Dental Specialties Test #2

Front 1

Non-Assertive Behaviour

Back 1

-Minimaleye contact
-Often sick
-Avoids conflict
-Poor posture
-Rarely achieves goals

Front 2

Assertive Behaviour

Back 2

-Good posture
-Exudes confidence
-Addresses personal preference
-Respects others
-Relaxed gestures

Front 3

Aggressive Behaviour

Back 3

-Bully

-Controlling
-Must win
-Makes decisions for others (“don’t do that”)

Front 4

Ethno-cultural Identity

Back 4

The extent to which one endorses/practices a way of life associated with cultural tradition.

Front 5

Ethnocentric

Back 5

The natural belief that one’s culture is superior than that ofothers.

Front 6

Acculturation
bicultural
traditional
marginal

Back 6

A: Degree in which an individual identifies with or adjusts to mainstreamcultures.

B: Functions equally well in the dominant culture and his/her own culture.

T: holds most of the characteristics of their own culture

M: no contact with either culture

Front 7

Multiculturalism

Back 7

Cultural diversity recognizes the unique cultural attributes andwant to stay heterogeneous.

-demonstrates positive feelings towards members of other groups.

Front 8

Stereotyping

Back 8

Assume that people possess certain characteristics/traits based onparticular group they’re associated with.

Prevents one from perceiving a situation accurately/ without bias.

Front 9

Prejudice V.S. Discrimination

Back 9

P: Inflexible thoughts,irrational attitudes, opinions held by members of one groupabout another.

D: Behaviours directed against another group.

Front 10

Monochronic V.S. Polychronic

Back 10

Verbal communication
Mono- sequential in behavior,Clock-oriented, Work-oriented, loves schedules

(Do this then that)

Poly- Does many things at one time, repetitivein speech, places a low value on time
(Do this and that)

Front 11

Gesticulation

Back 11

Signals made with the body to communicate emotions.

Front 12

Bloom's 3 learning domains:

Cognitive

Affective
Psychomotor

Back 12

C-deals with the thought process, knowledge or understanding (smart Connie)

A- deals with emotions, feelings or attitudes (emotional Tiffany)
P-deals with the performance of physical activities, movement or senses (psychic yogi)

Front 13

Communication is all about ___(verb)­­___ and ____(verb)____ messages.B

Back 13

Coding and decoding messages…

note: the receiver cannot always decode correctly (miscommunication)

Front 14

5 steps of Basic Communication

Back 14

1. Having a need, thought or feeling that must be expressed. (Sender)
2. Coding process. (Sender)
3. The Message
4. Decoding Process (Receiver)
5. Level of Understanding (Receiver)

Front 15

6 Factors influencing good communication (CSHTTC)

Back 15

1. communication
2. staying calm
3. honesty
4. technology
5. time
6. compatibility

Front 16

8 barriers to communication
(HAPPIFLD)

Back 16

1. hearing…not listening
2. aggressive behaviour
3. Prejudice/stereotypes
4. pre-occupation
5. inability to manage conflict
6. fear
7. language barriers
8. discrimination

Front 17

Non-verbal communication does what?

_________/__________ what is said verbally.

note: 7 examples of non-verbal communication

Back 17

-Reinforces/modifies what is saidverbally

note: non-verbal cues aren't thesame in all cultures

Examples:
1. kinesics (body movements)
2. eye contact
3. posture
4. para-language (pitch, tone, speed)
5. closeness/Personalspace
6. Facial Expressions
7. Physiological changes (sweating/blinking more)

Front 18

Treat all clients with respect!

All people are the same regardless of ________, _______, _______, or ________.

Back 18

Background
Education
Physical Attributes
Religion

Front 19

Periodontal charting includes checking 5 things...

