Concepts in Dental Hygiene I

Health History

100

Amoxicillin 2 grams PO 30-60 minutes before an invasive procedure

What is a prophylactic regimen

200

on a health history heart disease, stroke, blood disorders, asthma, diabetes and infectious/communicable disease

What are common red flag conditions 

300

A medical history addendum

A medical history addendum

400

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

500

Prosthetic heart valves, previous bacterial endocarditis, congenital heart disease, heart transplant with valvular disease

What are conditions that require antibiotic premedication 

Dental charting

100

pH of enamel that will cause demineralization

4.5-5.5

200

Tooth enamel made from 

hydroxyapatite

300

carious lesion on proximal surface of anterior teeth without incisal angle

GV Black class III

400

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 

500

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) 

Periodontal assessment

100

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) 

200

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 

300

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

400

Can see furcation 

Class IV furcation 

500

Components of a periodontal assessment

health hx/social hx (risk factors, indicators, contributory factors)

gingival assessment

CAL

mobility

furcation

attached gingiva

exudate

fremitus

radiographs 

Biofilm

100

Organization of biofilm and easiest and hardest to remove

tooth surface attached

Unattached biofilm

Tissue associated biofilm 

200

Stages of biofilm formation

formation 

bacterial multiplication and colonization 

matrix formation

biofilm growth

maturation 

300

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 

400

Phases of calculus formation

pellicle formation

biofilm formation

mineralization 

500

Red microbial complex

P. gingivalis

B. forsythia

T. denticola 

Dental Hygiene Process of Care

100

Preliminary diagnosis 

what is a dental diagnosis that needs to be confirmed by the dentist 

200

Dental hygiene diagnosis

the hygienist identifies the condition within the field of dental hygiene

300

Included on a treatment plan

informed consent

prognosis

alternatives for treatment

specify risks

400

Evidence based decision making 

using (good) science to enhance your decision making abilities

+Clinical Practice Guidelines, Metanalysis +

-animal and laboratory studies-

500

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