Oral Health Wk. 1

no

Do you have to ask a patient for their social secuirty number

periodontal disease

Having this disease puts you at a 10x higher risk of having a heart attack

patient and dentist

Who are the only people that can write on the medical history form

no

Is a 17 year old patient allowed to sign for consent of treatment?

once a year

How often should a medical history form be filled out?

clinician name

When making a new patient profile what do we write under provider 2?

hygiene

What do we have to select under fee schedule for every patient on Dentrix

little tooth

On Dentrix, what icon do we press to access a patient chart

calendar

On Dentrix, what icon do we press to access patient schedule?

document center

On Dentrix, what icon do we press to access the health history form?

apple

On Dentrix, what icon do we press to access Medline for accurate medical research

ask questions and get clarification

If the patient answers “yes” on the history form what do we do?

no

Is it okay for a patient to leave a question unanswered or answering everything using one big circle?

one line crossout and patient initials

When a patient messes up an answer on the health history form how do we correct it?

chief complaint

The patient’s concern stated during the initial Health History preparation. The reason for seeking care. Should be in the patient’s own words

hypertention

High blood pressure

angina pectoris

chest pain

endocarditis

What is the cardiovascular disease that is really important to ask about

communicable

These type of diseases can prevent patient from being seen that day

type 2

Non-insulin dependent diabetic

type 1

Insulin dependant diabetic

diabetes

Which disease affects the mouth more than any other disease

Patients with this disease have the most periodontal problems

below 5.7%

Normal A1C blood sugar levels

5.7-6.4%

Prediabetes range A1C blood sugar levels

above 6.5%

Diabetes A1C blood sugar levels

ASA physical status classification system

Used to determine modifications necessary to provide general anesthesia to patients during surgical procedures

ASA 1

Normal healthy patient with little to no anxiety

GREEN FLAG, no treatment modifications

ASA 2

Patient with mild systemic disease such as well-controlled diabetes or asthma

Patients who are anxious/fearful for dental treatment

YELLOW FLAG, employ stress-reduction strategies

ASA 3

Patient with severe systemic disease such as stroke or heart attack

YELLOW FLAG, stress-reduction strats and treatment modification

ASA 4

Patient with severe systemic disease that is a constant threat to life

RED FLAG, elective dental care should be postponed

improved to ASA 3

When are we allowed to perform elective dental care on a ASA 4 patient?

postpone treatment

If patient has any of these what do we do?

Uncontrolled diabetes, or high A1C levels

Recent heart attack or heart surgery (6 months)

Herpetic lesion present

Recent steroid use

Communicable disease

vital signs

Blood Pressure, Pulse, Respiration, Body Temperature

vital signs

To prevent a medical emergency __ __ should be taken at the beginning of

the dental appointment

sphygmomanometer

Consists of Cuff, Bulb, and Gauge or manometer

5

Patient should be in resting position for at least how many minutes before taking blood pressure?

straight, never crossed

How must the patient’s legs be when taking blood pressure

cuff

Make sure the blood pressure __ is not touching the stethoscope

korotkoff sounds

What are we listening for when taking blood pressure

2mm/sec

How fast should we be deflating when trying to read blood pressure?

1 minute

If we are not able to take an accurate blood pressure reading, how long should we wait before taking another one?

medical consult

a request for additional information and/or advice about the medical implications of oral health care treatment

informed consent

involves informing the patient about expected successful outcomes procedures, possible risks, unanticipated outcomes and alternative treatments as well

capacity for consent

the ability of a patient to fully understand the proposed treatment, possible risks, unanticipated outcomes, and alternative treatments

homeostasis

The body tries to maintain a state of balance by making adjustments as necessary to keep the body’s vital signs within the range of normal

hypotensive

This type of shock can lead to cardiac and respiratory failure

tachycardia

abnormally high heart rate (>100 beats/minute) for an adult

bradycardia

an unusually slow heartbeat (below 50 BPM)

pulse pressure

the difference between the systolic and diastolic pressures