Quiz 2 Flashcards
Chief Complaint
Addressed prior to initiation of DH treatment, reason for seeking care
Risk Factors Care Plan Must Address
Periodontal infections, systemic conditions, dental caries and oral cancer
Assessment Findings
Chief complaint, risk factor, patients oral health knowledge level, patients self0care ability
DH Diagnosis
Provides the basis for planning interventions within the scope of DH practice. Uses current periodontal status (past diseases too), stage and grade, parameters of care
Stage and Grade
Stage= classification of periodontal disease, extent, severity Grade= risk for future disease
Parameters of Care
Clinical goals, therapeutic goals, treatment considerations and outcome assessment
DH Prognosis
A look ahead to an anticipated outcome, statement of possible outcomes that can be expected
Factors that determine outcome/prognosis
Current disease status (bone loss), patients risk factors (smoking), commitment to oral hygiene care, interventions potential to reverse patients oral disease, evidence from scientific literature
Prognosis or Expected Outcomes Gingival/periodontal
No bleeding on probing, reduced probing attachments, decrease mobility, reduce swelling
Prognosis or Expected Outcomes
Dental Caries
No new mineralized areas, remineralization, reduction of cariogenic foods, placements of sealants/ITRs
Prognosis or Expected Outcomes
Prevention
Elimination of iatrogenic factors (calculus, restorative overhang), compliance with daily oral care, nicotine free status, modification- stabilization of systemic risk factors (diabetes)
Considerations for Providing Care
Role of the Patient
Willingness and or ability of the patient to participate in planned oral health behaviors, determine their level of understanding, physical ability, lifestyle factors
Considerations for Providing Care
Tissue Conditioning
Preparation or conditioning of the gingival tissues. Purpose= gingival healing (less edema), reduced bacterial accumulation, patient education
procedure= daily biofilm removal (antimicrobial rinse_
Considerations for Providing Care
Pre-procedural Rinsing
Purpose= reduce bacterial load, decrease the potential for bacteremia Procedure= force antimicrobial rinse between teeth
Considerations for Providing Care
Pain and Anxiety Control
Purpose= enhance patient comfort and compliance Procedure= nitrous oxide, local anesthesia Considerations= never entire mandible, treat 2 quads same side
