Preventive Dentistry
his USAF program ensures patients at high risk for caries are managed properly
What is the High Caries Risk (HCR) program (16.2)
Can be described as a depressed level of consciousness produced by pharmacological methods that retains the patient’s ability to independently and continuously maintain an airway and respond normally to verbal commands
What is mild/minimal sedation?
Orthodontic treatment with a limited objective, not involving the entire dentition.
What is limited orthodontics?
The preferred method of isolation for direct restorations
what is the rubber/dental dam?
Personnel who must receive appropriate training prior to operating CBCT/radiology units
Who are all dental personnel? (6.8.1)
Implant companies used by the Air Force
What are Nobel Biocare and Zimmer Biomet?
CPG: 26.3.3. Only implant systems approved by AFMOA/SGD may be used when initiating implant therapy, including implants placed by private sector dentists. All implants placed in AF DTFs with implant programs, all DTF referrals for implant treatment through Private Sector Care and all implant placements using the Active Duty Dental Program (ADDP) must utilize any system or systems within either the Nobel Biocare or Zimmer Biomet External Hex/Certain product line. Implants that are 100% compatible with the Nobel Biocare and/or Zimmer Biomet external Hex/Certain product line in the areas of abutment connection, interface and screw thread design, regardless of the manufacturer, are the only acceptable alternatives.
Teeth that if missing will usually require replacement due to esthetics
What are maxillary teeth from central incisors to first bicuspids and mandibular anterior teeth?
This product should be used at least 3-5 times daily for 5 mins after meals
What is xylitol (16.3.7.1)
The amount of nitrous oxide allowed while using the Nitrous Oxide Minimal Sedation Clinical Record, Attachment 23
50% or less nitrous oxide
Patients must have these signed in order to initiate orthodontic treatment
What are Memorandum of Understanding- Orthodontic, Attachment 25, and Commander’s Concurrence Form for Orthodontic Treatment, Attachment 26?
High caries risk and excessive wear are contraindications for this direct restorative material class
What is composite?
Acronym for the guidelines minimizing radiation exposures
What is ALARA - As Low As Reasonably Achievable (5.1)
What are radiographs of diagnostic quality?
Procedure which should not be planned on high caries risk patients unless no alternative exists
What is a fixed dental prostheses (to include single unit restorations)
Offered to patients who participate in sports with potential for injury to the teeth and jaws
What is an athletic mouth guard (16.10)
Code Required when a patient is in cardiopulmonary arrest, requiring a team of providers
What is a code blue?
Includes panoramic or full mouth radiographs, diagnostic casts, lateral cephalometric radiographs or CBCT, a comprehensive oral examination with orthodontic classification and periodontal assessment of adult patients.
What is the support for orthodontic diagnosis and treatment planning
Dental laboratory submissions for prostheses or appliances form
What is DD form 2322?
Person with responsibility ensuring that entire CBCT (regardless of size) volume is interpreted and a final interpretation and written report are included in the service treatment record
Who is ordering/treating provider (6.6.4)
Individuals with comprehensive credentials for surgical placement of implants in the Air Force
Who are periodontists and oral and maxillofacial surgeons?
Impression technique discouraged for impression of multiple teeth
What is a dual arch impression (triple tray)?
Periodontal Screening developed by the ADA and AAP
Periodontal Screening and Recording system (PSR). (16.7)
Along with the ADA and AAAHC they are who give basic rules and regulations of minimally to generalized sedation
American Society of Anesthesiologists (ASA)
If a sponsor is reassigned or the AF is unable to complete orthodontic care as planned, the sponsor should be referred to this advisor for complete information about the benefit provisions and limitations of assistance from the Tricare Dental Plan and other official US Air Force and DoD programs.
What is a Health Benefits Advisor?
Impression tray technique considered acceptable for 1-2 single unit restorations per sextant not involving the most distal tooth in the arch
What is a dual arch impression?
Size of CBCT that is limited to dento-alveolar structures, teeth and alveolar bone however may include portions of maxillary sinuses, maxillary ostia, nasal cavities or the hyoid bone.
What is small CBCT Scan (6.1.3)
The decision to do this is often based on the prosthodontic plan for the site, and the amount of facial bone remaining after extraction
Ridge preservation
CPG: 22.1.12. Ridge Preservation
22.1.12.1. When extracting teeth, other than third molars, providers should consider whether preservation of the alveolar bone using minimally traumatic techniques and graft materials is appropriate.
22.1.12.2. The decision is often based on the prosthodontic plan for the site, and the amount of facial bone remaining after the extraction.
Accepted prosthodontic method to orient and mount casts
What are facebows, interpreparation records, and straps?
This fluoride concentration for drinking water was the final rule recommendation by U.S Department of Health and Human Services in 2015
What is 0.7ppm or 0.7mg/L (16.6.1)
The two forms of life support methods taught in the USAF
For deployments/TDYs longer than 180 days, the treating dentist should consider this.
What is removing active appliances and placing the patient in passive retention?
Types of restorative material used, brand name, and isolation method
What is required in a note for direct restorative treatment?
Components including date of the scan, purpose of the study, the technique, repeat CBCT scans if any and reason, radiographic findings, radiographic impression/comment, and comparison imaging
What are minimal elements for CBCT capture and interpretation (6.7.2)
Stage 1 implant surgical placement
CPG: 26.3.7. Dentists providing osseointegrated dental implant services recommend DNIF/DNIC status until 10 days after Stage 1 implant surgical placement. Professional judgement must be used in recommending DNIF/DNIC status following stage 2 surgical exposure treatment.
NOTE: Dentists use professional judgment for increasing DNIF/DNIC status based on thepatient’s potential for healing, quality of bone and nature of the patient’s duties.
Procedures for which casts will be pre-operatively made and mounted (if indicated)
What are cast metal RPDs, preparation of fixed partial dentures, and dental implants?