Theory II


information collected during evaluation procedure that is analyzed to determine oral health outcomes related to dental hygiene interventions


data


a description of the purpose, plans and strategies that will be needed to gather, process and interpret the data used to determine treatment outcomes


evaluation design


data collection procedures and strategies that are selected to determine wheater or not expected outcomes related to pt specific oral health goals identified in the dental hygiene care plane have been met


evaluation methods


communication that occurs among all individuals participating in the pt's care, including the dentist, dental hygienist, the pt and the pt physician or caregiver if necessary. giving and receiving _____ creates trukst and ensures that those involved in all aspects of pt care stay informed at every step


feedback


ongoing evaluation to monitor each step in the dental hygiene process of care; ongoing feedback that determines any needed changes in the dental hygiene care plan prior to the completion of a treatment sequence


formative evaluation


benchmarks used to measure or test changes. In evaluating dental hygiene interventions, ____ can be quantitative (such as measurements of probing depths or plaque scores) or qualiative (such as patient expressions of satisfaction or ability to perform self-care routines)


indicators


measurable goals; the expected outcomes of cinical treatment, pt education, counseling or oral hygiene instruction/home care interventions identified in the pt care plan


objective


a measure of the effectiveness of dental hygiene clinical and educational interventions in meeting oral helath goals identified in the pt care plan


outcomes assessment


forma, standardized evaluation procedures conducted at the end of a treament series includes determination of periodontal maintenance interval and or identification of further treatment needs


summative evaluation


action in accordance with request; extent to which a preson's health behaviors conicide with dental/medical health advice (also called adherence)


compliance


the joint deliberation, usually for diagnostic purposes between two or more practitioners or between a pt and a practitioner


consultation


ongoing dynamic process that results in loss of clinical attachment and alveolar supporting bone; an area is quiescent when a diseased site becomes inactive or stable without treatment


disease activity


criteria for completion of a particular procedure; therapeutic ___ ___ genraly have been reached when the clinical signs of the treated pathologic condition have been eliminated or reduced


end points


periodontal maintenance therapy; also called preventative maintenance, supportive periodontal treatment


PMT


system of appointments for the long term maintenance phase of pt care; the system is carreid out by computer, telephone and or mail


recall (YUCK! the main reason I need an assistant please no recall)


resistant not responding to routine therapy


refractory


diminution or abatement of the symptoms of a disease the period during which the diminution occurs


remission


the diagnosis made at a reevaluation spaced for a period of time after treatmen (or series of treatments); diagnosis that shows the response to prior treatment


response diagnosis


a characteristic, habit or predisposing condition that makes an individual susceptibel to or in danger of aquiring a certain disease or disability


risk factor


supportive periodontal therapy; procedures performed at selected intervals as an extension of periodontal therapy to assist the pt in maintaining oral health; instruction in dental biofilm control and such clinical procedures as scaling and root planing; also called preventive maintenance, periodontal maintenance therapy


SPT


evaluation is a systematic determination of ____, _____ or ______


worthvaluesignificance


t/f evaluation provides ongoing feedback throughout dental hygiene appt
True False


true


what is the importance of assessing the outcome of both clinical and preventive interventions at the completion of a treatment cycle?


identifies need for further treatment and adapted seflcare protocols


t/f evaluation does not help to determine appropriate maintenance interval
True False


false it DOES help


what are the six steps in evaluation?


determine indicators to evaluateassessmentscollaborationfeedbackevidence baseddocumentation


_______ = continuing care


maintenance


t/f oral diseases do recur but control is possible through combined personal and professional effort
True False


true


t/f the success of the maintenance depends on the clinician and their skills
True False


FALSE! depends on understanding of pt


the purposes of maintenance are to continue _____ state, prevent ______ of infection, prevent new _____, monitor clinical signs of ______ and ______, monitor educational and ____ changes, ongoing_____ and pt _____ (go fight win! you can do it!)


healthrecurrencediseasehealth and diseasebehavioral treatmentmotivation


t/f the ppaointment intervals of maintenance are fixed for every pt, it should be every 6 months
True False


false! depends on individuals 2-9 months


appointement intervals for maintenance is based on _____ activity, _____ risk, _____ factors, pt ______ and previous disease


diseasecariesriskcompliance


what are some examples of pt that need special appointment requirements of 2 or 3 months


mentally or physicalled disableddiabetescardiovascular diseasept undergoing extensive dental carerampant dental caries ortho


what are some reasons for referral during the initial visit?


agressive periodontitisnecrotizing ulcerative gingivitisdrug induced gingival enlargement (phenytoin)


what are some reasons for referral during maintenance?


pocket depthfurcation involvementmucogingival problems (lack of attached gingiva near healthy receded gingival margins)periodontal disease that is refractory or not responsivesevere bone loss and mobility


how can you prevent/control recolonization?


daily personal dental biofilm controlprofessional supervision and maintenance


what are some factors contributing to recurrence of perio? 6


inadequate biofilm controllack of complianceincomplete professional treatmenttobacco usesystemic diseasegenetic factors


what is the prebook method for recare?


make appt before pt leaves officehave pt filll out postcard