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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
75%
(Lamboune) what causes kids reduction in fear when being treated by pediatiric dentist?
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)
(Lamboune) Which is better no reward or a periodic reward for reducing childs anxiety?
none

either do reward consistantly or none at all
True or False, Dental anxiety in children is lower when treated by a pediatric specialist.
TRUE
Lambourne. What should pediatric dentists do to build relationship w/pt?
have an increased number of routine checkups
Corbin- does gender play a role in determining dental anxiety?
no gender does not play a role
corbin-what has the highest positive correlation between self consciousness and dental anxiety?
public self consciousness
corbin - how can dentist treat or prepare to handle self-consciousness in their pts?
take psc classes

keep psc books in office

have psc pamphlets available

set up monthly dental anxiety grps for pts
corbin-

what is a pts response to stress in dental situations?
anxiety
corbin- public self consciousness
conscious of aspects of oneself that are public
corbin does self consciouss cause dental anxiety?
no just contributes
smith

are depressive symptoms associated with tooth brushing frequency?
yes as depression increaeses tooth brushing decreases
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
smith

is there an association between dental check up frequency and anxiety?
no
smith What is the releationship between depression, toothbrushing, and dental visits?
people w/depression brushed their teeth and went to dentist less
Neale

what do pts want dr to wear?
dress atire
neale

80% of pts said what about appearance?
it affected pts expectations of care, comfort and anxiety level
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
neale

what does professionalism include?
appearance, behavior, conversation
neale

in dental schools, who did pts most prefer where formal attire?
faculty
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
farmer

obesity impact on anesthetics
obesity increase the level of difficulty in achieving regional anesthetic block
french

behavioral characteristic of child abuse survivors
reluctant to trust others

increased sensitvity to critism

difficulty asserting themselves

dessociation
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
french

percent of populaton that is exposed to child hood sexual abuse
15-30% of females
3-15% males
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
french

survivors of childhood sexual abuse can be characterised by which of the following?
unassertive
holoyoak

% of adult pop that fear dental treat ment
40%
holoyoak

% of adults with phobia or debilitiating fear of dentist
3-5%
holoyoak

eclectic approach
help pt feel calm by dentist's behavior, attitude and communicative stance
holoak

behavioral approach
uses relaxation to counteract and weaken connection between anxiety provoking response and stimulus
holyoak

cognitive approach
2 fold

alter and restructure content of neg cognitions and aim to enhance control over thoughts
holyoak

what is extreme anxiety and fear associated w/ object?
phobia
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
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
bulleigh

what happens during panic attack?
increase symp
profuse sweat
pupils dialate
increase dizziness
buliegh

% of pts of PD that have major depressive episode?
50-60%
bulliegh

why do 50-60% of pts of PD have depressive episode?
bc constant fear and social embarassment of haing PA in public
bulleigh

why dont people want to take SSRIs
bc decrease sexual libido
bulleigh

hear condition often associated with panic disorder
mitral valve prolapse
Bulleigh

50=60% of pts with PD have major depressive episodes, of these how many atempt suicide?
20%
Foy

frankyl behavior rating scale
grps on child cooperation into 4 broad categories 1-4
Foy

behavior eval scale
37 distinct mannerism of kid

problem w/ putting mannerism into category during dental treatment
foy

is there a scale tody that is implemented daily in pediatric dentistry?
no
foy

what was used in creating decision tree?
behavior eval scale
frankl's behavor rating scale
cluster anlysis
foy

whay is main focus of decison tree?
to anticipate child rxn to dental treatment
pitt

the worrier grp showed scoring their own breath as what compared to impartial judges?
negatively correlated to what impartial judges scored it
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
pitt

the bad breath paradox leaves many people unable to do what?
realize their breath stanks or doesn't
amt of people in US with dental anxiety?
30-40 million
What is the main reason why the prediction of success of behavior modification techniques is important for dentists?
pts prone to fail behvaioral modification therapy can be refered for other modes of treatment so dont waste time which could casue more damage
what affects success/failure of behavioral modificaition therapy?
poor attention control

initial dental anxiety level
greatest predictor of pts prone to fail behavioral modification therapy
poor attention control
lee

circle of dental anxiety
fear

avoidance

deteriation

shame
lee

law of Jante
dont think you are better than I am
Lee

what foolows fear and anxiety in circle of dental anxiety?
avoidance of dental care
Lee

