Health History
Amoxicillin 2 grams PO 30-60 minutes before an invasive procedure
What is a prophylactic regimen
4.5-5.5
normal height of gingival margin
What is 1-2 mm coronal to the CEJ
(normal GM on anteriors 1 mm)
(normal GM on posteriors 2mm)
tooth surface attached
Unattached biofilm
Tissue associated biofilm
Preliminary diagnosis
what is a dental diagnosis that needs to be confirmed by the dentist
on a health history heart disease, stroke, blood disorders, asthma, diabetes and infectious/communicable disease
What are common red flag conditions
Tooth enamel made from
hydroxyapatite
Measuring the attached gingiva
identify alveolar mucosa, measure GM to mucogingival line for your first number
Second number measure probe depth
Take first reading and subtract the probe depth
normal is more than 1 mm of attached gingiva
Stages of biofilm formation
formation
bacterial multiplication and colonization
matrix formation
biofilm growth
maturation
Dental hygiene diagnosis
the hygienist identifies the condition within the field of dental hygiene
A medical history addendum
A medical history addendum
carious lesion on proximal surface of anterior teeth without incisal angle
GV Black class III
Measuring normal CAL
distance from the JE to the CEJ
need your probe depth (JE to GM) and Marginal Gingiva to CEJ
normal CAL 1mm or less
Probe depth @CEJ = probe depth is CAL
GM coronal to CEJ - Probe depth - (GM to CEJ)= CAL
GM recessed - probe depth + (GM to CEJ)= CAL
contributory factors for promoting biofilm and plaque
what is calculus, faulty restorations, root morphology, xerostomia/mouth breathing, unreplaced teeth, oral piercings, malocclusion, ortho appliances, pulpal involvement
Included on a treatment plan
informed consent
prognosis
alternatives for treatment
specify risks
Patient is a 24 year old, history on oral contraceptives without any side effects, BP is 120/80, is a well controlled type I diabetic
What is ASA grade III
Caries stages
initial infection- mutans streptococcus, lactobaccilus
early subsurface lesion- invisible to naked eye
white area lesion- early white and smooth, late white and rough
Cavitation- visible open carious lesion with no intact tooth structure
Can see furcation
Phases of calculus formation
pellicle formation
biofilm formation
mineralization
Evidence based decision making
using (good) science to enhance your decision making abilities
+Clinical Practice Guidelines, Metanalysis +
-animal and laboratory studies-
Prosthetic heart valves, previous bacterial endocarditis, congenital heart disease, heart transplant with valvular disease
What are conditions that require antibiotic premedication
Sequence of dental charting
1) record missing teeth first
2)record any removable prosthesis
3) examine and record each tooth
4) evaluate/record restored surfaces and look for decay
5) evaluate/record any abnormalities or regressive changes (fractures, attrition, abrasion)
Components of a periodontal assessment
health hx/social hx (risk factors, indicators, contributory factors)
gingival assessment
CAL
mobility
furcation
attached gingiva
exudate
fremitus
radiographs
Red microbial complex
P. gingivalis
B. forsythia
T. denticola
Phases of Care Planning
Priority care- infection/pain
Phase 1 initial - self care/education. debridement
Phase 2 surgical- repair of mucogingival involvement
Phase 3 restorative- orthodontic
Phase 4- maintenance- deposit removal