Unit 313 Flashcards
Diabetes prone to…
Periodontitis
Which structure with the neck of the condyle forms the sigmoid notch?
The coronoid process
Lower teeth blood supply…
Inferior alveolar artery
Upper teeth blood supply…
Through the maxillary artery
Blood supply to the tongue
Lingual artery
The blood supply to the teeth…
Carotid artery
What is the name given to the cheekbone?
Zygomatic arch
Lateral ptyergoid function
Moves jaw side to side
Temporalis function
Close and pull back jaw
Medial pterygoid function
Close jaw
Masseter function
Close jaw
What is saliva?
Saliva and bacteria - 70%
Matrix - 30%
Sickle probe
Residual caries
Briault probe
Detects interproximal caries
Right angled probe
Occlusal caries
Cranial
Fifth (V)
Aspirin burn
Causes ulcers - raised rolled edge on the oral mucosa
Angular chelitis
Generally seen in elderly patients/denture patients - condition corner of mouth
Root caries
Generally seen in older patients due to gum disease
Unconscious not breathing
Call 999
Start CPR
Unconscious and breathing
Recovery position
Pregnant recovery position
Lay on left side
Allergic reaction/ Anaphylaxis
- difficulty breathing
- swelling of the tongue
- itchy puffy eyes
- an outbreak of blotchy skin
- anxiety
- signs of shock
- Epipen
- Call 999
Asthma Attack
- difficulty breathing
- wheezing
- coughing
- distress
- grey/blue tinge to lips
- reassure them
- 1-2 puffs of inhaler every two minutes until they’ve had ten puffs
- if they lose consciousness, open airway, check for breathing
Choking
- encourage coughing
- 5 back blows
- 5 abdominal thrusts
- repeat up to 3 times each then call 999
Hypoglycaemia (Low blood sugar levels)
- too much insulin
- sit them down
- glucose gel (dextrose tablet)
- weakness, faintness, hunger
- confusion
- sweating cold, clammy skin
- rapid pulse
- trembling
Hyperglycaemia ( High blood sugar levels)
- too little insulin
- can cause diabetic coma
- warm, dry skin
- rapid pulse and breathing
- really thirsty
- drowsy
Pregnancy prone to…
Prone to gingivitis and ANUG
Stress
Prone to ulcers
Allergic reaction
Anaphylaxis
GTN
Glyceryl Trinitrate
Taken for angina ( 2 sprays sub lingual)
ANUG
Acute necrotising ulcerative gingivitis
Metronidazole prescribed
Osteoporosis
Affects bones
Arthritis (medication is steroids)
Cyanosis
Blueness of lips
Syncope
Fainting
Warfarin users
- thins blood
- blood test prior to treatment
- deep vein thrombosis
- pulmonary embolism (blood clot in the lungs)
- atrial fibrillation (heart condition causing irregular heartbeat
Xerostomia
- Dry mouth
- burning feeling
- can make chewing, swallowing hard
- tooth decay and gum disease prone
- bad breath
- soft tissue infections
Glossitis
- inflammation of the tongue
- can occur in conditions such as anaemia, vitamin B deficiency
- smooth glazed appearance
Lichen planus
- oral lichen planus is an on going inflammatory condition that affects mucous membranes
- may appear as white, Lacy patches,red swollen tissues, open sores
Bulimia
- causes acid erosion
- causes ulcers
Epilepsy
- prescribe Epanutin ( anti convulsant medication)
- causes gingival hyperplasia (gum overgrowth
Herpes simplex virus
- Highly infectious
- involves the oral mucosa or lips
- prescribe acyclovir
Oral thrush (candidiasis)
- formed by Candida albicans
- prescribe anti fungal medication (Nystatin)
- white patches in the mouth
- loss of taste and unpleasant breath
- cracks at the corner of mouth
Hepatitis
- prone to tooth decay
- increased xerostomia
- tooth sensitivity
- gum infections and mouth ulcerations
Oral Leukoplakia
- premalignant squamous lesions (precancerous)
- white lesions of the oral mucosa that can be scraped off
- nearly always on the outside (lateral side of tongue)
- lesions usually have an irregular surface and may have hair like projections
Erythroplakia
Red patch on the oral mucosa
HIV
- can cause decrease in salivary flow
- sarcoma lesions
- NUP ( necrotising ulcerative periodontitis)
- bleeding and severe pain
Caries
Forms from bacteria and sugar
Calculus
Forms from plaque and saliva
Epanutin
Taken for epilepsy (anticonvulsant medication)
Superior vena cava
Brings de oxygenated blood back to the heart
Plasma
3 cells
Red/white/platelets (helps clotting)
Ideal body temperature
37 degrees
Salivary glands
Parotid
Submandibular
Sublingual
Glossitis
Inflammation of the tongue
Lower jaw
Mandible
Upper jaw
Maxilla
1st stage of demineralisation
White spot on enamel
CPR Ratio
30:2
Heart attack (myocardial infarction)
Suffer from pain down left arm
300mg aspirin needed
Sings of shock
Lay flat
Keep warm
Legs raised
Diabetes
- can encourage periodontal disease
- prone to poor wound healing
Functional
Uses soft tissues to help move
Removable
Tilt the tooth
Fixed
Pull teeth in different directions
Class 3
Lower jaw protruding
Class 2 Div 2
Upper incisors retroclined
Class 2 Div 1
Upper incisors are proclined
Class 1
Normal occlusion
2-4mm
50% overbite
UR6 extra cusp
Cusp carabelli
Vitality test - Electric
Electric pulp tester
Most accurate
Vitality test cold
Ethyl chloride
Vitality test hot
Gutta percha heated up
Elastomer
Base and catalyst paste and are mixed together to form the impression material .
Alginate
Irreversible hydrocolloid material used for taking preliminary impressions
Dentine cells
Odontoblasts
Enamel cells
Ameloblast cells
Grade III
Vertical tooth movement
Grade II
Side to side tooth movement more than 2mm
Grade I
Side to side tooth movement less than 2mm
BPE score of 3
BOP
Subgingival calculus
True pocketing between 3.5mm-5.5mm
BPE score 2
BOP
sub gingival calculus
False pocketing under 3.5mm
BPE score 1
BOP
False pocketing under 3.5mm
BPE score 0
Healthy gingivae
No pocketing over 3.5mm
Williams probe
Carrying out periodontal health screening 6ppc
BPE probe (who)
Assessing gingival health
Sickle probe
Detect interproximal and secondary caries
Briault probe
Detects interproximal caries and under crown margins
What does CQC stand for and what is their role?
Care quality commission
Their role is to regulate and inspect health and social care establishments
What does contemporaneous mean?
Existing at or occurring in the same period of time.
Date ordered
The legislation ‘Access to health records’ allows patients to…
Gain access to either their records or a deceased family member
What is the recommended length of time for a complaint to be answered?
Acknowledged in 2-3 working days
Responded in 10 working days
The freedom of information act 2000
The acts sets rules for disclosure of information held by public sector organisations
The access to health records 1990
The act provides rules on the right of access to the health records of deceased individuals
The data protection act 1998
The acts sets rules for how personal data is obtained, held, used or disclosed
Which legislations are related to patients records?
Data protection act
Freedom of information act
List what is needed to achieve valid consent
Informed
Specific
Relevant
List three principles of consent
Informed
Sufficient
Voluntary
What is the minimum age of consent?
16
How long should dental patients at records be kept for?
11 years or up to the age of 25, which ever is longest
Which act states that the confidentiality of a patients notes is mandatory?
Data protection act