What comes w/embarrassement of teeth?
self punishment
secrecy or taboo thinking
poor self image
socially withdrawn
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
Taylor

what two models of dental care delivery were discussed?
comprehensive

traditional

and there is no difference between 2 in what pt likes better
Wright

how much do dentists get asked questions about internet?
1/2 of dentists

majority say it happens once a month
wright

why dont dentists refer pts to internet sites?
bc lack of knowledge about appropriate sites
wright

problem with internet
give public confidence to challenge dentist

change dr/pt relationship

pts demand inappropriate care
wright

what is one advantage of internet?
amplify pts role in managing oral health care
wright

what is topic most read about on internet and asked about to dentist?
cosmetic procedures
meeks

% of TMD with psychological diagnosis
50%
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
mueller

4 pt types
mild form of generalized anxiety

specific dental phobia

interfering psychiatric symptoms

hi treatment needs
mueller

ways to reduce anxiety
tell show do

hand signals

lay terminology

build relationship
meeks

problem with substance abusers?
hard to numb
meeks

as a dr, why is it important for you to understand xerostomia?
side effect of 400 meds
meeks

pattern seen in pts w/ bulimia?
erosion of linual max anteriors
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
mueller

worst option for a pt w/only slight anxiety
providing intravenous sedation
mueller

for pts with hi treatment needs which approach is best to help them w/ fear-avoidance-pain cycle?
a holistic approach
mueller

coping strategies you can teach pt
distraction
relaxation
hypnosis
bracing for it
brinkley

symptoms of LLLD
fixed facial paralysis
burning in oral mucosa
rampant decay
decrease saliva
binkley

complication of taking meds for LLD
grinding teeth
binkley

when counseling LLD pts what should you do?
bring in family members when discussing oral hygeine
binkley

how can dentist be first line of defense with LLD?
catch early signs such as increased decay

notice decrease in oral health
binkley

drugs given to LLD pts
MAO
SSRIs
Heterocyclin antidepressent
atypical antidepressant
marshall

who do most dentist want to treat?
women 20-25
marshall

when doing dentures, what shoud be done at first apt?
make sure they have your confidence
marshall

why do elderly require more attention
medical disorders
drugs
phys disabilities
inability to perform tasks
lack of motivation
communication diffulties
phys changes
marshall

appropriate measure to take when treating geriatric pt
ask specific questions to ID pt attitude
evans

what helps reduce pts fear in dental office?
properly infroming pts of procedures
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
rodgers

percent of pts who rate dentist as excellent in showing care
50-60%
rodgers

why are pts more satisfied with dental care?
less threatening treatment

cottage stycle practice

efforts on part of dental hlth care workers
anderson

what is a factor that would cause public distrust in dentist?
changing diagnosis from dentist to dentist
sloat

how many times more likely is that a kid after extraction will be scared of dentist?
3.5x
sloat

vicious cylce
dental anxiety

infrequent vistits

dental caries

invaseive procedur

anxiety
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
owens

modeling is a form of what type of learning?
indirect learning
owens

what contributes to an individual in making a decision?
negative information
owens

what parenting style to only one to be related to hi dental fear amongst children
self complaints
owens


the dental fear amongst parents has greatest influence when?
at childs fear of entering first dental visit
lack

what was found in pts w/sever dementia?
there dentures did not fit

60% of them did not even wear their dentures
lack

main complication w/ study in nursing homes
many were edentulous so hard to compare individuals
lack

dementia
impairment of intellect, memory, and personality
troung

when measuring behavioral factors that would relate to dental fear in kids what would one observe
temperment
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
troung

what should you do when pediatirc pt with dental fear enters your practice?
observe type of personality and fear and approach accordingly
what should we do to hlp pts become educated about treatment plans?
give them knowledge so they feel comfy w/decision they are making
sexton

