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214 Cards in this Set
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in Lambournes study amt of kids treated by pediatric specialist with NO fear of dental treatment
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75%
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(Lamboune) what causes kids reduction in fear when being treated by pediatiric dentist?
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pediatric drs see pts more often
pediatiric dr consistantly reward good behavior pediatric dr spends more time interacting with pt pediatric drs are trained in unique behavior techniques (perceive fear, show empathy, involve pt) |
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(Lamboune) Which is better no reward or a periodic reward for reducing childs anxiety?
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none
either do reward consistantly or none at all |
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True or False, Dental anxiety in children is lower when treated by a pediatric specialist.
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TRUE
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Lambourne. What should pediatric dentists do to build relationship w/pt?
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have an increased number of routine checkups
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Corbin- does gender play a role in determining dental anxiety?
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no gender does not play a role
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corbin-what has the highest positive correlation between self consciousness and dental anxiety?
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public self consciousness
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corbin - how can dentist treat or prepare to handle self-consciousness in their pts?
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take psc classes
keep psc books in office have psc pamphlets available set up monthly dental anxiety grps for pts |
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corbin-
what is a pts response to stress in dental situations? |
anxiety
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corbin- public self consciousness
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conscious of aspects of oneself that are public
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corbin does self consciouss cause dental anxiety?
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no just contributes
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smith
are depressive symptoms associated with tooth brushing frequency? |
yes as depression increaeses tooth brushing decreases
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smith
who felt more need for dental treatment, healthy people are people with depressive symptomes? |
people w/depressive symptoms felt need for dental treatment more often than those wo
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smith
is there an association between dental check up frequency and anxiety? |
no
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smith What is the releationship between depression, toothbrushing, and dental visits?
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people w/depression brushed their teeth and went to dentist less
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Neale
what do pts want dr to wear? |
dress atire
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neale
80% of pts said what about appearance? |
it affected pts expectations of care, comfort and anxiety level
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neale
how did distance pt lived from school affect what attire they favor |
the closer the people live to the school the more likely they favor formal attire
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neale
what does professionalism include? |
appearance, behavior, conversation
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neale
in dental schools, who did pts most prefer where formal attire? |
faculty
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farmer
why is obesity pertinent to dental clincian? |
30% of americans are obeses
obese pts have many med cond. obese pts are subj. to public disapproval |
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farmer
obesity impact on anesthetics |
obesity increase the level of difficulty in achieving regional anesthetic block
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french
behavioral characteristic of child abuse survivors |
reluctant to trust others
increased sensitvity to critism difficulty asserting themselves dessociation |
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french
survivors of child sexual abuse othen have problems associated w/lack of control during dental apts. what is a method to help w/ this? |
dr shoud inform pt of procedures being performed
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french
percent of populaton that is exposed to child hood sexual abuse |
15-30% of females
3-15% males |
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french
smell of latex gloves and recling in dental chair are often problems for what kin of pts? |
pts who have gone through sexual abuse
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french
survivors of childhood sexual abuse can be characterised by which of the following? |
unassertive
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holoyoak
% of adult pop that fear dental treat ment |
40%
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holoyoak
% of adults with phobia or debilitiating fear of dentist |
3-5%
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holoyoak
eclectic approach |
help pt feel calm by dentist's behavior, attitude and communicative stance
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holoak
behavioral approach |
uses relaxation to counteract and weaken connection between anxiety provoking response and stimulus
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holyoak
cognitive approach |
2 fold
alter and restructure content of neg cognitions and aim to enhance control over thoughts |
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holyoak
what is extreme anxiety and fear associated w/ object? |
phobia
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holyoak
what can be done for fearful pts to incresase frequency of denal visits to improve oral health? |
eclectic approach
behavioal approach cognitive approach medicine |
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bulleigh
during inital onset of panic disorder what are panic attacks brough on by? |
unknown
they do NOT seem to be brought on by any external stimulus |
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bulleigh
what happens during panic attack? |
increase symp
profuse sweat pupils dialate increase dizziness |
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buliegh
% of pts of PD that have major depressive episode? |
50-60%
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bulliegh
why do 50-60% of pts of PD have depressive episode? |
bc constant fear and social embarassment of haing PA in public
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bulleigh
why dont people want to take SSRIs |
bc decrease sexual libido
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bulleigh
hear condition often associated with panic disorder |
mitral valve prolapse
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Bulleigh
50=60% of pts with PD have major depressive episodes, of these how many atempt suicide? |
20%
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Foy
frankyl behavior rating scale |
grps on child cooperation into 4 broad categories 1-4
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Foy
behavior eval scale |
37 distinct mannerism of kid
problem w/ putting mannerism into category during dental treatment |
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foy
is there a scale tody that is implemented daily in pediatric dentistry? |
no
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foy
what was used in creating decision tree? |
behavior eval scale
frankl's behavor rating scale cluster anlysis |
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foy
whay is main focus of decison tree? |
to anticipate child rxn to dental treatment
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pitt
the worrier grp showed scoring their own breath as what compared to impartial judges? |
negatively correlated to what impartial judges scored it
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pitt
body image has what characteristic? |
intertwined w/feelings of self
affects the way pts feel about surroundings' can be socially influenced affect pts behavior |
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pitt
the bad breath paradox leaves many people unable to do what? |
realize their breath stanks or doesn't
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amt of people in US with dental anxiety?
