Dental Records- Final Exam

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An obligation to accept responsibility for one’s own professional knowledge, skills and attitudes.

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Accountability

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includes self-evaluation, compliance with legislation and the use of acceptedethical guidelines and the principles and practices of dental assisting

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Accountability

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the regulation or control which is exercised over educational institutions and/orprograms (not individuals), by external organizations or agencies

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Accreditation

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anon-governmental peer review process

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accreditation

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Who accredits the dental assisting, dentalhygiene and dental programs in all of the provinces in Canada

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The Commission on Dental Accreditation of Canada

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How often should programs be re-examined and be judged as meeting the defined nationalstandards in order to retain their accredited status

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7 years

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Who promotes continuing education, portability and conducts the National Certification Boardexaminations

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The Canadian Dental Assistants Association (CDAA)

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What organization is committed to the advancement of dental assisting by establishingprofessional and educational standards and fostering unity and growth

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The Canadian Dental Assistants Association (CDAA)

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A process in which an individual, an institution, or an educational program is evaluated andrecognized as meeting certain predetermined standards

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certification

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Who are certification usually given by?

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a Non-governmental agency

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Who grants the certification of dental assistants?

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CDAA and ODAA

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The recipient of the oral health care actions. The term is used to refer to an individual, a family,a particular group, or a community

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client

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A series of principles used as a guide in assisting a professional to fulfill the moral obligations ofprofessional dental practice

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Code of Ethics

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The process of working together for the achievement of common goals

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Collaboration

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Who responsible for the assessment and evaluation of educational programspreparing members of the dental health care team

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The National Body

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Who presents a means ofidentifying educational programs of acceptable quality

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Commission on Dental Accreditation of Canada

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The knowledge, skills and attitudes required to provide quality oral health services andprograms

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Competence

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An express or implied agreement that the professional will not disclose the information receivedfrom a client to anyone not directly involved in the care and treatment or not legally capable ofrequiring disclosure

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Confidentiality

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This individual is an entry-level practitioner who performs a variety of roles, including clinical,education, health promotion, business administration and laboratory work

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Dental Assistant

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This individual is a self-regulated, entry-level practitioner who performs a variety of rolesincluding clinical, educational, health promotion and research

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Dental Hygienist

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The sciences and art of preventing and controlling dental diseases and promoting oral healththrough organized community efforts

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Dental Public Health

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An individual dealing with the design, construction, repair or alteration of dental prosthetic,restorative and orthodontic devices

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Dental Technologist

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The dentist is responsible for total client care. The scope of practice includes the assessment ofthe physical condition of the oral-facial complex and the diagnosis, treatment and prevention ofany disease, disorder or dysfunction of the oral-facial complex

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Dentist

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The scope of practice for the denturist includes the assessment of arches missing some or allteeth and the design, construction, repair, alteration, ordering and fitting of removable dentures

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Denturist

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A dental specialist concerned with the etiology, diagnosis, and treatment of diseases of the dentalpulp and the associated periradicular tissue

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Endodontist

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The science or study of moral values or principles, including ideals of autonomy, beneficence,and justice

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Ethics

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The science and philosophy of law. It reflects society's standards of required behaviour

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Jurisprudence

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That which is written and published, calculated to injure the character of another byridicule or contempt.2. Defamation expressed by print, writing, pictures, or signs.

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Libel

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provides a universal national examination to reflect the national standard for theassessment of candidates for entry or re-entry to the dental assisting profession

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National Dental Assisting Examination Board

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the failure to observe, for the protection ofanother person, the degree of care and vigilance that the circumstances demand, whereby suchother person suffers injury.

