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24 Cards in this Set
- Front
- Back
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With respect to the tongue where does oral cancer most often present?
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The lateral portion
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What tumor might occur on the floor of the mouth?
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Whartons, It might clog wharton’s duct.
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What is subjective information?
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Information that our patient tells us
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What is objective information?
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Info that we gather upon testing
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What does SOAP stand for?
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Subjective, Objective, Assessment, and Plan
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What is an ASA I?
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Healthy/green flag for treatment
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What is ASA II?
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Mild or moderate systemic conditions, dentophobe, smoker, allergy to drug, pregnant, systemic conditions are controlled and over 65 yrs/old.
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What ASA are most of the patients?
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Between ASA II and ASA III
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Who is an ASA III?
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Patient with severe, limiting systemic disease, but may not exhibit signs until challagened. Can walk up stair but will have to stop en route due to distress. Yellow flag for TX. A medical consult is required and office care must be modified. Post cerebrovascular accident more than 6 months ago. Well controlled type I diabetes, exercise induced asthma. BP over 160/95
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What is ASA IV?
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Patients that have an incapacitating disease that is a threat to life, Severe medical issues more important than dentistry, Should postpone TX until at least an ASA III. If TX is necessary it should be done in a hospital. Red flag for TX
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What is ASA V?
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patients on death’s door. Red flag for TX
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Which ASA levels are candidates for dental care?
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ASA I, II, and III
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What is ORA I?
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diagnostic and preventative procedures unlikely to cause an adverse reaction eg. Exam, X-ray, impressions, Data collection.
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What is ORA II?
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Routine dental TXs that pose minimal risk for adverse reaction. Eg. Simple operative dentistry w/local anesthesia, simple ortho, SRP, ---minimally hemorrhagic
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What is ORA III?
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Procedures that pose a moderate risk for adverse reaction like simple tooth extractions, long appointments w/complex procedures, and procedures that require oral or intravenous drugs.
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What is ORA IV?
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Pose significant risk of adverse reactions like multiple extractions, Gingival grafts, surgical endo, Orofacial infection w/swelling.
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What is ORA V?
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High risk of adverse reactions like treating sever orofacial infections, deep sedation procedures, extensive surgical procedures, and procedures that require general anesthesia.
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What is the goal of treatment planning?
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To solve or manage the problems of the patient.
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What is the proper order for the treatment planning phases?
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1. Manage priority problems 2. Control or eliminate disease 3. Restore function and aesthetics 4. Reevaluate previous care and 5. Recall
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What things are considered in phase one priority care?
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Emergency extractions, restorations to protect threatened pulp, tx of painful periodontal disease, dx of suspicious lesions.
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What factor has more effect than any other on treatment planning?
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Existing Dental Conditions
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What are the four levels of prognosis to aid in treatment planning?
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Stable, Guarded, Diminished (1-5 yrs), and Hopeless.
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What does Code 2200 hundred for?
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It is a pre-prosths code needed prior to bridges/dentures
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What is a good general rule in emergencies?
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Try to delay definitive care. Ie extractions….the patient might make hasty decisions when in pain.
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