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30-40 million
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What is the main reason why the prediction of success of behavior modification techniques is important for dentists?
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pts prone to fail behvaioral modification therapy can be refered for other modes of treatment so dont waste time which could casue more damage
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what affects success/failure of behavioral modificaition therapy?
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poor attention control
initial dental anxiety level |
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greatest predictor of pts prone to fail behavioral modification therapy
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poor attention control
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lee
circle of dental anxiety |
fear
avoidance deteriation shame |
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lee
law of Jante |
dont think you are better than I am
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Lee
what foolows fear and anxiety in circle of dental anxiety? |
avoidance of dental care
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Lee
What comes w/embarrassement of teeth? |
self punishment
secrecy or taboo thinking poor self image socially withdrawn |
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Lee
what phenomena was percieved as number of years of dental care avoidance increased? |
exaggerated perception of tooth damage that was not as visible as pts percieved
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Taylor
what two models of dental care delivery were discussed? |
comprehensive
traditional and there is no difference between 2 in what pt likes better |
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Wright
how much do dentists get asked questions about internet? |
1/2 of dentists
majority say it happens once a month |
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wright
why dont dentists refer pts to internet sites? |
bc lack of knowledge about appropriate sites
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wright
problem with internet |
give public confidence to challenge dentist
change dr/pt relationship pts demand inappropriate care |
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wright
what is one advantage of internet? |
amplify pts role in managing oral health care
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wright
what is topic most read about on internet and asked about to dentist? |
cosmetic procedures
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meeks
% of TMD with psychological diagnosis |
50%
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meeks
what critical thing must be done before referring pt to a mental health professional? |
consultation w/pt to obtain their permission to make such a referral
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mueller
4 pt types |
mild form of generalized anxiety
specific dental phobia interfering psychiatric symptoms hi treatment needs |
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mueller
ways to reduce anxiety |
tell show do
hand signals lay terminology build relationship |
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meeks
problem with substance abusers? |
hard to numb
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meeks
as a dr, why is it important for you to understand xerostomia? |
side effect of 400 meds
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meeks
pattern seen in pts w/ bulimia? |
erosion of linual max anteriors
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meeks
why is it important for you to obsere signs of tarditive dyskinesia? |
bc you might be the pts first line of defense in reversing a permanent condtion
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mueller
worst option for a pt w/only slight anxiety |
providing intravenous sedation
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mueller
for pts with hi treatment needs which approach is best to help them w/ fear-avoidance-pain cycle? |
a holistic approach
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mueller
coping strategies you can teach pt |
distraction
relaxation hypnosis bracing for it |
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brinkley
symptoms of LLLD |
fixed facial paralysis
burning in oral mucosa rampant decay decrease saliva |
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binkley
complication of taking meds for LLD |
grinding teeth
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binkley
when counseling LLD pts what should you do? |
bring in family members when discussing oral hygeine
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binkley
how can dentist be first line of defense with LLD? |
catch early signs such as increased decay
notice decrease in oral health |
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binkley
drugs given to LLD pts |
MAO
SSRIs Heterocyclin antidepressent atypical antidepressant |
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marshall
who do most dentist want to treat? |
women 20-25
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marshall
when doing dentures, what shoud be done at first apt? |
make sure they have your confidence
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marshall
why do elderly require more attention |
medical disorders
drugs phys disabilities inability to perform tasks lack of motivation communication diffulties phys changes |
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marshall
appropriate measure to take when treating geriatric pt |
ask specific questions to ID pt attitude
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evans
what helps reduce pts fear in dental office? |
properly infroming pts of procedures
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rodgers
although levels of dental anxiety has not changed significantly over the past half century, many believe progress is being made bc.... |
anxiety in general has increased dramatically
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rodgers
percent of pts who rate dentist as excellent in showing care |
50-60%
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rodgers