is socioeconomic a big facotor in oral health of kids?
"NO
sexton

a parental perception of child as well behaved and easy is likely to correlate to which observation?
poor oral health
what are perceptions are suggested by a hi child domain score?
reactive
unintelligen
difficult to control
demanding
sexton

what age does american academ of pediatric dentistry recommended a childs first visit?
age one
sexton

what is the greatest factors that affects childs oral health?
age of parent
education
lo child domain score
age of child
fleming

why is it important to recognize signs of LLD?
bc baby boomer generation entering age grp causing major hlth concern
flemin

pts who have over come LLD are at risk for waht?
60% chance of relapse
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
LLD that is most successful wo side effects
psychotherapeutic intervention
fleming

40% of elderly pts qualify for LLD when....
they have chronic face pain or burning oral mucosa
fleming

due to lo oral hygiene motivation, most important dental managemnt technique for pts with LLD is what?
preventive dentistry
storey

dentists who give comprehensive treatment of perio disease incorporate what into their healthcare?
patients perspective
storey

effects of perio
decrease mood
increases worry
increases financial load
decrease willingness to smile
storey

illnesses associated with perio
respiratory disease
diabetes
cv disease
storey

what happens to pt mood if perio disease improves?
pt anxiety levels decrease
storey

pts reported that their perio disease and symptoms did what do appearance?
detracted from physical appearance
bauman

most hi stressor for dentist
running behind schedule
allen

what is female communication based on?
symmetrical


accommodating

emotion based
allen

what is male communication based on?
asymetirical
competitive
info based
allen

assistant relations w/female dentists
friendly w/focus on personal attention
allen

assistant relation w/male dentists
gender based

business like
allen

problem w/female dentists being buddy buddy with assistant
role confusion
differences in first year dental students.
what two things do men and women have in common?
both want money and family
hayes

who are more prone to be associates, men or women?
women
morrison

pts who are resistant to forms of distraction.
sexual/phys abuse or pts who are claustrophobic
morrison

who was audiovisuals not effective on?
gag reflex
reed

what do most pts want dentist to be?
nice
talkative
male
over 45
v. professional
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
mehner

amelogenisis imperfecta
inherited abnormal enamel formation
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
if pt has TMD and many non physical symptoms, what is likely?
depression

bc use somatization against depression
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
bowers

what varies w/denture wearing?
education and income

NOT sex or age
bowers

what is oral function limitations associated with?
AGE and INcome
owens

modeling
acquesition of new behavior through the imitation of observed behavior

form of indirect learning
owens

neg information
people give more attention to neg leaning

form of indirect learning
southerland

3 factors that significantly predict liklihood of failure of behavior modification therapy
poor attention

initial dental anxiety

somatization


(mainly poor attention control)
morrison

purpose of study on audiovisual distraction
eval the effect of audiovisual distraction on pt reported w/ hi anxiety levels and pain during prophy
morrison

result of AV distraction
pts in study loved treatment w/av googles
morrison

av stimulation during treatment was found to be beneficail for pts who suffered from...
mild to moderate dental anxiety levels
reed

most common cause of dental anxiety
pain
reed

what do female dentists need to have awareness of?
communication
alexander

what desensitization treatment grps showed most success?
systematic desensitization
grp therapy
hypnotherapy
alexander

what was the criteria for success?
pt saw dentist regularly after 3 years
alexander

whay is best thing a dentist can do to earn pts trust?
communicate
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
hicks

dmfs index is a measure of what?
caries expereince
hays

on avg women work how much compared to men?
similiar hrs/wk and wks/yr
in general married women work more or less than men
work less hrs/wk then men
hays

what women worked similiar hrs as men did?
younger unmarried women and older married women
wright

what decreases disparities among ethnical grp?
providers awareness of disparities among ethnic grps
wright

what can reduce racial disparities in care
increasing providers awareness

cross cultural ed in dental schools
wright

IOM 2002 report
it was produced at request of congress and it led to many changes in medical field education, private, and corporate.
wright

what stated that disparities in care do exist in dental field?
2000 surgeon general report report oral hlth
wright

