Patient Screening & Education Flashcards
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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)
class 5
gingival surface
class 6
fractured cusps
gag reflex
areas include soft plated, back of tongue, tonsils, uvula, sensitive areas may vary per individual, triggered by an object
salivary glands
proud and deliver saliva to the mouth
Whartons duct
open into the floor of mouth
parotid glands
below ear
Stenson duct
opens at the cheek, near upper second molar
sinuses
spaces within the skull to aid and reduce the weight of the skull and is for speech production
attached gingiva
stippled and pink, attached to the bone
free gingiva
not stippled and not attached to any tooth, sounds neck of the teeth
gingival margin
tip of the free gingiva
gingival sulcus
space between the free gingival and tooth
frenum
the fold that attaches the lips and gums
enamel
hardest structure in the body, covers the crown of the tooth, it protects dentin and will not regenerate
dentin
located on crown and roots, protects the pulp
the 2 parts of dentin
primary, secondary
pulp
soft tissue
cementum
bone like tissue the covers the root, connected to the periodontal membrane, important in tooth movement
periodontal membrane(ligament)
cushion between the tooth and the socket in the bone
alveolar bone
spongy bone that protects tooth
caries
tooth decay
abscess
pus
impaction
unerupted tooth
malocclusion
abnormal alignment of teeth
pulpitis
inflammation of the pulp
periapical abscess
at the root
periodontal disease
inflammation of tissue surrounding tooth
gingivitis
inflammation of gingival tissues, first stage of periodontal disease
vesicle
tissue containing watery liquid
ulcer
sore tissue
macule
flat discolored area
pustule
small blister or pimple on skin containing pus
nodules
passed solid lesion, growth of abnormal tissue
fistula
pathway by which pus forces its way out through the bone
hematoma
bruise
granulation tissue
new tissue healing
leukoplakia
(HIV/AIDs pts) white patches on tissue of cheek that can not be removed
herpes simplex
sore on lips, cold sore or fever blister
torus
elevation of bone on hard palate
palpation
the use of touch to reveal abnormalities
furcation
place where the roots of teeth fork
edentulous
without natural teeth