why are pts more satisfied with dental care? |
less threatening treatment
cottage stycle practice efforts on part of dental hlth care workers |
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anderson
what is a factor that would cause public distrust in dentist? |
changing diagnosis from dentist to dentist
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sloat
how many times more likely is that a kid after extraction will be scared of dentist? |
3.5x
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sloat
vicious cylce |
dental anxiety
infrequent vistits dental caries invaseive procedur anxiety |
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sloat
finding on dental anxiety encourage dentist to do what? |
max pts comfort during procedures
minimize pts stress empahsize importance of frequenct dental check ups treat pt w/ care |
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owens
modeling is a form of what type of learning? |
indirect learning
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owens
what contributes to an individual in making a decision? |
negative information
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owens
what parenting style to only one to be related to hi dental fear amongst children |
self complaints
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owens
the dental fear amongst parents has greatest influence when? |
at childs fear of entering first dental visit
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lack
what was found in pts w/sever dementia? |
there dentures did not fit
60% of them did not even wear their dentures |
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lack
main complication w/ study in nursing homes |
many were edentulous so hard to compare individuals
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lack
dementia |
impairment of intellect, memory, and personality
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troung
when measuring behavioral factors that would relate to dental fear in kids what would one observe |
temperment
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troung
by observing diff behavioral factors in kids relating to dental fear you can conclude what? |
dental fears are formed from diff ways by diff personalities in pediatric pts
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troung
what should you do when pediatirc pt with dental fear enters your practice? |
observe type of personality and fear and approach accordingly
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what should we do to hlp pts become educated about treatment plans?
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give them knowledge so they feel comfy w/decision they are making
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sexton
is socioeconomic a big facotor in oral health of kids? |
"NO
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sexton
a parental perception of child as well behaved and easy is likely to correlate to which observation? |
poor oral health
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what are perceptions are suggested by a hi child domain score?
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reactive
unintelligen difficult to control demanding |
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sexton
what age does american academ of pediatric dentistry recommended a childs first visit? |
age one
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sexton
what is the greatest factors that affects childs oral health? |
age of parent
education lo child domain score age of child |
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fleming
why is it important to recognize signs of LLD? |
bc baby boomer generation entering age grp causing major hlth concern
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flemin
pts who have over come LLD are at risk for waht? |
60% chance of relapse
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fleming
primary care dr could be instrumental w/sucicide avoidance. why? |
bc 75% of suicides had visited dr wi month and 39% wi same week
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LLD that is most successful wo side effects
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psychotherapeutic intervention
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fleming
40% of elderly pts qualify for LLD when.... |
they have chronic face pain or burning oral mucosa
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fleming
due to lo oral hygiene motivation, most important dental managemnt technique for pts with LLD is what? |
preventive dentistry
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storey
dentists who give comprehensive treatment of perio disease incorporate what into their healthcare? |
patients perspective
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storey
effects of perio |
decrease mood
increases worry increases financial load decrease willingness to smile |
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storey
illnesses associated with perio |
respiratory disease
diabetes cv disease |
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storey
what happens to pt mood if perio disease improves? |
pt anxiety levels decrease
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storey
pts reported that their perio disease and symptoms did what do appearance? |
detracted from physical appearance
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bauman
most hi stressor for dentist |
running behind schedule
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allen
what is female communication based on? |
symmetrical
accommodating emotion based |
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allen
what is male communication based on? |
asymetirical
competitive info based |
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allen
assistant relations w/female dentists |
friendly w/focus on personal attention
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allen
assistant relation w/male dentists |
gender based
business like |
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allen
problem w/female dentists being buddy buddy with assistant |
role confusion
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differences in first year dental students.
