status may change
- All questions must be answered by the patient
- Referrals
- Allergies
- Health conditions
- Medications prescribed
- Patient’s recall date
- Progress notes on ongoing treatment - need to be documented in INK
- There are 2 types of charting system
2 types of charting systems
- computerized
- manual
RDA charting
missing teeth, existing restorations, obvious conditions
DA charting
findings of the dentist
Periodontal charting
records pocket depth
ortho charting
different type of numbering system
pulse
60/100 BPM
child pulse
80/100 BPM
rhythm
strong, weak, irregular
respiratory rate
14-18
child respiratory rate
20-40
affected respiratory rate
activity, emotions, breathing difficulties
factors that cause pulse fluctuations
body size, age, stress, illness, physical activity
normal blood pressure
120/80
normal temp
98.6
women & children
have lower blood pressure than men
systolic pressure
the higher number/numerator
diastolic pressure
lower number/ denominator
hypertension
high blood pressure
hyperventilation
breathing very fast
if blood pressure is high…
retake blood pressure after 15min
taking blood pressure
patient should be sitting in an upright position with back supported, feet flat on the floor and arm supported at heart level
class 1
molar & premolar occlusal, buccal, lingual surface
class 2
molar & premolar proximal surface(ex. #31 M)
class 3
anterior proximal surface(ex. 8 M)
class 4
anterior teeth M & D 2 or more surfaces(ex. 9 MD)