Back 19

1. pocket readings
2. furcations
3. mobility
4. exudate (aka pus)
5. gingival recession

Front 20

Bleeding index (purpose)

6 locations assessed on each tooth

Back 20

Measures the severity of gingival inflammation

DB, B, MB/ ML, L, DL

Front 21

PD Therapy (3 procedures involved)

Back 21

Requires specialized instruments ,’,

1. perform PD surgery,
2. remove calculus,
3. smooth root surfaces

Front 22

3 kinds of scalers discussed inclass

Back 22

Sickle S.- Remove largesupragingival calculus

Chisel S.- Remove supragingival calculuson the anteriors

Hoe S.- Removes supragingivalcalculus on the buccal & lingual surfaces of posterior teeth

*for Chisel and Hoe scalers, the blade is curved to adapt to the teeth’ssurfaces*

Front 23

Scalers have a _____________ and
Curette have a _____________

Back 23

Scalers have a pointed tip

Curettes have a rounded toe

Front 24

3 things a Curette does

Back 24

1. removes subgingival calculus
2. removes supragingival calculus
3. smooths rough root surfaces (aka root planing)
4. Removes diseased soft tissue surrounding the PD pocket (aka soft tissue curettage)

Front 25

Root Planing & Soft tissue Curettage

Back 25

Root Planing: done after scaling ,', smooths rough root surfaces by removing necrotic cementum and remaining calculus particles.
Afterwards the root surfaces are smooth and glass-like (so they stay clean longer)

Soft Tissue Curettage:
aka (sub)gingival curettage

scraping of gingival lining in pd pocket ,', removes diseased soft tissue surrounding the PD pocket

*both are done with a curette*

Front 26

What are the (4) different types of surgical knives discussed in class?

Back 26

1. Kirkland Knife- double-ended with kidney-shaped blades. (one of the MOST COMMONLY USED knives in gingival surgery)

2. Orban Knife-2 blades with spear-shaped ends—used to remove tissue in interdental areas.

3. Periotomes– thin sharp blades what cause minimal damage to ligaments/bone. Used to cutthe PD ligament in traumatic tooth extractions

4. Gingivectomy Knife - Often used in a Perio office, used to cut gingiva in reconstructive surgery

Front 27

Pocket Markers

Back 27

look similar to cotton pliers but one tip is smooth and straight and the other is sharp and bent on a 90 degree angle

it's inserted into pd pocket and is squeezed to cut the gingiva. Bleeding points mark where an incision should be made

Front 28

Ultrasonic scaler

Back 28

strays water as it vibrates ,', reduces heat and breaks up deposits.

Good for rapid calculus removal and eases hands.

Front 29

Dental Prophylaxis

Removes 4 things

Back 29

non-surgical pd treatment which helps with complete removal of calculus, plaque, soft deposits and stain.

Front 30

Periodontal Disease

Back 30

infection in gums (,', bleeding and inflammation)

causing recession in gums and bone

leading to mobility and (ultimately) loss of teeth

Front 31

Pseudo-pocket

Back 31

false pocket depth due to gingival swelling

Front 32

gingivitis

Back 32

Disease of the gums causing inflammation and bleeding.

Front 33

6 Factors causing misunderstandings between different cultures

Back 33

1. Assumption of similarities
Avoid perceiving everything from your viewpoint

2. Disclosing health info
Changes across cultures and all symptoms in health questionnaires may not be identified

3. Language Differences

4. Preconceptions/Stereotypes

5. High anxiety/Stress
Often during uncertainty

6. Tendency to Evaluate
Trying to understand why situations occur

Front 34

4 types of non-verbal communication

Back 34

1. Zones of territory

2. Physical contact

3. Eye contact

4. Gesticulation

Front 35

Therapeutic communication

Back 35

An interaction between a patient and a healthcare professional who aims to enhance the patient's comfort, safety, trust or health and well-being.

Front 36

Oral Health Education

Back 36

a health promotion strategy that strives to help others improve their oral health.

Front 37

Who write objectives? 3 things...

