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The assessment, diagnosis, planning, implementation, evaluation, and documentation of a patient and the care that is given to them (ADPIED). it provides a guide for individualizing care and required that the hygienist and the patient work collaboratively.
What is the dental hygiene process of care?
An approach to infection control to protect healthcare providers and patients from pathogens that can be spread by blood, bodily fluid, secretion, or excretion.
What are standard precautions?
The transfer of microorganisms, blood, and other potentially infectious material or agent.
What is cross-contamination?
Class I: caries in pits and fissures of molars, premolars, and maxillary incisors
Class II: caries on occlusal including proximals of posterior teeth
Class III: caries in proximals of anterior teeth
Class IV: caries in proximals of anterior teeth including the incisal edges of anteriors
Class V: caries on cervical third of teeth
Class VI: caries on cusp tips of occlusal surfaces of teeth
What is GV Black’s Classification of caries?
Generalized moderate marginal redness, shiny, spongy enlarged and rolled tissue.
What is a gingival description?
To assess a patient’s wellness or health, and establish a baseline for medical status. It is used to identify allergies, precautions and contraindications to prevent medical emergencies and assist in diagnosis. It is also a source of legal documentation, providing the foundation for all clinical decisions.
What is the purpose of a health history?
A second tier beyond standard to Help prevent the spread of disease from person to person.
What are transmission based precautions?
The mode of transmission, portal of entry, susceptible host, pathogen, reservoir, and portal of exit.
What is the chain of infection?
A pellicle forms on the tooth surface with S. Mutans and Lactobacillus present. The bacteria is metabolized by fermentable carbohydrates, lowering the pH in the mouth. The now acidic environment diffuses through channels against the concentration gradient, producing hydrogen ions that dissolve calcium.
What is the caries process?
Normal: pink, firm, pyramidal papillae, knife-like margins, stippled, no BUP
Edematous: red, spongy smooth or shiny, BUP
Fibrotic: whitish, very firm, stippled excessively, may have BUP
What are types of tissue?
This explains to the patient that a student will be working on them and that their appointments will be broken up into sessions, each being 3-4 hours.
What is the release agreement?
Intended to prevent transmission of diseases that remain infectious while suspended in the air. Special handling, N95 masks, and proper ventilation are required.
What are aerosol precautions?
Used for routine monitoring, qualification, and load monitoring in the processing of RMDs. Used in weekly spore testing.
What are biological indicators used for?
Amalgam, composite, sealant, porcelain crown, porcelain fused to metal crown, gold crown, implant, bridge, inlays, inlays, veneers, dentures, partial dentures.
What are restorative materials?
1. Measure probe depth
2. Measured from the gingival margin to the CEJ
3. Subtract the second measurement from the overall probe depth
What is the CAL (clinical attachment level)?
This is signed by the patient at their initial visit. It assures the patient that their health information is properly protected, while allowing the flow of health information needed to provide and promote high quality healthcare.
What is HIPAA (Health Insurance Portability and Accountability Act)?
They prevent transmission from direct or indirect contact with a patient or patients’ environment.
What are contact precautions?
Used to verify that critical parameters are met in the processing of RMDs. They measure adequate steam, pressure, and temperature. This does NOT verify sterilization.
What are chemical indicators?
Breakdown of calcium and phosphorus by acids formed by acidogenic material. Chalky and white appearance.
What is demineralization?
1. Place the probe on the outside of the gingival margin of the gingiva, without touching it.
2. Measure the gingival margin to the much gingival line.
3. Measure probe depth.
4. Take the first reading, and subtract it from the probe depth.
What is how you measure attached gingiva?
Pulse: 60-100 bpm
Blood pressure: <120/80
TemperatureL 96-99.6 degrees
O2 Saturation: 997%-100%
Respiration: 14-20 breaths per minute
What are normal ranges for vital signs?
They prevent transmission from close respiratory or mucus membrane contact with respiratory secretions transmitted through airborne droplets. Level III masks are used.
What are droplet precautions?
There are three categories and three levels corresponding to how dental equipment should be handled. Critical items contact sterile tissue or blood and should be sterilized; semi-critical items contact mucous membranes and non intact skin and require high level or intermediate level disinfection; non-critical items contact healthy intact skin and require low level disinfection.
What is the Spaulding Classification System?
Restoration of minerals enhanced by fluoride; more resistant to initial caries. Shiny and white appearance.
What is remineralization?
1. Healthy teeth
2. Gingivitis - inflammed gums
3. Early periodontitis - beginnings of bone level loss
4. Moderate periodontitis - drastic drop in bone level
5. Advanced periodontitis - significant bone loss and decay, furcations involved
What are the stages of periodontal disease?