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Negligence

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a non-profit organization which represents dental assistants and receptionists in theprovince of Ontario to government agencies and allied institutions

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Ontario Dental Assistant Association (ODAA)

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A dental specialist who deals with the diagnosis, surgical and adjunctive treatment of diseases,injuries, and defects of the oral and maxillofacial region

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Oral Maxillo- Facial Surgeon

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A dental specialist who is concerned with preventive and therapeutic oral health care of children frombirth through adolescence

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Paedodontist

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A dental specialist who deals with the restoration and the maintenance of natural teeth and/or thereplacement of missing teeth and contiguous oral and maxillofacial tissues with artificialsubstitutes

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Prosthodentist

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What are the 5 Advantages of the Regulated Health Professions Act

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1. More effective protection from harm for the public.

2. Greater accountability on the part of health professionals.

3. Respect for consumers' rights to choose their own healthcare providers.

4. Evolution of a more flexible, rational and cost efficienthealth care system.

5. Elimination of status distinction among health professions.

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Level One Certifications

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Preparation of the treatment/clinical area

Cleaning and Sterilization of instruments and handpieces

Passing instruments to the dentist or hygienist (Single and Two handed technique)

Proper use of High Volume Evacuator within the Oral Cavity

Preparation of Restorative Materials

Perform simple laboratory procedures such as the pouring and trimming of study models

Maintains supplies and equipment (stocks and replenishes supplies)

Monitors Inventory

Assesses emergency situations, aware of emergency protocols, knowledge of First Aid, CPR

Assists in maintaining emergency drug kits

Ability to interpret Material Safety Data Sheets Conducts spore/biological indicator tests

Recording data on patient’s record or chart as directed DDS

Patient and community education on oral health (extra-oral)

Other extra-oral duties as required by the dentist

Instruction in care and maintenance of pre-fitted appliances

Expose, process and mount radiographs as specified by HARP Obtains Vital Signs

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Level II Intra-oral Dental Skills

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Includes, but not limited to all duties of CERTIFIED Level I Dental Assistants as listed above

Mechanical polishing of the coronal portion of the teeth

Placement and removal of rubber dam

Taking of preliminary impressions of teeth for study models

Topical application of anti-cariogenic agents

Oral hygiene instruction with an intra-oral component

Dietary counseling relative to dentistry

Application of materials topically to prepare the surface of the teeth for pit and fissure sealants

Application of pit and fissure sealants

Application of topical anaesthetics

Application of desensitizing agents

Whitening of the coronal portion of the teeth using tray-based systems; including the applicationof a liquid dam if required for these tray-based systems

Polishing restorations

Oral irrigation

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What skills can't Level II Dental Assistans perform in Ontario

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Application of Matrices and Wedges Application of Treatment Liners

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Dental Receptionist Skills

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Patient reception and dismissal

Appointment book control and maintain recall system

Block out times for reserved emergency and new appointments

Maintaining and controlling business area

Handle all incoming calls promptly and efficiently

Patient follow-up treatment calls

Public relations

Bookkeeping

Managing receivables and payables

Prepare and balance bank deposits on daily basis

Age and prepare outstanding account statements

Maintaining financial records

Incoming mail, invoices, packing slips and statements (forward to appropriate person forverification and/or payment)

Maintaining file system

Ordering and receiving supplies

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Who sets out the legal principleswhich are common to all the professions.

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The Regulated Health Professions Act

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Which Dental field acts have been proclaimed in Canada

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Dentistry Act, 1991 (dentists)

Dental Hygiene Act, 1991 (dental hygienists)Denturism Act, 1991 (denturists)

Dental Technology Act, 1991 (dental technologists)

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What are examples of regulatory colleges in the dental field

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- Royal College of Dental Surgeons of Ontario (R.C.D.S.O.)-

College of Dental Hygienists of Ontario (C.D.H.O.)-

College of Dental Technologists of Ontario (C.D.T.O.)-

College of Denturists of Ontario (C.D.O.)

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a group of people who join together to promote their profession and toprotect their professional interests

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Professional Associations

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What are some examples and Goals of the O.D.A.A

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1. To represent the dental assistants, dental receptionists and certified dental assistants and certifieddental receptionists of Ontario.