Back 37

1. provides a solid foundation for instruction
2. provides direction in subject matter, method of teaching and instructional materials
3. help a teacher/facilitator evaluate your success

Front 38

an objective may include

Back 38

awareness
knowledge
attitude
skill development

Front 39

6 reasons why to make objectives

the (silly) acronym I made...
1. police officers &

2. ambulance drivers

3. look straight and focus

4. even

5. though long shifts

6. make them want to check in at home and have a nap.

Back 39

1. planned and organized health ed. programs
2. presenters can assess and describe the target group

3. provides structure and can focus on target group's needs

4. evaluations to see where improvements can be made

5. have an appropriate time and duration

6. Check out the setting to know the room size, number of participants and how else the room can impact the lesson.

Front 40

What are the 4 parts of an objective?
_______+_______+_______+_______

like acronyms?
(Picture a Chitah about to catch it's lunch... creatures target outliers based on their condition)

Give an example...
(try to make a new one each time)

Back 40

Criteria + Target + Outcome + Conditions

“(Cr) After the community health presentation, (T) all target group participants (O) will be able to place one healthy food onto the healthy tooth photo (Co) without assistance”

Front 41

4 Criteria to select an appropriate teaching method

Back 41

1. What is the learning domain?

2. What is known about the audience?

3. How much time spent on teacher-directed and student-directed activities?

4. Do you have the skills to use the proper teaching method effectively?

Front 42

can you list at least 5 things that can enhance one's learning experience?

Back 42

1. Give examples

2. Ask questions

3. Make it personal

4. Eye contact

5. Face your audience

6. Discussion usage

7. Visual Aids

Front 43

Integrating and being familiar with technology while doing a lesson does 3 things...

Back 43

1. taps into students' interests,
2. strengthening technical skills,
3. provide learning opportunities.

Front 44

3 major approaches to simultaneous learning

Back 44

Project-based Learning
involves children carrying out a project that ends up with a concrete result of some kind.

Problem-based Learning
asks the teacher to guide the children in developing solutions to real-world problems

Inquiry-based Learning
children generate their own questions according to their curiosities, or interests, which they then investigate.

Front 45

Pericoronitis

Back 45

Pericoronitis
inflammation of the soft tissues surrounding the crown of a partially erupted tooth (often Wisdom teeth)

Signs and Symptoms
inflamed soft tissue (operculum) which begins at the crown and extends into surrounding gingival tissue and causes impaction of food, bacteria and debris.

Front 46

Periodontal Abscess

Back 46

Periodontal Abscess
Oral condition where a localized pus-filled infection in the tissues next to the periodontal pocket-- may eventually cause destruction of the pd. ligament and alvaeolar bone.

Signs
- superficial abscess
- exudate oozing
- tooth mobility and/or elevation

Symptoms
- sensitivity to palpation/ percussion
- mild discomfort to severe pain

- having a fever and/or feeling ill

Front 47

Gingival Abscess

Back 47

Gingival Abscess
puss-filled sac that forms at the gingival margin which is caused by bacteria entering the gums after injury.

Symptoms
-tenderness and swelling at gingival margins
-exudate oozing
-sensative to hot and cold

in severe cases:
nausea
headache
fever
chills
dull throbbing pain
diarhea

Front 48

What 3 procedures can a Dental Assistant expect to assist in at a Periodontal practice?

Back 48

1. Periodontal charting
2. Periodontal surgeries
3. Provide the client with home care instructions

Front 49

Which two dental staff members can refer a client to a periodontist?

Back 49

DDS and RDH

Front 50

A Periodontal examination includes: (6)

Back 50

1. Med/Dent History

2. Radiographic evaluations
(assess bone levels)

3. Exam of the teeth
(assess plaque and calculus)

4. Exam of the oral tissues
(check for changes in gingival health/ bleeding)

5. Exam of the supporting structures

6. Periodontal charting

Front 51

Which 3 systemic diseases can decrease the resistance of the tissue to infection?

Back 51

-acquired immunodeficiency syndrome
-human immunodeficiency virus infection
-diabetes

Front 52

Periodontal probing measures what?