what are factors affecting differing presentation of symptoms among various ethnic grps?
literacy and level of empowerment
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
vu

what race of US is expected to increase the most in next 50 yrs?
hispanics
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
vu

what are main reasons for improved oral health?
Fl water

increase number of kids sealants
vu

what plays vital role in serving the underserved?
academic dental institutions
vu

what grp has an underrepresented number of dentist?
hispanic and african americans
allen

who interacts better w/ staff male or female dentist?
male had better communiation and working relationships w/staff
allen

why is communication research among dentist and office staff essential?
bc at the center of job dissatificationi is poor communication
allen

grp of denatl assistants most vulnerable to communication stereotypes
young assistants
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
libby

what was most often identified ethical issue by 4th year dental students?
pt lack of resources
libby

among what grp of pts did 4th year dental students NOT report a lack of resources as being most common issue?
geriatric
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
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
leslie

asians with TMP are non compliant sometimes. why?
bc of depression and somatization
leslie

why do pts not report psychological disturbances?
societal stigma
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
seth

what suggestion was made to stressed individuals regarding oral hygiene behaviors?
stressed pts should compnesate for such conditions by adusting oral hygiene
seth

in study how did OH manifest in an examinees mouth?
by plaque index and bleeding pts
bowers

oral function limitations were shown to be significantly associated with:
age and income
bowers

what % of people w/complete dentures had not seen a dentist in over a year?
94%
richards

parts of ADA principle of ethics
pt autonomy
nonmalefience
benefience
justice
richards

what expresses concept that professionals have duty to protect pt from harm?
nonmalefience
richard

what princple promotes truthfulness
veracity
richards

how many major ethical codes are there?
5
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
perry

would pt rather have info or be involved in decision making process?
pt would rather have information
nicholson

one reason pt showed reduction in anxiety
bc dentist may have been more aware of pts feelings than normal
nicholson

a good way to eval pt state of anxiety would be to give a.....
STAI-S
nicholson

why is evaling pt anxiety before and after treatment beneficial?
to gauge your ability to reduce pts state anxiety
nicholson

a result of dentists being aware of possible state anxieties causes...
a reduction in state of anxiety of pt
nicholson

purpose of doing state anxiety tests
test effect on state anxiety by informing primary care dentist
dan

what defense mechanism did students use to justify cheating?
rationalization
dan

ways to decrease cheating
indivdualized exams
video survaliance
strict punishment
restructure social consequenc
dan

what is basic problem of cheating according to article?
society's construct of success
kincaid

what level of esthetics embraces rules of symmetry the golden proportion?
basic or classical level
kincaid

most important characteristic of restoration
FUNCTION
kincaid

first step dr should do when pt wants esthetic work done instead of traditional procedures?
give info and MC
kincaid

when considering procedure, which one should be encouraged?
less invasive
mehner

what is most significant difference found in those with AI compared to those without
reduced quality of life with reguard to dental issues
brad

what is not a theme linked to dental students motivation for choosing dentistry
LOCATION
brad

what is chosen by men to be motivating factor for chooseing dentistry?
I want to be self employed
brad

which of following themes did women and men both score equally in for choosing dentistry?
flexibilty and money
brad williams

why did women score lower that men in business category?
bc women want families not bussinesses
reding

hypodontia
genetic disorder

failure of teeth to form
reding

what is a con to policy proposed that only families at risk should be offered genetic testing?
violates societal norms about abortion
biological rxn to any adverse stimulus that disturbs homeostatis
stress
symptoms of depression
depressed mood
sig weight change
insomnia/hypersomnia
thoughts of death
effects of having only lo demands for a short period of time
bored
restless
lethargic
gradual erosion of person
burnout
stressors in dentistry
finances
management
demanding pts
fear of mistakes
most common physical disorder in dentists
back pain
quality of stress
inspires people to try harder
profession w/highest burn out
general dentist
oral surgeons
stress management tecniques
meditation
improve communication
time management
improve intrapersonal skills
how do dentists cope w/burnout?
change routine to adopt more flexible schedule