what two things do men and women have in common? |
both want money and family
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hayes
who are more prone to be associates, men or women? |
women
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morrison
pts who are resistant to forms of distraction. |
sexual/phys abuse or pts who are claustrophobic
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morrison
who was audiovisuals not effective on? |
gag reflex
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reed
what do most pts want dentist to be? |
nice
talkative male over 45 v. professional |
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nicholson
why dont drs give pts modified dental anxiety scale? |
bc they are afreaid it would harm relationship with pt and it will take too much time.
both of these are false tho |
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mehner
amelogenisis imperfecta |
inherited abnormal enamel formation
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mehner
demographics for people w/AI |
less likely to marry, have kids, be satisfied with education and job
many have not finished high school but they have more education beyond high school |
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if pt has TMD and many non physical symptoms, what is likely?
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depression
bc use somatization against depression |
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bowers
what are people w/dentures more likely to do? |
complain of oral function
report poor hlth status take Rx less dental apts hi depression rates |
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bowers
what varies w/denture wearing? |
education and income
NOT sex or age |
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bowers
what is oral function limitations associated with? |
AGE and INcome
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owens
modeling |
acquesition of new behavior through the imitation of observed behavior
form of indirect learning |
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owens
neg information |
people give more attention to neg leaning
form of indirect learning |
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southerland
3 factors that significantly predict liklihood of failure of behavior modification therapy |
poor attention
initial dental anxiety somatization (mainly poor attention control) |
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morrison
purpose of study on audiovisual distraction |
eval the effect of audiovisual distraction on pt reported w/ hi anxiety levels and pain during prophy
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morrison
result of AV distraction |
pts in study loved treatment w/av googles
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morrison
av stimulation during treatment was found to be beneficail for pts who suffered from... |
mild to moderate dental anxiety levels
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reed
most common cause of dental anxiety |
pain
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reed
what do female dentists need to have awareness of? |
communication
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alexander
what desensitization treatment grps showed most success? |
systematic desensitization
grp therapy hypnotherapy |
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alexander
what was the criteria for success? |
pt saw dentist regularly after 3 years
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alexander
whay is best thing a dentist can do to earn pts trust? |
communicate
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hicks
describe universal access to care |
makes access to dental care more equal between SES
it is found in Canada, england,and euope dentists are employed by gov gov sets the fee rate |
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hicks
dmfs index is a measure of what? |
caries expereince
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hays
on avg women work how much compared to men? |
similiar hrs/wk and wks/yr
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in general married women work more or less than men
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work less hrs/wk then men
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hays
what women worked similiar hrs as men did? |
younger unmarried women and older married women
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wright
what decreases disparities among ethnical grp? |
providers awareness of disparities among ethnic grps
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wright
what can reduce racial disparities in care |
increasing providers awareness
cross cultural ed in dental schools |
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wright
IOM 2002 report |
it was produced at request of congress and it led to many changes in medical field education, private, and corporate.
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wright
what stated that disparities in care do exist in dental field? |
2000 surgeon general report report oral hlth
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wright
what are factors affecting differing presentation of symptoms among various ethnic grps? |
literacy and level of empowerment
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wright
what is recommended for dental profession to reduce occurrence of disparities in dental care? |
use of interpretation servieces in dntal clinics
increase rep. of minorities in faculty and student body revision of accreditation cross cultural ed stad |
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vu
what race of US is expected to increase the most in next 50 yrs? |
hispanics
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vu
barriers to oral health care |
lack of knowledge about prevention of oral hlt diseas
misdistribution of dentist geographically lo reimbursement rates for public programs like medicatid financial problems |
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vu
what are main reasons for improved oral health? |
Fl water
increase number of kids sealants |
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vu
what plays vital role in serving the underserved? |
academic dental institutions
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vu
what grp has an underrepresented number of dentist? |
hispanic and african americans
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allen
who interacts better w/ staff male or female dentist? |
male had better communiation and working relationships w/staff
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allen
why is communication research among dentist and office staff essential? |
bc at the center of job dissatificationi is poor communication
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allen
grp of denatl assistants most vulnerable to communication stereotypes |
young assistants
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libby
what kind of graduate does the commission on dental accreditiation charge dental schools to produce? |
competent on principles of ethical reasoning and having professional responsibility as they pertain to pt care and practice management
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libby