Back 52

measures how much epithelial attachment has been lost to disease.

The deeper the pocket, the the greater the loss of epithelial attachment and bone (leading to more serious PDD)

The condition worsens because it is very difficult for the clients to keep these pockets clean on their own.

Front 53

What are 5 early signs of Periodontal DIsease?

Back 53

-Changes in gingival (colour, shape, size, texture)

- Gingival inflammation

- Gingival bleeding

- Evidence of exudates

- Development of periodontal pockets

Front 54

__________ are a valuable aid for evaluating periodontal disease. How so?

Back 54

Radiographs

*Why? See the progress of the disease that normally cannot be seen w naked eye.

-ps Parallelling and vertical bitewing are best!

Front 55

What is the device called that sharpens instruments? Why is it important to use this?

Back 55

A sharpening stone prevents the burnishing/smoothing of calculus which actually makes it much harder to remove.

Front 56

2 uses for Perio. explorers

3 things that make them different from regular explorers?

Back 56

1.Used to locate supragingival and subgingivalcalculus deposits

2. provide tactile informationto the operator about the roughness orsmoothness of the root surfaces


They are:
a) longer (to reach base of deep pockets/furcations)
b) more curved
c) easier manipulated around the root surfaces

Front 57

2 curette types we talked about

Pointed tip or rounded toe?

Back 57

Universal C.- instrument with 2 cutting blades that can be used on ALL tooth surfaces

Gracey C. - Instruments with one cutting surface that is area-specific (mesial or distal)

rounded toe (CUR-ette is curved.. if that helps)

Scalers have pointed tips

Front 58

6 indications to use a cavitron (ultrasonic scaler)

Back 58

1. remove supragingival calculus + stains

2. remove subgingival calculus, attached plaque and endotoxins at root surface

3. removing deposits before PD surgery

4. debonding (removing ortho cements)

5. removal of overhang margins of restos

6. cleaning furcation areas

Front 59

10 contraindications for use of ultrasonic scaler

(Acronym)
1.......... Really.
2.......... Inexperienced
3.......... Students,
4,5,6... DoN'T
7......... Do
8, 9, 10. CPR

Back 59

1. resto materials (damage)

2. if pt. is immuno-compromised (,', open to infection)

3. if pt has difficulty swallowing

4. demineralized areas (vibrations prevent remineralization)

5. narrow PD pockets (tip won't fit)

6. titanium implant abutments (damaging)

7. exposed dentin (,', sensitivity)

8. if pt. has communicable disease (aerisols)

9. if pt has pacemaker

10. if pt. has respiratory problems

Front 60

precautions for children when it comes to the ultrasonic

Back 60

-young tissues are very sensitive to vibrations
-Vibrations can heat and damage pulp tissue of primary and newly erupted teeth

Front 61

What's the primary treatment for gingivitis?

Back 61

dental prophylaxis

Front 62

4 Antimicrobial and Antiseptic agents we discussed in class

(Acronym)
if you get the Flu
drink vitamin C
from Tetra
Packs

What about 3 other more nonconventional antibiotic options

Back 62

1. Fluoride Mouthrinses
reduce bleeding by delaying bacterial growth in PD pockets.

2. Chlorhexidine Rinses
(when taken twice daily) most effective in reducing plaque and gingivitis.

3. Tetracycline
an antibiotic that treats periodontitis in early to rapidly destructive forms.

4. Penicillin
less effective against PDD infections than other antibiotics because PD pathogens are resistant to it.

a) fiber w tetracycline packed into PD pocket

b) syringe w dissolvable (gel) into PD pocket

c) deep PD pockets? chlorhexidine chip

Front 63

When is PDD to be treated with surgery?

