Patient Screening & Education Flashcards

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1
Q

What is part of the patient record?

A
  • 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
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2
Q

Health History Form

A
  • 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
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3
Q

2 types of charting systems

A
  • computerized
  • manual
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4
Q

RDA charting

A

missing teeth, existing restorations, obvious conditions

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5
Q

DA charting

A

findings of the dentist

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6
Q

Periodontal charting

A

records pocket depth

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7
Q

ortho charting

A

different type of numbering system

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8
Q

pulse

A

60/100 BPM

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9
Q

child pulse

A

80/100 BPM

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10
Q

rhythm

A

strong, weak, irregular

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11
Q

respiratory rate

A

14-18

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12
Q

child respiratory rate

A

20-40

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13
Q

affected respiratory rate

A

activity, emotions, breathing difficulties

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14
Q

factors that cause pulse fluctuations

A

body size, age, stress, illness, physical activity

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15
Q

normal blood pressure

A

120/80

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16
Q

normal temp

A

98.6

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17
Q

women & children

A

have lower blood pressure than men

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18
Q

systolic pressure

A

the higher number/numerator

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19
Q

diastolic pressure

A

lower number/ denominator

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20
Q

hypertension

A

high blood pressure

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21
Q

hyperventilation

A

breathing very fast

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22
Q

if blood pressure is high…

A

retake blood pressure after 15min

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23
Q

taking blood pressure

A

patient should be sitting in an upright position with back supported, feet flat on the floor and arm supported at heart level

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24
Q

class 1

A

molar & premolar occlusal, buccal, lingual surface

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25
class 2
molar & premolar proximal surface(ex. #31 M)
26
class 3
anterior proximal surface(ex. 8 M)
27
class 4
anterior teeth M & D 2 or more surfaces(ex. 9 MD)
28
class 5
gingival surface
29
class 6
fractured cusps
30
gag reflex
areas include soft plated, back of tongue, tonsils, uvula, sensitive areas may vary per individual, triggered by an object
31
salivary glands
proud and deliver saliva to the mouth
32
Whartons duct
open into the floor of mouth
33
parotid glands
below ear
34
Stenson duct
opens at the cheek, near upper second molar
35
sinuses
spaces within the skull to aid and reduce the weight of the skull and is for speech production
36
attached gingiva
stippled and pink, attached to the bone
37
free gingiva
not stippled and not attached to any tooth, sounds neck of the teeth
38
gingival margin
tip of the free gingiva
39
gingival sulcus
space between the free gingival and tooth
40
frenum
the fold that attaches the lips and gums
41
enamel
hardest structure in the body, covers the crown of the tooth, it protects dentin and will not regenerate
42
dentin
located on crown and roots, protects the pulp
43
the 2 parts of dentin
primary, secondary
44
pulp
soft tissue
45
cementum
bone like tissue the covers the root, connected to the periodontal membrane, important in tooth movement
46
periodontal membrane(ligament)
cushion between the tooth and the socket in the bone
47
alveolar bone
spongy bone that protects tooth
48
caries
tooth decay
49
abscess
pus
50
impaction
unerupted tooth
51
malocclusion
abnormal alignment of teeth
52
pulpitis
inflammation of the pulp
53
periapical abscess
at the root
54
periodontal disease
inflammation of tissue surrounding tooth
55
gingivitis
inflammation of gingival tissues, first stage of periodontal disease
56
vesicle
tissue containing watery liquid
57
ulcer
sore tissue
58
macule
flat discolored area
59
pustule
small blister or pimple on skin containing pus
60
nodules
passed solid lesion, growth of abnormal tissue
61
fistula
pathway by which pus forces its way out through the bone
62
hematoma
bruise
63
granulation tissue
new tissue healing
64
leukoplakia
(HIV/AIDs pts) white patches on tissue of cheek that can not be removed
65
herpes simplex
sore on lips, cold sore or fever blister
66
torus
elevation of bone on hard palate
67
palpation
the use of touch to reveal abnormalities
68
furcation
place where the roots of teeth fork
69
edentulous
without natural teeth