Shakari Russell wwa4ch15 DH40

Dental hygiene practice involves what?

Assessment, diagnosis, planning, implementation, and evaluation

Oral hygiene assessment

Review of current home care practices and oral health and hygiene knowledge and skill level

What is the thyroid gland assessed for?

Asymmetry and enlargement
Client is asked to sit upright and to swallow

Extraoral and intraoral assessment

To assess and recognize deviations from normal conditions significant to the client's health

The larynx is assessed for

Unrestricted Movement by bimanual palpation

Bimanual palpation

Simultaneous use of the index finger of one hand and the fingers and thumb of the other hand to move or compress the tissue of the floor of the mouth

Manual palpation

Use of all the fingers of one hand to move and compressed tissue

Bilateral palpation

Use of both hands simultaneously to move or press the tissue on the contralateral sides of the head

Circular compressions

Use of fingers that move in a rotating circular motion while slight pressure is applied

Which phase of the dental hygiene process of care immediately follows diagnosis?

Planning

Failure to refer a client to a medical professional when indicated constitutes which issue

Ethical

The second step in implementing a tobacco cessation program is?

Advise

Rampant caries

Rapidly Progressive Decay process that affects the smooth surfaces of numerous teeth and requires urgent intervention

Chronic caries

Slowly Progressive Decay process

Arrested caries

Caries lesion that has been reversed because of the remineralization process

Recurrent caries

New Decay located around existing Restorations

Evidence-based decision-making includes

Clinical expertise, client values, and best evidence

PICO

Patient or problem
Intervention, causes or prognosis
Comparison
Outcome

Diagnosis

Clinical diagnosis by a licensed dental hygienist that identifies actual or potential unmet human need deficits

Dental diagnosis

Identifies a specific oral disease

Informed consent

Process by which a client agrees to a proposed treatment after a complete case presentation

Communication

Giving or exchanging information, signals, or messages through facial expression, Behavior, talking, gestures and writing

Acceptance

Accepting the client without judgement

Comfort

The ability to deal with embarrassing or emotionally painful topics related to an individual's health

Concreteness

Communicating in a clear and precise manner with terms understandable to the client

Empathy

Listening and understanding the emotions and feelings of an individual

Genuineness

Communicating in an open and honest manner

Respect

Ability to convey honor and esteem for an individual

Responsiveness

Ability to reply to messages at the very moment they are sent

Self disclosure

Sharing personal experiences with a client

Warmth

Displaying personal feelings and empathy

Two forms of evaluation

Evaluation and re-evaluation

Evaluation

Icarus continually throughout implementation phase of care and provides the mechanism for modifying the care plan as new assessment criteria become available during treatment

Revaluation

Occurs four to six weeks after therapy is completed to evaluate response to initial care and to recommend additional therapy as needed

Prognosis

Prediction of duration, course, and termination of disease and response to treatment

4 A's of tobacco cessation

ASK - the client about tobacco use
ADVISE - the client who wants to quit
ASSIST - the client and stopping
ARRANGE - for follow-up services

Diseases of the periodontium type 1

Gingivitis

Diseases of the periodontium type 2

Mild periodontitis

Type 3

Moderate periodontitis

Type 4

Advanced periodontitis

Type 5

Refractory periodontitis

Preliminary phase of dental care planning

Focuses on treating periodontal or dental emergency needs

Phase 1 therapy

Focuses on controlling the risk factors responsible for disease
Non-surgical periodontal therapy

Phase 2 therapy

Focuses on surgical care and placement of implants and endodontic therapy

Phase 3 therapy

Focuses on prosthetic treatment and final management of dental caries with Restorations

Phase 4 therapy

Focuses on long-term periodontal maintenance therapy

Class 1 furcation

Exposure of furcation but bone remains between roots

Class 2 furcation

Loss of some bone between the roots but not complete communication from one side to another

Class 3 furcation

Through and through involvement with complete loss of bone between roots and the opening is covered by gingiva

Class 4 furcation

Through and through involvement with complete loss of bone between roots and entrance is clearly visible

Class 1 Mobility

Slight Mobility greater than normal

Class 2 Mobility

Moderate Mobility greater than 1 mm

Class 3 Mobility

Severe Mobility tooth can move in all directions I can be depressed into the socket