Back 63

When nonsurgical treatment (prophy, scaling, rooth planing, curettage, antibiotics) is ineffective instopping the disease process, periodontalsurgery is indicated to control the progress ofperiodontal destruction and loss ofattachment

Front 64

3 Advantages to PD surgery

Back 64

1. Allows better access to root surface for scaling/ root planing

2. Eases cleaning in difficult areas for pt.

3. Allows better access to furcations and other hard-to-reach areas

Front 65

3 Disadvantages to PD surgery

Back 65

1. Pt.'s health status/ age creates limitations

2. Investing lots of time, money, esthetics and discomfort

3. Feeling as if cannot talk to dentist (intimidated) but that's why we're there!

Front 66

What's a major deciding factor when wanting to perform PD surgery?

Back 66

the amount of remaining bone around a tooth.

-If lots of bone? Wait-and-see approach (excellent home care and routine dental care are crucial)

-If little bone? Delaying the surgery may drastically lessen saving the tooth

Front 67

Excisional Periodontal Surgery
V.S.
Incisional Periodontal Surgery

Back 67

Excisional PDS
-surgery to remove excess tissues (i.e. gingivectomy/ gingivoplasty)
-its the most rapid means to reduce PD pockets


Incisional PDS (aka Periodontal Flap surgery)
performed when excisonal surgery isn't indicated.

The DDS may perform 3 things:
- scaling/ root planing of exposed root surfaces
-moving flap over to cover root surfaces of adjacent tooth
- Recontouring underlying bone

Front 68

Gingivectomy
V.S.
Gingivoplasty

Back 68

Gingivectomy
-Surgical removal of diseased fibrous tissues ,', reduce pocket depth (using pocket markers and PD knives and scissors)... this makes it easier for the client to clean an area.
- New laser technology available!


Gingivoplasty
-Surgical reshaping/recontouring of fibrous gingival tissues with the use of periodontal knives, diamond burs, curettes and gingival scissors.
-gingival margins are thinned and are given scalloped edges

**Fibrous tissues are a main indication for both procedures

Front 69

Osseous (Bone) Surgery

What is it?

Why is it performed?

2 types

What instruments are used?

Back 69

periodontal surgery that involves modification of the supporting bone.

Performed to eliminate pockets, remove defects, and restore normal contours to bone.

Osteoplasty
Ostectomy

Diamond bur/Bone chisel are used

Front 70

Osteoplasty

V.S.
Ostectomy

Back 70

Osteoplasty
aka "additive surgery"... bone is recontoured/reshaped. Bone may be added through grafting or placing bone substitute materials.
(useful for those who lost bone to PDD)

Ostectomy
aka "subtractive surgery"... where bone is removed.
(useful for a patient who needs a denture but has exostoses [bony growths] that will interfere with comfort and fit of the denture)

Front 71

Crown Lengthening

Common in what part of mouth?

Indications for procedure? (2)

Back 71

Surgical procedure meant to expose more tooth structure for placement of a resto (ie. crown) by removing soft tissue and alvaeolar bone.

-Common in anteriors

Indications for this procedure

1. tooth fracture close to gingival margin/alvaeolar crest

2. subgingival caries

Front 72

2 kinds of Soft Tissue Grafts we discussed

Back 72

Pedicle Graft
-used to move gingivae from adjacent tooth/ edentulous area to recipient site on another tooth.
-pedicle graft is 'freed' on 3 sides, but remains attached to keep blood supply.

Free gingival Soft Tissue Graft
- donor site that is located AWAY from the graft site.

- Blood supply is not attached to graft and ,', depends on recipient site.

Front 73

Postsurgical Patient instructions
(After periodontal surgery)

3 things

Back 73

1. Periodontist might prescribe analgesic (anti-inflammatory drugs) and possibly and antibiotic

2. May recommend an antibacterial rinse 2x a day to reduce plaque

3. Chlorhexidine mouthwash use in 1st week to freshen mouth and inhibit plaque formation.

*post-op instructions are given to ease discomfort and promote healing*

Front 74

Periopaks

5 uses

Back 74

aka Periodontal dressings

5 uses:
1. Hold flaps in place
2. Protect newly forming tissues
3. Minimize postoperative haemorrhage, infection and pain.

