Dental Clinic Forms/Procedures
Human Needs
Restorative
Misc
Medical Consultations
100

According to the clinic protocol, what is the minimum age for for a client to sign their consent to treatment?

12 years of age

100

Ideally a client centered goal should be in what format? 

S.M.A.R.T.

100

What step comes after pumice but before sealant application in a Pit and Fissure Sealant application

etch

100

Where are medical alerts indicated on the client chart

Top box of every page, HH summary and ROT (first appt). 

100

Does uncontrolled asthma require a medical consultation 

yes

200

According to the clinic policy, what is the minimum required time interval between premedication appointments?

7-14 days

200

Which Human Needs would an ill fitting denture fall under

Biologically Sound and Functional Dentition 

200

What is an advantage of visible-light curing

increased work time

200

A prosthetic will all maxillary teeth is called this:

Full upper denture

200

Does eczema require a medical consultation

nope

300

A client who is allergic to penicillin can be prescribed which of the following prophylactic antibiotics?

cephalexin, azithromycin, clarithromycin, doxycycline

300

A person is unhappy with their stained teeth.  What Human Need would this be classified in?

Wholesome Facial Image
300

The purpose of the wedge in a toffelmire placement is?

to adapt the band to gingival margin
300

What OHI component would be recommended for someone with a PFM bridge

Floss and floss threader

300

Does a HH revealing 2 miscarriages require a medical consultation

nope

400

What positive health history finding a precaution and requires follow up questions in regards to a pacemaker when using an ultrasonic scaling

pacemaker

400

An etiology for moderate biofilm would be:

inadequate oral hygiene 

400

What temporary restoration releases fluoride

glass ionomer

400

Alveolar bone building around a newly placed implant is called 

osteointegration

400

HH reveals the client is newly diagnosed with Hepatitis C

yes!

500

How many questions are in the Dental Anxiety Score

5 questions

500

Brown Stain from coffee is noted during assessment.  During the DH diagnosis phase, what would be a common etiology 

coffee/tea

500

Pit and Fissure liquid comes in 3 different compositions. Name them:

Filled, unfilled, and fluoride releasing 

500

What type of instruments are indicated for debridement on an implant 

plastic, titanium

500

Client reveals there is a medical investigation to an unknown condition. Does this require a medical consult?

yes!

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