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TOK NHS dental treatment Flashcards

1
Q

A non-registrant can deliver tooth whitening under which of the following circumstances?

A

Never

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2
Q

Capitation payments for 0-2 yrs covers a basic fee for care,

treatment and preventive advice including

A

Bite wing radiographs Toothbrushing instruction and dietary advice Dietary advice

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3
Q

Tooth 22 has fractured and requires a new post crown.

Under what circumstances can you claim for a temporary

post crown under item 1743?

A

If the patient attends as an emergency for the fractured tooth, prior to the preparation appointment

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3
Q

Prior approval regulations apply to?

A

All NHS patients

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4
Q

An ‘HC1’ form is used…

A

To apply for help under the NHS Low Income Scheme

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5
Q

Which of these dental procedures is/are at low-risk of

post-operative bleeding complications?

A

Direct restorations with subgingival margins Simple extractions (1-3 teeth with restricted wound size) Root surface instrumentation and subgingival scaling

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6
Q

Which of the following are within dental therapist’s scope

of practice

A

Inferior dental block anaesthesia Prescribing radiographs Oral cancer screening Placing preformed crowns on deciduous teeth

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6
Q

Under prescription, which of the following treatments can

be carried out by therapists?

A

Root surface debridement Pulpotomies on primary teeth Extraction of primary teeth Single surface fillings in any tooth

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7
Q

What information must you record to qualify for payments

using SIMD information?

A

Patient postcode

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8
Q

Patient attends for a routine exam on 30th January. What

is the earliest date the patient can next attend for a

routine exam?

A

1st July

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9
Q

What does SIMD stand for?

A

cottish Index of Multiple Deprivation

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10
Q

Your patient is a deep sea fisherman. You are allowed to

proceed immediately with treatment which normally

requires confirmation of prior approval if this patient is

leaving the country for a minimum period of?

A

4 weeks.

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11
Q

For a General Dental Practice to be deemend NHS

committed and receive the maximum payment in relation

to the General Dental Prpactice allowance they have to

fulfil the following criteria

A

Have retained no fewer than 80% of their registered NHS patients compared to their 1st July 2022 baseline Have been satisfactorily inspected by the health board within the last 3 years All dentists within the practice meet, and continue to meet their NHS terms of service

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12
Q

Under the NHS repairs to dentures are…?

A

Free

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12
Q

According to SDCEP guidance, which details should you

include in a letter when making a formal referral to a

specialist practitioner or secondary care for further

periodontal care?

A

Medical history. Referrer details, including address and telephone number of the practice. Social history. Patient details including date of birth and CHI number if known. Any existing relevant radiographs.

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13
Q

When you prepare a tooth for a permanent crown you

should usually claim a fee for the temporary crown under

item 1742 or 1743 if post-retained.

A

False

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14
Q

A patient books in for a 10(a) scale and polish. When is the

longest period of time within which the most recent exam

must have taken place?

A

11 complete calendar months previously.

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15
Q

Under which circumstances can the additional fee for ‘same arch’, code 1700, be claimed?

A

For the first or only crown in the same arch.

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15
Q

SIMD codes are grouped into categories for payment for

additional fees in the SDR. How are they grouped?

A

1-3, 4-5

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16
Q

Under the NHS GDS regulations what completion date

should be used in the situation where a patient has failed

to attend an appointment to complete their treatment?

A

The date of the last appointment the patient failed.

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17
Q

When carrying out periodontal treatment for a patient in

your care, which of the below should you record in the

patient’s notes?

A

The suggested treatnent plan and details of cost Details of referrals Self-reported oral hygiene habits The details of any treatment Specific periodontal complaints eg: bleeding gums Lifestyle factors Results of the BPE

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18
Q

Which of the following statement are true? Medical

histories need to be recorded in order to…

A

Determine any special risks Identify possible patient emergencies Assess fitness to undergo examination and treatment Determine any necessary modifications to patient management

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19
Q

With the introduction of Direct Access in May 2013, dental

hygienists and therapists can diagnose and treat patients

within their scope of practice, without a prescription from

a dentist.

A

True

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20
Q

In relation to local anaesthesia what is a ‘PGD’?

A

Patient Group Direction

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21
Q

SDCEP provides user friendly evidence based guidance to

support Dental teams in Clinical and Organisational

decision making. Current guidance includes:

A

Drug Prescribing for Dentistry Practice Support Manual Prevention of, and Management of Dental Caries in Children

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21
Q

From a medico-legal aspect, for a periodontal assessment

it is important to record in the notes a thorough

assessment of any radiographs, from a periodontal

perspective what would you not include?

A

Location of the sinuses

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22
Q

If a patient does not attend the dentist with whom they

are registered, after a period of three years which of the

following will occur?

A

Payment to the dentist for capitation/continuing care will fall by 80%.

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23
Q

Patient attends for a routine 10 (a) on 30th January. What

is the earliest date the patient can normally next attend

for the same?