4. Protect the surgical site from trauma during eating and drinking
5. Support mobile teeth during the healing process.

Front 75

Periodontal Surgical Dress (Periopaks)
most commonly used materials

Back 75

ZOE dressing (6)

Non-eugenol dressing

Front 76

ZOE Dressing for Periopaks
(4 points about them)

Back 76

-Sets to a firm, heavy consistency and provides protection for tissues and flaps.
-Powder and liquid may be mixed ahead of time, wrapped in wax paper and frozen for future use
- ZOE has a slow set time which allows for a linger working time
-Pt. may experience redness/burning pain in the area of the dressing and some may be allergic to eugenol

Front 77

Non-eugenol Dressing for Periopaks
(5 points about them)

Back 77

- most widely used PD Dressing

- supplied in 2 tubes (base and catalyst)

- easy mix and smooth surface (,', Pt. comfort)

-has rapid setting time if exposed to warm temps

-CANNOT be mixed in advance and stored

Front 78

Esthetic and Plastic PD Surgery
What specifically is done to the gingival tissue?
Main goal?

2 conditions for esthetic and healthy restos

Back 78

-Correct defects in the shape, position and amount of gingival tissue
- Goal: enhance esthetic appearance, teeth and tissues so they appear natural and healthy

1. periodontium must be healthy for the resto to be functional and esthetic

2. to maintain PD health, the restos must be properly designed and placed

Front 79

what is the long-form of the acronym laser?

definition

Note on future work

Back 79

"light amplification by simulated emission of radiation"

Def: A laser beam is a highly concentrated beam of light- this power can be adjusted to enable it to cut, vaporize and cauterize tissue

Research may lead to more widespread uses of lasers in clinical dentistry

Front 80

What are 4 uses of Lasers on Soft tissue?

Back 80

1. Control bleeding of vascular lesions

2. Removal of tumours and lesions

3. Removal or reduction of hyperplastic tissues

4. Vapourization of excess tissues, as in gingivoplasty, gingivectomy and frenectomy

Front 81

8 Advantages Laser Surgery has over Conventional Surgery

Back 81

1. Laser incisions heal faster than incisions made with electrosurgery

2. Hemostasis (control of bleeding) is rapid

3. Opportunity for bloodborne contamination reduced

4. Surgical field is relatively dry

5. There are fewer traumas to adjacent tissues

6. Less post-surgical swelling, scaring and pain

7. Some procedures are quicker

8. Patients who are afraid of surgery may accept this method

Front 82

Laser surgery safety (5)

Sheila and
Matt went to a
party that got
evacuated (kicked out) because of their high volume
so they warned new arrivals on the strict policy

Back 82

Important that dental staff and patient take these precautions so training is important!

1. Shielded glasses worn by staff and patient

2. Matte-finished instruments (no laser reflection)

3. Protection of non-target tissues (with wet gauze packs)

4. HVE should be used to draw off the plume (cloud) which could be considered infectious
5. Warning signs must be posted

Front 83

Agoraphobia

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 83

An anxiety disorder in which the person fears and avoids places where they feel trapped, helpless, embarrassed.

Oral health: Fast mouth breathing therefore dry mouth and halitosis

Behaviour: possible panic attack, shakiness (potential oral trauma), frequent breaks

In office: be supportive, explain procedures, give breaks, nitrous oxide, provide distractions

Front 84

Conduct disorder

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 84

Range of antisocial types of behaviour in childhood/ adolescence

Oral health: Difficulties listening, focusing and paying attention

Behaviour: Aggressive, destructive, violates rules, very physical

In office: Detailed med history, be calm/friendly, avoid confrontation, show interest in what they say.

Front 85

ADHD

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 85

Problems with attention control, inhibitory control and impulsiveness which isn't appropriate for that age.

