TUT 6 Flashcards
Who is involved in the care of periodontal patients?
- dentist
- specialist periodontist
- hygienist/therapist
- dental nurse (oral health educator)
What should the prescription to the hygienist include?
- baseline indices
- risk factor control
- OHI
- PMPR ± LA as required
- review interval with referring dentist
When should a dentist prescribe LA to a hygienist?
Always
What should be included in the LA prescription?
- type of anaesthetic and strength
- maximum dosage
- frequency (eg as required)
- route of administration (injection)
When should patients be referred?
- non-responding sites after step 1 and 2
- level 2 and 3 complexity patients (BSP)
What increases a patient’s level of complexity for periodontal treatment?
- pockets >6mm
- over 30% bone loss
- implants
- mobility
- furcations grade 2 or 3
- multidisciplinary care
What should a referral letter include?
- referrer details
- patient details
- MH
- SH
- clinical information
What clinical information should be included in the referral letter?
- diagnosis and classification
- reason for referral
- details of treatment previously carried out (including OHI/PMPR)
- relevant radiographs and charts
- clinical images if available
What is involved in step 4 SPT?
- continual risk assessment
- PMPR and control of risk factors
- tailored OHI
- MPBS
- control of sensitivity following recession (FV, unfilled resin, composite, DBA)
What is the interval for a baseline pocket chart for periodontal patients?
1 year
What is the mechanism of action of chlorhexidine?
- plaque inhibition
- bactericidal during action
- bacteriostatic when incorporated into pellicle
When is chlorhexidine indicated?
- acute conditions
- ulceration
- unable to carry out regular OH
What are the complications associated with chlorhexidine?
- staining
- burning mouth
- altered sensation
- allergic reaction (anaphylaxis when used in open wounds)
What other mouthwash can be used for gingival inflammation?
6% hydrogen peroxide (must be diluted)