A

1st July (can be claimed every 3 complete calendar months, earliest would be 1st May, but not an answer option!)

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24
Q

Childsmile is a national programme operating in all Health

Boards across Scotland, which of the below is NOT a

component of the programme?

A

Childsmile Home

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25
Q

When administering local anaesthetic in the practice, it is

considered good practice to record which of the following?

A

Batch number Dosage Drug name

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25
Q

According to the SDR, what would ‘’normally’’ be the

maximum number of teeth that can be root treated in the

same course of treatment?

A

Three

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26
Q

Which of the following statements is/are true? In the NHS

General Dental Services, a dentist …

Which of the following statements is/are true? In the NHS

General dental services where an NHS patient is registered

with a dentist, that dentist or other dentist in the same

practice …

A

Must provide written details of any private treatment proposed to a registered NHS patient

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27
Q

Continuing care payments are increased in adults from what age? Capitation payments are increased in adults from what age?

A

65 years

28
Q

You add a clasp to an existing denture (8 months old) to

aid retention. Which of the following are correct?

A

You can claim an NHS fee for the clasp

28
Q

SIMD category is based on…?

A

Patient postcode

29
Q

Which of the following is ‘Enhanced Prevention’ for 13

y/o?

A

Use of diet diaries BWS, if not taken in previous 6-12 months

30
Q

The following fee is payable for ortho extractions of non-

diseased teeth in children in addition to the normal

extraction fee?

A

No additional fee

31
Q

Your patient, for whom you are providing a denture, fails

to return for his bite registration. What is the fee may be

claimed from the work undertaken?

A

25% of gross fee

32
Q

With what frequency is it good practice to check medical

histories (by verbal questioning)?

A

Every appt

32
Q

A patient attends for the provision of F/F dentures but

does not return after the try-in stage. What is the

minimum time you should wait before claiming your fee?

A

2 months

33
Q

How long after extraction are you normally required to

wait before providing a metal based denture under the

NHS?

A

3 months

33
Q

An accurate and up to date medical history should be

recorded and signed by the patient for which of the

following reasons?

A

To find out if there has been any change in the patient’s health since last treatment. To highlight any allergies or patient medications. To help ensure that the patient’s dental treatment takes their general health into account.

34
Q

Minimum amount of time between extraction and NHS

metal denture in the same arch

A

3 months

35
Q

If an amalgam restoration fails within which period of time

are you obliged to replace it free of charge and without

claiming payment?

A

11 complete calendar months

36
Q

Under NHS regulations, a permanent fixed bridge would not normally be provided until which of the following post-extraction periods has elapsed?

A

6 months

37
Q

10(a) on 30th January. What is the earliest date the patient

can normally next attend for the same?

A

1st April

38
Q

After what period of time, after a tooth has been root

treated in your Practice, would you normally be able to

claim for a re-root treatment?

A

11 complete calendar months

39
Q

Which of the below is NOT an indication to carry out pulp

therapy on a primary molar?

A

Tooth close to exfoliation

40
Q

For routine crown preparation, what is the fee for a

temporary crown?

A

No fee

41
Q

An eDental payment claim must be submitted within what

time frame from completion of the treatment?

A

3 months

41
Q

From the date of completion of treatment what is the

maximum amount of time a dentist normally has to submit

an NHS claim before the claim will be rejected by

Practitioner Services?

A

3 months

42
Q

What is a 1(d) Exam?

A

Care and treatment summary for a patient

42
Q

Under NHS capitation arrangements a dentist is entitled to

claim an item of service fee for which of the following?:

A

Endodontic treatment Permanent cons in permanent teeth Provision of crowns Provision of dentures Extraction of deciduous teeth

43
Q

In which of the following situations may an examination

fee be claimed for a child?

A

When providing treatment relating to trauma

44
Q

When administering a local anaesthetic in dental practice,

which of the following must be recorded in the patient’s

notes?

A

The generic name of the solution The dose administered The presence of another agent in the solution The concentration

45
Q

Patients who are exempt from payment of NHS Charges

include patients who:

A

Are aged 18 and in full time education Are under 26 years old Have certified exemption from payment because of income

46
Q

Which of the following items can be carried out under the NHS GDS terms of service without having to seek prior approval?

A

Provision of a laboratory fabricated heat-cured acrylic splint in connection with external trauma. Provision of lab processed hard occlusal appliance in connection with parafunctional clenching/ grinding of teeth and/or TMJ disorder.

46
Q

A patient (who has no special medical needs) attends your

practice and is 15 years of age at the examination. She

requires an occlusal restoration on a lower first molar, has

turned 16 by the time the restoration is placed. It would

be appropriate to place an amalgam restoration under the

NHS regulations: True of false?

A

True

47
Q

A patient (who has no special medical needs) attends your

practice and is 14 years of age at the examination. She

requires an occlusal restoration on a lower first molar.

