Q1, E1 L2b Tx Planning, 3toothprep Flashcards
_________ involves gaining the patient’s permission to proceed with treatment
Informed consent
A patient’s records, including the health history and radiographs, are the legal property of ________.
the treating dentist
Patients also have the right to request that ______ of their records (including radiographs) be sent to a new dentist or to a specialist for treatment or a second opinion.
COPIES
What are the 3 components to obtaining a patient’s health history?
1.Written Questionnaire 2.Oral Interview 3.Visual Assessment
_______: Determining the nature of the disease through patient examination
Diagnosis
_______: An estimate of the likely course of a disease….What are the 2 most prominent factors?
prognosis…1. General Factors (age, caries rate) 2.Local Factors (tooth mobility, root angulation)
The primary reason that the patient is seeking treatment. Stated and recorded in your notes in the patient’s own words
Chief Complaint
What are the 4 categories of chief complaints?
- Comfort 2.Function 3.Socal 4.Apperance
As a Standard of Care in the US: The patient’s _______ and ______ should be recorded.
blood pressure and pulse rate
Antibiotic prophylaxis recommendations exist for two groups of patients….ok. wait. 4 more heart things. so 6 total.
1.infective endocarditis 2.artificial heart valve 3.endocardidits 4.transplant 5.congenital heart defects 6.total joint replacement
What is the most common dental emergency?
Syncopy (fainting)
Great BOARDS question: Patients with unstable or uncontrolled angina should wait for at least ____ days after their angina is stabilized to receive dental treatment
30 days
Should not receive any dental treatment for a minimum of __ months after the heart attack.
6 months
Most fatalities from MI occur within ___-___ months after the attack.
3-4 months
Since stress will increase blood pressure, dental treatment is contraindicated in patients with severe ______.
HTN
As a rule, patients with a systolic pressure greater than ____ and/ or a diastolic pressure greater than ___ should be referred for medical consultation and treatment and dental treatment should be delayed.
160….95
Patients with ______ may be prone to an attack brought on by the stress of dental treatment
ASTHMA
Patients with uncontrolled ______ have low resistance to infection and are prone to periodontal disease. They have poor healing response, including excessive bleeding, and may experience hypoglycemia or hyperglycemia during dental treatment.
DIABETES
Patients who are taking oral anticonvulsant medications, such as ______®, may experience gingival hyperplasia
Dilantin®
______: May have problems with slow wound healing and excessive bleeding…They may report feeling weak and fatigued
Anemia
______: Excessive gingival irritation, Patients with leukemia are very prone to infections, including periodontal infections, The chemotherapeutic agents used to treat the disease have many side effects including xerostomia or dry mouth
Leukemia
Hepatitis ___ carriers, the STI’s ______ & ________, And the respiratory bug ______…Practice _______ Precautions: This means that full infection control is practiced for every patient
B..syphillis,AIDS….TB…..Universal….isn’t it Standard precautions???
ASA Status: A patient with severe systemic disease
3
ASA Status: A moribund patient who is not expected to survive 24 hours without the operation
5
ASA Status: A normal healthy patient
1
ASA Status: A declared brain-dead patient whose organs are being removed for donor purposes
6
ASA Status: A patient with mild systemic disease
2
ASA Status: A patient with severe systemic disease that is a constant threat to life
4
It is also a Standard of Care to review all patient provided written medical histories with the patient ______ to insure accuracy….ALSO Medical History should be reviewed at each visit for any ______ that might have occurred
VERBALLY…CHANGES!!
Remember fixed prosthodontic treatment is often indicated in ______ or ______ patients, who can be at higher risk for cardiovascular disease
middle aged or older
Long term ______ health is essential for successful fixed prosthodontics so any existing ________ disease must be corrected before any definitive prosthodontic treatment
periodontic
Tooth mobility: 0= No mobility.
1= __mm range of movement in a horizontal plane.
2= __mm range of movement in a horizontal plane.
3= __mm range of movement, or tooth is depressible
1,2,3mm respectively
________: A vibration palpable when the teeth come into contact
Fremitus
Ease of ____ movements and maximum opening should be recorded…Indicates neuromuscular and masticatory function
jaw
Pulp testing: We are only testing the ______ nerve supply so may get false information if the blood supply is intact and the nerve supply is damaged
afferent
Phase I
Treatment of Symptoms
Phase II
Stabilization of Deteriorating Conditions
Phase III
Definitive Therapy
Phase IV
Maintenance
Which phase do we deliver the final prosthesis?
Definitive (Phase III)
An under-reduced preparation can lead to an ________ Restoration which affects plaque control.
over contoured
WILL BE ON QUIZ/EXAM: Also expressed as the height between the deepest point of the ________ and the _________…The mean biologic width has been determined to be _____mm…..SO it is suggested to remove enough bone to have ___mm between the restorative margin and the crest of alveolar bone
gingival sulcus….alveolar bone crest…..2.04mm
SO TO PRESERVE Biological Width… it is suggested to remove enough bone to have ___mm between the restorative margin and the crest of alveolar bone
3mm
The quality of a preparation that prevents the restoration from becoming dislodged by forces parallel to the path of placement
Retention Form
Minimizing _____ effectively limits the number of directions in which a cast crown can be dislodged
taper
For a crown to seat and have the optimal retention, all axial walls should have a ___ degree taper from cervical to occlusal
6
Slight increases in taper have a _______ decrease in retention
SIGNIFICANT
At 12:01 the hands of the clock have an angle of _____ degrees
5 1⁄2
Checking insertion: One eye should be closed and should be at a distance of ___ inches
12
Preparations in the mouth are viewed through a mouth mirror using ______!
ONE EYE!
Crowns with _____ axial walls are more retentive than those with _____ axial walls
tall…short
The features of a tooth preparation that enhance the stability of a restoration and resist dislodgment along an axis other than the path of placement
resistance form
The resistance form of an excessively tapered preparation can be improved by adding ______ or boxes. As an alternative, _____ can be prepared to achieve the same effect
grooves…pinholes
Occlusal reduction should reproduce basic _____ planes rather than being cut as one ____ plane.
inclined … flat (get that occlusal anatomy son!)
Inadequate axial reduction can cause thin walls and a _____ restoration (A) or a bulbous, ____ contoured restoration
weak…over
Over inclination of the buccal surface will destroy excessive tooth structure while lessening ______ and potentially violating the pulp
retention
What type of margin? 45 – 60 degrees to the long axis of the tooth and .5mm wide…Inlay / onlay margins
Bevel
What type of margin? Rounded axiopulpal line angle, 90 degree cavosurface line angle, .5 to 1.5 mm wide…Full metal casting
Chamfer
What type of margin? 90 degree axiopulpal line angle….90 degree cavosurface line angle….1.2 to 1.5 mm wide…Porcelain margins
Shoulder
What type of margin? 120 degree to long axis of tooth 1.2 to 1.5 mm wide
Sloped Shoulder
What type of marign? 90 degree axiopulpal line angle…135 degree cavosurface line angle…Bevel is 0.5 mm wide…What type of crown??
Beveled Shoulder…METAL
