Imaging
What images should you take for a limited exam? Name at least two
Intraoral photo, BW, PA/PANO
For an extraction of #14 which specialized forcep will you need to have ready?
88L
At the end of the appt you should do what with codes? 2 items
Verify correct codes completed AND under the correct provider.
You leave early (with permission) but forget to clock out. Do you
1)Call your coworker and ask them to do it
2)Leave it and have it corrected by your supervisor before the next pay period
option 2
What time does the huddle start?
15 till the hour
For a proper comp exam, what images and x rays do you need? Name at least 3. There are 5+ types
PANO, extraoral images, intraoral images of teeth with problems, BWX, anterior PA's.
Dr. Mike is coming in for a limited exam. Name at least 4 things you should have found out about the patient.
1)How did they hear about us/what was their last appt. 2)What is wrong. 3)How long has it been since it started. 4)What makes it better or worse. 5)Has anyone else looked at their teeth lately. 6)What are they thinking they would like to have done. 7)Insurance. 8) Have I met them 9)...etc
A patient did not respond to an appt reminder text. You called them this morning and left a vm. Their appt is in 1-2 days. What do you do next?
Call them once more before the end of the day. Note in their chart when you called.
Where is it NOT okay to mop during a workday?
Anywhere except an empty operatory. If you want to mop traffic areas we have to get wet floor signs.
Who is allowed to adjust the temperature? ONE name
Dr. Mike, or whoever he asks
You are about to start a crown prep and notice there is a recent bitewing and photo of the tooth. What is your next step?
Take a PA! Ideally showing 2mm+ of bone around the tooth.
How many flat end diamonds and how many round carbide burs should be in the kit? DOUBLE POINTS IF YOU CAN LIST ALL THE BURS IN THE KIT AND QUANTITIES
2 flat end diamonds (and 2 round end diamonds). 3 round end carbides (S/M/L). 557, needle finishing diamond/carbide, carbide football
What are some things that MUST happen when a patient checks in? Name at least 4
Greet them by name with a smile, verify name, ask for insurance card and DL and scan them into chart, update med hx, get needed consents, verify briefly what they will be having done today, mark them as here in OD, offer them water, give them an update if they wait more than 10min
You dropped something on the floor. What is your name?
JK. The real question is: What do you do when you drop something on the floor? disposable item vs not, etc...
According to the office handbook and state of AL, whose responsibility is it to obtain CE and maintain your assistant or hygiene license?
It is YOUR responsibility. The office may offer CE or help but ultimately it is your responsibility to comply with state requirements for your license.
When positioning for a BWX with ideal contacts, the x ray tube head should be (parallel/perpendicular) to the sensor and be (parallel/perpendicular) to the contact.
perpendicular to the sensor and parallel to the contact.
What items need to be ready or things prepared in the room for Dr. when he is coming in for an exam? Name 3
1) pt bib 2)Air/water syringe assembled 3)Exam kit OPEN 4)at least 1 2x2 to clean the mirror 5)At least 1 suction for rinsing 6)pictures/x-rays up on monitor 7)example models if we already know they are interested in something 8)Bite stick if its for a sensitive area but not obvious which tooth 9)Chair up if new pt or I need to talk to them 10) Dr chair if new pt
What are some front desk items that need to be taken care of before a sedation appt? Name at least 3
1)Ensure med hx is recent 2)Consent signed 3)Rx sent to pharmacy, with verbal/written guidance 4)remind them to have a ride 5)verify when they arrive meds taken and ride is with them
You are at the front desk when a patient checks in 10 minutes late with 2 small children and a phone on speaker for a work zoom meeting. What do you do next?
Greet the patient warmly. Let them know we have been looking forward to having them in the office for that appointment and that the Dr and team set some specific time aside for them. Inform them that we cannot give her the attention she deserves or provide the level of care we pride ourselves on given the situation with her work meeting and caring for little ones. In addition, we would not want to disturb other patients. Let her know we can schedule her back at a more convenient time for her. Hold your ground but don't be rude. Note in her chart.
When you interact with a pt after their procedure either in person or via phone and they say they are in pain and ask you a question you do not know, what do you do?
1)Express concern for their feelings, but do not act like it is abnormal for there to be pain/tenderness etc...
2)Let them know you will share their concerns with the doctor and call them back or get him to look.
DO NOT EVER ACT SURPRISED OR LIKE IT IS A PROBLEM. On the flip side...DO NOT PROMISE THEM THAT EVERYTHING WILL BE FINE.
You take a Pano but the software freezes after. What should you do before shutting the program down?
Take a screenshot! Then import it into Ez-dent.
A patient needs endo through existing crown, 3rd molars ext, fillings and impressions for invisalign all in one appointment. In which order will we do those procedures?
Endo + fillings together, invisalign impressions, 3rd molar ext.
You took a final impression for a crown with the Cerec. How do you know if the Dr is going to like it or not before you ask for a check? name at least two things
Clear margin (had to be DRY or it won't be clear) all the way around. No tissue impinging. No fluid or blood on the margin. No undercuts. Correct line of draw.
You are running behind in your op. Your patient wants to talk forever. How do you get back on track?
Gently take control of the conversation. Some options 1)Guide the conversation using responses YOU control 2)Express concern and then immediately pivot to a dental issue 3) Let them know you'd like to continue the conversation after work and give them your contact info 4) Apologize for being rushed but let them know you'd like to address their dental concern 5) Excuse yourself from the room for 30sec
Name 4 things to do on a day when the schedule falls apart.
1) Go through inventory 2)stock tubs/rooms 3)Clean 4) Call patients 5)Go over past/future appointements and chart audit 6) Catch up on notes 7)Decorate/clean up 8)Restock office supplies/walmart run 9)Do regular maintenance