2. To provide continuing education programs for dental assistants and dental receptionists.

3. To remain non-profit and to ensure all funds collected by the Association are returned to themembership for the betterment of the dental assistant and dental receptionist.

4. To provide certification for qualified members.5. To promote the career of dental assisting and dental reception to the profession, the community,and to government agencies and allied institutions

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the governing body of thedental profession in Ontario. To practice in Ontario, a dentist must have a certificate of registrationfrom the College.

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Royal College of Dental Surgeons of Ontario

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What is the prime function of the Royal College of Dental Surgeons of Ontario

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ensure a high standard of dental care for the public

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What are the 5 main objectives of the Royal College of Dental Surgeons of Ontario

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1. To regulate the practice of dentistry and to govern its members in accordance with the Act, the regulations and the by-laws;

2. To establish, maintain and develop standards of knowledge and skill among its members;

3. To establish, maintain and develop standards of qualifications and practice for the practice of dentistry;

4. To establish, maintain and develop standards of professionalism among its members;

5. To administer the Dentistry Act under the Regulated Health Professions Act and perform such other duties andexercise such other powers as are imposed or conferred on the College by or under any Act, in order that the publicinterest may be served and protected.

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thearea or region lying between the roots of a multi-rooted tooth

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Furcation

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how many classes of furcation are there

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3

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Furcation class:Root anatomy on either side can befelt by moving the probe from side to side

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class I

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Furcation class: The probe can enter the furcation,but not go right through

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Class II

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Furcation Class: The probe can pass completelythrough the furcation between the roots

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Class III

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refersto how much the tooth can be moved in the socket

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Mobility

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Whendoes mobility happen, and what should be recorded on the chart?

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Ifexcessive bone loss is noticed on the radiograph, mobility may have occurred.Document any mobility on the examination form

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Duringwhat portion of the oral diagnosis examination is tooth mobility evaluated

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Itoccurs towards the end of the examination

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Mobility Classification: tooth can be moved up to 1mm in any direction

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Class I

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Mobility Classification: tooth can be moved greater than 1mm in any direction, but is not depressible into the pocket

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Class II

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Mobility Classification: Tooth can be moved in a buccalingual direction and is depressible in the socket

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Class III

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How do you asses the mobility of teeth?

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the blunt ends of two single endedmetal instruments are used

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What causes Mobility?

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Occlusaltrauma

Periodontalinflammation

Bone resorptionfrom – calculus, overhang, periodontal disease

Fracturedteeth

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How do you chart mobility?

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Charted in grid or charted at apex on the facial

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How do you chart teeth that are going TO BE extracted

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a diagonal red line

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How do you chart teeth that NEED to be extracted

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a diagonal line in blue and red with a question mark

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inflammation of the pulp

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pulpitis

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what produce rapid destructive changes anda build-up of pressure

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microorganisms in the pulp

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How does a periapical abscess form

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the pulp becomes inflamed and inflammation spreads down the pulpcanal and out through the apex into the hard and soft tissues of the jaw

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when a periapical abscess if formed, what causes the tooth to be pushed up in itssocket, making it feel high and sensitive to touch

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pressure from inflammatory swelling and pus atthe root end

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How would one chart a "retained root"

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Red for removal

Blue - no treatment

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When are vitality tests used

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when there is doubt as to the vitality ofa specific tooth

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Vitality tests that look at MechanicalStimuli

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Percussions

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Vitality test that looks at }ThermalSensitivity Stimuli

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Cold & Heat

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Vitality test that looks at electrical stimuli

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electrical

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As Level II assistants, what are we able to do for the vitality tests

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percussion & Cold testing

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Where are vitality tests charted?

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on the facial view at the root apex

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usedto “reserve” the space until the permanent tooth erupts

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space maintainer

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What is usedto widen the maxillary arch

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Palatalexpansion appliance