what was most often identified ethical issue by 4th year dental students? |
pt lack of resources
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libby
among what grp of pts did 4th year dental students NOT report a lack of resources as being most common issue? |
geriatric
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libby
4th year dental students reported what as ethical dilemmas when treating pediatric pts |
absent/unclear surrogates for making decisions
lack of resoursces caregivers neglect dental care |
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leslie
compare symptoms of depression and non specific physical symptoms seen in asians with TMD vs. caucasians |
symptoms of depression and NPS are lower in asians
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leslie
asians with TMP are non compliant sometimes. why? |
bc of depression and somatization
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leslie
why do pts not report psychological disturbances? |
societal stigma
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seth
how did self assessment of oral hygeine begaviors differ between stressed grp and control grp throughouut study? |
there was no differenct between 2 grps self assessment of oral hygiene begaviors throughour course of study
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seth
what suggestion was made to stressed individuals regarding oral hygiene behaviors? |
stressed pts should compnesate for such conditions by adusting oral hygiene
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seth
in study how did OH manifest in an examinees mouth? |
by plaque index and bleeding pts
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bowers
oral function limitations were shown to be significantly associated with: |
age and income
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bowers
what % of people w/complete dentures had not seen a dentist in over a year? |
94%
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richards
parts of ADA principle of ethics |
pt autonomy
nonmalefience benefience justice |
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richards
what expresses concept that professionals have duty to protect pt from harm? |
nonmalefience
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richard
what princple promotes truthfulness |
veracity
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richards
how many major ethical codes are there? |
5
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perry
best reason that dentist should inform pt about treatment is bc.... |
it is their legal obligation for dentist to obtain pts informed consent to treatment
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perry
would pt rather have info or be involved in decision making process? |
pt would rather have information
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nicholson
one reason pt showed reduction in anxiety |
bc dentist may have been more aware of pts feelings than normal
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nicholson
a good way to eval pt state of anxiety would be to give a..... |
STAI-S
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nicholson
why is evaling pt anxiety before and after treatment beneficial? |
to gauge your ability to reduce pts state anxiety
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nicholson
a result of dentists being aware of possible state anxieties causes... |
a reduction in state of anxiety of pt
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nicholson
purpose of doing state anxiety tests |
test effect on state anxiety by informing primary care dentist
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dan
what defense mechanism did students use to justify cheating? |
rationalization
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dan
ways to decrease cheating |
indivdualized exams
video survaliance strict punishment restructure social consequenc |
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dan
what is basic problem of cheating according to article? |
society's construct of success
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kincaid
what level of esthetics embraces rules of symmetry the golden proportion? |
basic or classical level
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kincaid
most important characteristic of restoration |
FUNCTION
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kincaid
first step dr should do when pt wants esthetic work done instead of traditional procedures? |
give info and MC
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kincaid
when considering procedure, which one should be encouraged? |
less invasive
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mehner
what is most significant difference found in those with AI compared to those without |
reduced quality of life with reguard to dental issues
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brad
what is not a theme linked to dental students motivation for choosing dentistry |
LOCATION
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brad
what is chosen by men to be motivating factor for chooseing dentistry? |
I want to be self employed
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brad
which of following themes did women and men both score equally in for choosing dentistry? |
flexibilty and money
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brad williams
why did women score lower that men in business category? |
bc women want families not bussinesses
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reding
hypodontia |
genetic disorder
failure of teeth to form |
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reding
what is a con to policy proposed that only families at risk should be offered genetic testing? |
violates societal norms about abortion
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biological rxn to any adverse stimulus that disturbs homeostatis
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stress
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symptoms of depression
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depressed mood
sig weight change insomnia/hypersomnia thoughts of death |
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effects of having only lo demands for a short period of time
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bored
restless lethargic |
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gradual erosion of person
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burnout
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stressors in dentistry
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finances
management demanding pts fear of mistakes |
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most common physical disorder in dentists
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back pain
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quality of stress
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inspires people to try harder
|
|
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profession w/highest burn out
|
general dentist
oral surgeons |
|
|
stress management tecniques
|
meditation
improve communication time management improve intrapersonal skills |
|
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how do dentists cope w/burnout?
|
change routine to adopt more flexible schedule
|
