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16 Cards in this Set

  • Front
  • Back
What factors contribute to increased rate of life threatening events in the dental office?
1. Increasing number of older patients
2. Recent therapeutic advances in medicine
3. Trend toward longer dental appts
4. Increasing use of medications in the dental practice
What factors decrease the life threatening events in the dental office?
1. Pre-treatment physical examination of the patients (medical hx, physical examination, dialog hx)
2. Modifications in dental therapy to decrease medical risk to the patient
What are some of the components of the physical exam that are used for patient evaluation?
1. Vital Signs
2. Visual Inspection
3. Lab tests (i.e. anticoagulants)
What are some types of life threatening emergencies that occur in dental school clinics?
1. Convulsive seizures
2. Hyperventilation
3. Vasodepressor Syncope
4. Hypoglycemia
5. Angina Pectoris
6. Postural Hypotension
7. Allergic Reactions
8. Bronchial Asthma
9. Myocardial Infarction
Is it OK to ask "Are you in good health?"
No, you need more information than that
What should you ask this patient?
Ask about habits
During the physical evaluation, what sources should you use to gather your data?
The above
What is a format for organizing progress notes related to any patient visit? (chart documentation)
Subjective (chief complaint)
Objective (hard data)
What is postural hypotension?
Drop in blood pressure when standing up resulting in feignting
What does PHTEN stand for when documenting patient visit?
Next Visit
What are the properties of the purpose category of your PHTEN?
Type of visit (hygiene, emergency, consult, restorative)
Patient Hx of the problem
What are the properties of the History category of your PHTEN?
Medical Hx of the patient
What are the properties of the Treatment category of your PHTEN?
Area of mouth treated
Type, amount, and route of medication given
Type of anesthetic block performed
Type of Tx provided
Method/instrumentation involved
Number and type of radiographs taken, area involved, findings
What are the properties of the Evaluation category of your PHTEN?
Pt's condition following procedure
Complications during procedure
Adverse effects to medication or procedure
Behavioral/management problem
What are the properties of the Next visit category of your PHTEN?
Next Visit
Planned intervention at next appointment
What is the obstacle in this case study regarding communication?

*34 y/o female partially edentulous new patient
*CC: I want dentures
*Oral exam: some perio disease, but significant number of teeth are savable
*Dentist does not recommend dentures
Philosophical Differences