Scope of practice and risks Flashcards

1
Q

What can dental nurses not do that cannot be done even under prescription?

A

Diagnose and treatment plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the one task that orthodontic therapists can do that isn’t under prescription?

A

They do everything under prescription except recording IOTN.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What can orthodontic therapists never do regardless of prescription?

A

Modify arch wires, give LA, scaling, recement crowns, place temp dressing, diagnose or treatment plan.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What can dental therapists do without prescription?

A

Can do everything a hygienist does as well as restore primary and secondary teeth, carry out pulpotomy, extract primary teeth and place preformed crowns on primary teeth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What can dental technicians do without prescription?

A

Can repair dentures direct to members of public

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What can clinical dental technicians do?

A

They can provide complete denture direct to patients but cannot provide anything that involves teeth.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is statutory duty of candour?

A

Since 2014 all nhs primary care staff must recognise and report serious events including never events to CQC, NRLS, PHE or HSE/HUS (Scotland)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the risk from a BW/PA X-ray?

A

1:10million

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the risk from a OPG?

A

1:1million

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the risk of developing cancer using effective dose from dental X-ray for males and females?

A

Males:
- 1:50,000 per mSv

Females:
- 1:18,000 per mSv

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is absorbed dose?

A

Mean energy imparted to a unit of mass of tissue by radiation (grays)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is equivalent dose?

A

The absorbed dose is weighted to take account of the type of radiation (mSv)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the effective dose?

A

Weighted to take account both radiation type and radio sensitivity of the tissue/organ being irradiated (Sv or mSv)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the effective dose for BW/PA, OPG and CBCT?

A

BW/PA
- 0.3-21.6mSv

OPG
- 2.7-38mSv

CBCT
- 11-214mSv

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the increased risk from smoking and alcohol for development of OSCC?

A

Synergistic effect

38x more likely to develop SCC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Smokers are more likely to have periodontal destruction but by how much is the risk?

A

6x more likely

1-4 cigarettes/day causes 50% increase in risk of periodontitis

17
Q

What percentage of population has moderate vs severe periodontitis?

A

Moderate 37%

Severe 8%

18
Q

With regards to survival rates what is the rate for conventional bridges vs RBB vs implants?

A

Conventional bridges
- 5yr 94% survival

RBB

  • 5yr 88%; 10yr 44%
  • average lifespan 7yr

Implants

  • 5yr 94.5%
  • 10-15yr 90%
19
Q

What are the survival and success rates for primary and Re-RCT at 4yrs?

A

Primary RCT
- 4yrs 95.4% and success 83%

Re-RCT
- 4yrs 95.3% and success 80%

20
Q

What are the 3 types of Endodontic outcomes?

A

Favourable (success)
- absence of clinical and radiology signs/symptoms

Uncertain (survival)
- lesion has remained same size

Unfavourable (failure)

  • signs of infection
  • apical area on X-ray at 4yrs or has only diminished in size
  • signs of root resorption
21
Q

What are the rates of BBV transmission for HIV, Hep C and Hep B?

A

HIV 1:300 0.3%
Hep C 1:30 3%
Hep B 1:3 30%