Health Promotion
What are the three levels of preventive dentistry?
Primary, Secondary, Tertiary
What are the two views of motivation? (& which do we prefer in DH?)
2. Patient Autonomy
List 3 examples of non-verbal communication
Facial expression, eye behaviour, gestures, posture, gait, touch, appearance (grooming and dress)
When does a DH give OHI?
After assessment
What are the 4 non-mineralized deposits?
2. Food debris
3. Materia alba
4. Biofilm
Give an example of primary prevention
•Scaling and root planing
•Fluoride as a preventive agent
•Dental sealants
•Plaque control techniques
•Tobacco cessation counseling
•Dietary counseling
•Sports guard fabrication
What are the 5 As?
Ask
Advise
Assess
Assist
Arrange
- privacy
- noise
- distraction
- temperature
- lighting
- safety
Give an example of a patient education point during the HH portion of the assessment phase...
- patients main concern
- medication side effects related to oral health
- anything in the HH that might have an impact on hygiene care or pts general health
Materia Alba
Moving from primary to tertiary prevention cost ____ and patient satisfaction ____
increases, decreases
What are the components of a SMART goal?
Specific, Measurable, Action oriented, Realistic, Time constrained
DAILY DOUBLE What are the aspects of CARE?
C - Comfort
A - Acceptance
R - Responsiveness
E - Empathy
2. Maintenance of health
3. Patient motivation
4. Patient takes responsibility for their own health
T or F Calculus CAUSES periodontal disease.
False
Name 3 oral systemic links?
- CVD
- diabetes
- pre-term low birth weight in babies
- respiratory disease
- osteoporosis
Motivational interviewing is patient-centered counselling that helps enhance intrinsic motivation to change and resolve ambivalence that prevents a behavioural change. T or F?
True!
List 3 therapeutic communication techniques
- Silence
- Listening attentively
- Conveying Acceptance
- Humour
- Open-ended questions
- Paraphrasing
- Clarifying
- Focusing
- Stating observations
- Offering information
- Summarizing
What might you find during the EOE/IOE that will affect the treatment plan?
- facial lesions (ie: sun damage)
- oral piercings
- halitosis
- xerostomia
- tori
- coated tongue
What are the 4 ways to detect calculus?
Visual, Tactile, Radiographs, Gingival changes
Why do we practice using evidence based care?
•Allows us to discuss the rationale for new therapies and new approaches based on science
•Allows us to discuss the rationale for changing or eliminating previous procedures that have been found to be ineffective
•Allows us to provide the most appropriate care to our patients
List and describe the 6 stages of the stages of change model
•Pre-contemplation –little or no interest; no intention of changing behaviour
•Contemplation – considering making a change within the next 6 months
•Preparation – ready to make a change and makes plans to enact the change
•Action- change has been adopted
•Maintenance – change has been continuous for at least 6 months
•Termination – the change is permanent
Name 3 communication approach/skills that are useful with a reluctant or distrustful patient.
- build rapport
- kindness
- give the patient the power
- roll with resistance
- reflective listening
- ask for patient expectations
- give estimates of cost for care
What are the differences in documentation of pt ed on OCP vs in CPN?
Basic and simple (OCP) vs detailed and documented at each appt throughout care (CPN)
What are the 4 stages of biofilm formation?
Stage 2 - Initial adhesion
Stage 3 - Maturation
Stage 4 - Detachment and dispersion