TxPlan E1 Flashcards
ADA Definition: Tx Plan: The _________ guide for the patient’s care as determined by the dentist’s diagnosis and is used by the dentist for the restoration to and/or maintenance of optimal oral health.
SEQUENTIAL
ASA Codes: Moderate to severe systemic disease
ASA III
ASA Codes: Healthy, no systemic disease
ASA I
ASA Codes: Mild systemic disease
ASA II
ASA Codes: Severe systemic disease, life threatening
ASA IV
Which ASA Code is 90% of the Pt’s you will see in the ASDOH Clinic? What two conditions cause this?
ASA II (mild systemic disease or significant health risk factors)….well controlled DIABETES and HYPERTENSION
Pregnancy puts you in an ASA Code ____
ASA II
Stable angina is an ASA ____
ASA III
Severe obesity is an ASA ____
ASA III
Post MI is an ASA ____
ASA III
A patient with STABLE AND CONTROLLED disease or condition is an Medically Complex Status (MCS) __
MCS 1
MCS subcategory for Anticipated Minor adverse medical events
B
WHERE ARE 90% of ASDOH patients in MCS status?
MCS1A (controlled HTN, Type II DM)
A dental patient with Epilepsy or a psychiatric disorder is an MCS status:
MCS1B
A patient with Type I diabetes, liver disease, or a drug allergy is an MCS:
MCS1C
A patient with BP LESS THAN 160/100, HIV with high viral load is an MCS:
MCS2A
A patient with poorly controlled asthma or diabetes is an MCS:
MCS2B
A patient with BP GREATER THAN 160/100 or with COPD or arrhythmia is an MCS:
MCS2C
A patient with POORLY controlled asthma or Type II DM i sn an MCS:
MCS3
Typical pulse is between what range? What is it called when elevated? When lower?
60-90 is normal…over is tachycardia…lower is bradycardia
What “level” (0-4) is a typical healthy surge pulse?
2
What is the normal Respiratory Rate?
12-20 bpm
What is the normal body temperature in F and C? What is considered a fever?
98.6degF….37degC…anything over 100degF
What is the NORMAL range for Systolic BP?
100-140 mmHg
What is the NORMAL range for Diastolic BP?
60-90 mmHg
What is the normal pulse pressure?
30-40 mmHg
What is Marley’s law?
Pulse rate is inversely proportional to blood pressure
Normal BP:
lessthan 120/lessthan 80
Pre-HTN:
120-139/90-99
HTN Stage 1:
140-159/90-99
HTN Stage 2:
160+/100+
HTN CRISIS:
180+/110+
Which probing system splits the mouth into SEXTANTS and uses only the deepest depth in the sextant?
PSR (Periodontal Screening and Recording)
Which PSR code does the colored portion of the probe start to become covered?
Code 3
Which PSR code does bleeding occur, but the colored portion still remain visible?
Code 1
Which PSR code applies when there is calculus and defective margins, but the colored portion of the probe is still visible (3.5mm)?
Code 2
The WHO probe (or PSR probe) has a __mm ball on its tip and the colored band starts at ___mm and ends at ___mm
0.5mm ball….3.5mm to 5.5mm
Which PSR code happens when the colored band completely disappears and is therefore a depth greater than ___mm…
PSR 4…depth greater than 5.5mm
What are 2 examples of when we add an asterisk to a PSR charting?
furcation or mobility
Which PSR codes require a follow up comprehensive exam?
Codes 3 or 4
What Periodontal Classification is Gingivitis?
Type I
What periodontal classification is Moderate periodontitis?
Type III
Which periodontal classification is slight periodontitis?
Type II
Type II periodontal classification is ___mm CAL or ____ PD
1-2mm CAL or 3-4mm PD
What is the MCS code for a pt with controlled HTN or Type II DM?
MCS1A
What is a typical pulse amplitude (scale of 0-4)
2
In Type I gingivitis, a pseudo pocket is formed with a probing depth greater than __mm
3mm
**Perio Prognosis: Slight CAL, no mobility, no furcation, good support, easy to maintain
Good
**Perio Prognosis: Moderate CAL , class I mobility or furcation but still proper maintenance with pt compliance
Fair
Perio Prognosis: Severe CAL, poor crown/root ratio, class II furcation not easy to maintain, class II-III mobility
Questionable
**Perio Prognosis: Inadequate attachment to maintain the tooth in health, improvement is unlikely with periodontal therapy
Hopeless
What type of diagnosis is when findings suggest several possible conditions?
differential diagnosis