Oral health: higher prevalence of habits like nail and lip biting and chewing on objects. Hard to maintain good hygiene, meds cause Xerostomia

Behaviour: anxiety, impatient, hyper, excessive talking, moving a lot

in Office: be calm, provide distractions like books/ stuffed animals, ask parents for tips, avoid trigger words

Front 86

OCD

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 86

Anxiety disorder where people have unwanted/ repetitive thoughts, feelings, ideas or obsessions that drive one to so something.

Oral health: excessive brushing (,', gingival recession/ dental abrasion) or under brushing (,', cavities, halitosis, gingivitis)

Behaviour: constant checking, fear of contamination, intrusive thoughts

In office: Review oral self care, do not overwhelm, make sure they're listening, be calm, understanding and positive

Front 87

Methadone

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 87

A drug similar to morphine used to treat those addicted to morphine or heroin.

Oral health: dry mouth, great risk of decay and erosion from sugary syrup. Careless with oral hygiene

Behaviour: loss of interest in hobbies, isolation, avoids social functions

In office: Can have seizures, explain importance of oral health, be positive and supportive

Front 88

Schizophrenia

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 88

Long-term mental disorder involving the breakdown of relation between thoughts, emotion and behaviour ,', faulty perceptions, inappropriate actions withdrawal from relationships and reality.

Oral health: neglect oral self care, many are smokers, inability to comprehend the importance of oral health.

Behaviour: drug/ alcohol abuse, social isolation, poor concentration, frequent movements and spontaneous trips

in Office: do NOT keep them waiting, know med history, be positive, give written instrustions, demo id brushing tequniques

Front 89

Depression

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 89

Chronic/intense feelings of sadness, helplessness, hopelessness, worthlessness.

Oral health: no desire for OSC, medications can cause dry mouth theredore xerostomia and decay, cariogenic diet, advanced PDD.

Behaviour: lack of interest (missed appts), feel unworthy of good health

In office: review med history, don't overwhelm

Front 90

Lupus

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 90

auto-immune disease (client may be on blood thinners which would affect oral surgery, scaling and invasive procedures)

Oral Health: prone to staining, plaque and caries because busy with other med appointments.

Behaviour: used to med setting so more relaxed/cooperative with oral procedures. fidgety

in Office: know med history, ask if client took their meds before coming in.

Front 91

PTSD

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 91

Mental and emotional distress occuring as a result of injury/severe psychological shock.

Oral health: clenching, TMJ disorders, bruxism, PDD, dry mouth

Behaviour: nervousness, difficulty sleeping, triggers, addictions, detachment, anxiety (needles and sharp instruments)

In office: client may react out of context! Watch blood pressure, be calm, positive and reassuring. Do work at their pace, clearly express what you're doing.

Front 92

Asthma

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 92

Respiratory condition marked by spasms in bronchi of lungs (causing breathing difficulties)

Oral health: dental caries (due to meds), oral candidiasis, PDD.

Behaviour: social problems, wheezing, shortness of breath

In Office: Have inhaler with them (or emerge one) *call 911 if attack longer than 5 mins*, reassure with calm/soothing voice, aerisols and rubber dam can make it hard to breathe (lose lose situation)

Front 93

Seasonal Affective Disorder (SAD)

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 93

type of seasonal depression (often sadness from cold and lack of sun)

Oral health: lack good oral hygiene, coming to appointments late/missed appointments

Behaviour: inattentive to instruction, not enthusiastic, no drive, low energy, changes in appetite

In office: make sure they consent, keep instructions simple, don't have high expectations.

Front 94

Tourette's Syndrome

Impact on oral health

Behaviour to expect

Managing it in dental office

Back 94

Neuropsychiatric disorder where one has repetitive movements/ unwanted sounds that can't be controlled. (usually starts around 5-10 years old)

Oral Health: meds may affect oral health

Behaviour: rapid and repetative

In Office: "Tell-Show-Do" is very effective, may want to sedate (prevent potential trauma), medications for low blood pressure

Front 95

(flip)

Back 95

You're going to do great! Keep it up! :)