However, by the time the restoration is placed she has

turned 15, so it would be appropriate to place amalgam

restoration under NHS regulations

A

False

48
Q

A 13 year old patient attends for examination. They

require an MOD restoration in a permanent molar, a DO in

a permanent premolar, and an MO in a deciduous molar.

After restoring all three with composite resin, how many

different treatment codes from the SDR is it appropriate to

claim payment for:

A

2

49
Q

Under NHS regulations which of the following are correct

regarding simple excision of soft tissue to lengthen

crowns?

A

It attracts a separate fee in the SDR

49
Q

Under NHS regulations when can dentine pins be claimed?

A

With 2 or more surfaces in amalgam With anterior composites

50
Q

Under NHS regulations, if a dentist has to replace or repair

a defective filling, root filling, inlay, pinlay or crown

completed within their practice during which period of

time are you obliged to replace it free of charge without

claiming payment?

A

Up to 12 months

51
Q

In what circumstances can item 4701 (occasional

treatment) advice and assessment fee be claimed?

A

All unregistered patients Registered patients of another dental practice with dental emergencies Unregistered patients with dental emergencies

52
Q

A 16 year old patient has a heavily restored upper central

incisor which is causing pain. You elect to root treat and

crown the tooth. For which of the following can you

normally claim a fee?:

A

The final crown A root filling

52
Q

A patient wants a bridge to replace an upper central

incisor that has yet to be extracted. What is the minimum time that the SDR states you should normally wait between the extraction and the construction of the permanent bridge?

A

6 months

53
Q

You have a patient who requires provision of a porcelain

veneer for a lower incisor. No other treatment is needed.

NHS regulation require you to?

A

This cannot be provided under NHS arrangements

54
Q

Which of the statements below apply when carrying out a

periodontal screening on children and adolescents <18

years?

A

Immediately refer any child with evidence of periodontitis Record the highest score in the appropriate box chart Consider plaque scores for patients with poor oral hygiene Explain to the patient the reason for the examination Examine UR6, UL6, LL6, LL1 and LR6 using a WHO BPE probe

55
Q

Under current NHS regulations, what percentage of the

fross NHS fee (below the maximum patient charge) do

non-exempt adult patients have to pay for a simple

extraction?

A

80%

55
Q

Capitation payments cease at…?

A

18 years

56
Q

Where you have provided care and treatment for a patient

under continuing care or capitation, what is the maximum

length of time after completion of treatment you have to

send the electronic claim form for payment?

A

3 months

56
Q

For which of the following items may an NHS fee be

claimed on a 16 year old patient registered at your

practice?

A

A crown Arrest of haemorrhage A molar root treatment Scaling Treatment of an infected socket Exam required as a result of trauma An amalgam filling

57
Q

For which of the following can an examination fee be

claimed?

A

1b extensive clinical examination, for a patient ages 17 years 11 months. Following dental trauma, for a patient aged 17 years 6 months. Routine exam, for a patient aged 18 years 0 months.

58
Q

Which of the following NHS GDS treatments require study casts to be included in the treatment plan to allow successful processing of the claim by PSD?

A

Cases involving provision of a hard heat-cured acrylic occlusal appliance. Cases involving bridgework. Pre and post treatment in cases of orthodontic treatment.

58
Q

Which of the following are required to satisfy the

regulations when claiming extensive periodontal

treatment under Item 10c?

A

Full case assessment under Item 1(c) within the previous 23 complete calendar month Full periodontal charting Appropriate radiographs

58
Q

Which of the following fees may be claimed without prior

approval when treating an unregistered adult patient who

requires urgent emergency treatment?

A

Assessment and advice Appropriate radiographs

59
Q

Which of the following is/are true of GDS Enhanced Skills

Allowances

A

Enhanced skills allowance is only payable in connection with the provision of domiciliary care

60
Q

You have agreed to provide a RCT for an NHS registered

patient for their lower left second molar tooth. This tooth

will require a crown as a final restoration. The patient has

requested that a metal shell crown should not be placed

on this tooth following RCT and has requested a tooth

coloured crown.

A

You should explain to the patient that the treatment for this tooth should be provided entirely under NHS arrangements or entirely privately, mixing is not an option

61
Q

Which of the following NHS GDS treatments require study

models to be included in the treatment plan to allow

successful processing of the claim by PSD

A

Pre and Post treatment in cases of orthodontic treatment Cases involving bridgework Cases involving provision of a hard heat-cured acrylic occlusal appliance

61
Q

Which of the following is/are true about fissure sealants

A

Fissure sealants should be maintained to ensure their integrity A claim may be made for replacement of a failed fissure sealant if 23 months have elapsed since the last claim and the patient has special care needs

62
Q

Under GDS 2010 Regulations you are required to replace a

restoration that has failed within 12 months of being

placed? Which of the following is/are true

A

This period of free replacement ends should the patient cease to be registered to you

63
Q

This period of free replacement ends should the patient cease to be registered to you

A

Have been included on a dental list for at least 2 years Transfer registration of their patients to another dentist Complete a GP203 form

VT (11 decks)

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