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1. SBA > scope of practice > Flashcards

scope of practice Flashcards

1
Q

A crown falls off whilst a dental therapist is scaling.

Can they recement this?

A

Only with temporary cement.

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2
Q

Can a therapist report on PA pathology in a radiograph?

A

They can mention it but not diagnose - therapists can’t diagnose or report on pulpal issues.

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3
Q

Can dental therapists undertake pulpotomies and pulpectomies?

A

Only a pulpotomy on primary teeth.

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4
Q

Regarding composite buildups, what can a therapist not do?

A

Increase the occlusal vertical dimension (OVD)

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5
Q

Can a therapist use whitening materials?

A

Only under a dentist’s prescription.

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6
Q

Can dental therapists treat peri-implantitis?

A

They can but no surgical interventions/medications.

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7
Q

Can a therapist restore a carious tooth that hasn’t previously been identified by the referring dentist?

A

No - they would have to make the dentist aware so they can put it on the treatment plan.

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8
Q

If a dental therapist is restoring a tooth and thinks a different material would be more appropriate, can they change it?

A

Yes - e.g: if composite has been tx planned and appropriate moisture control can’t be obtained then a different material can be used.

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9
Q

Can dental therapists extract a PRIMARY tooth on AN ADULT?

A

Yes

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10
Q

Can a dental therapist extract 6s on a child?

A

No - DTs can’t extract permanent teeth regardless of age.

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11
Q

Can dental therapists see a patient directly who hasn’t seen a dentist first?

A

Yes

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12
Q

As a dental therapist, you are asked to provide treatment which is outside your scope of practice but you feel competent, would you provide this tx?

A

No

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13
Q

Which of the following can PRESCRIBE radiographs?

a. FD
b. dentist
c. all dental nurses
d. all dental hygienists
e. dental therapists who have been trained to do so
f. all dental therapists
g. dental nurses who have been trained to do so
h. dental hygienists who have been trained to do so

A

a, b, e, h

(dental nurses can take radiographs but not prescribe)

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14
Q

You are asked to provide treatment which is in your scope which you are trained to undertake. However, you have not undertaken this tx since your undergraduate training so you do not feel competent to do so.

Would you still provide tx?

A

No

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15
Q

You are a dental therapist who is due to undertaken an amalgam restoration on the UL8 MOB. After the prep, the cavity is extensive and lacks retention but the tooth is not in occlusion and moisture control is limited so it might be more appropriate to use GIC.

What would you do?

a. restore with amalgam because this is on the tx plan
b. discuss with the pt the prognosis and restore with amalgam
c. provide a temp and re-appoint with a dentist
d. discuss with pt and restore with GIC

A

D - discuss with pt and restore with GIC

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16
Q

Can a dental therapist that works in a solely NHS practice carry out direct access?

A

Yes

17
Q

When restoring a LL5 DO, the caries looks to extend mesially, what would you do?

a. investigate the caries and do MOD if required
b. stick to tx plan of DO and leave the mesial
c. restore the DO and book and appointment with a dentist to investigate the mesial

A

A - investigate the caries and do an MOD if required

18
Q

When working as a dental hygienist, you are treating a direct access patient in a private practice.

Do you need a prescription for LA if you don’t have a PGD?

A

Yes

19
Q

Which of the following can apply Duraphat fluoride varnish WITHOUT a prescription?

a. dental therapist
b. dental nurse (who has appropriate training)
c. dentist
d. FD
e. dental hygienist

A

FD and dentist (C and D)

20
Q

Which of the following can provide tooth whitening in a beauty salon if trained to do so without prescription?

a. none
b. dental nurse
c. dental hygiene
d. dental therapist

A

A - none

21
Q

Whilst working as a dental therapist in an NHS practice, you have a nervous pt booked in for an UL5 rest. You have a prescription for LA but the pt also requests topical anaesthetic (20% lidocaine).

Can you apply this without prescription?

A

No

22
Q

Which of the following can take dental radiographs straight after qualifying without further training?

a. dental nurse
b. therapist
c. hygienist

A

B and C - therapist and hygienist

23
Q

Which of the following can place dental dam on a pt if trained to do so?

a. therapist
b. hygienist
c. nurse

A

ALL OF THE ABOVE

24
Q

A nervous child has been treatment planned, consented and booked in for acclimatisation today with further appointments for FV, supra and FS with you. The pt attends with mum who is eager to have all the tx done today as she doesn’t want to keep taking the child out of school.

What do you do?

a. all tx planned today as it is within my scope
b. all treatment referred that has been referred to yourself
c. follow the plans for initial acclimatisation today
d. start with acclimatisation and see how the pt copes before moving onto anything referred to you as long as the pt is ok. Adv mum that appt with the dentist will still be required.

A

D

25
Q

Which of these dental professionals can remove sutures from the oral cavity after appropriate training and once a dentist has checked?

a. technician
b. nurse
c. clinical dental technician
d. hygienist
e. therapist

A

b. nurse
c. clinical dental technician
d. hygienist
e. therapist

(all apart from the technician)

26
Q

You are a dental therapist undertaking supra PMPR on the pt when they drop their partial denture and the anterior tooth comes off. You are the only clinician working in that practice and the pt doesn’t have a spare set.

Can you take an impression of the denture in situ and send it off for repair?

A

No

27
Q

You are a dental therapist and a pt has been booked in for imps for a bite raising appliance. You take them and send them off to the lab and the pt is returning next week for the fit.

Can you fit the BRA?

A

No

28
Q

Which of the following can take photos, imps and rads as part of an ortho assessment if trained, competent and indemnified to do so?

a. dentist / FD
b. nurse
c. ortho therapist
d. hygienist / therapist
e. technician

A

a, b, d

(ortho therapists can’t)

29
Q

What are the interim order committee?

A

The regulatory body overseeing dental professionals.

  • may issue interim orders when here are concerns about professional conduct.
  • may include suspending dentist’s licence temporarily pending investigation

1. SBA (28 decks)

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