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Dentistry chapter 1
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Recommended: Dentistry chapter 1
Fundamentals of Clinical Dentistry: Intro to Indices and Charting
Specific Objectives:
1) Define the purpose of dental indices, such as DMF-T, DMF-S, Gingival Inflammation Index and Plaque Index.
Dental indices are important tools used in examinations to provide a numeric score that quantifies the magnitude of the disease measured.
DMF-T: The number of teeth that are decayed, missing, or filled, the DMFT index, is a total score of all affected teeth and provides a caries experience score for an individual.
DMF-S: A count of tooth surfaces that are decayed, missing, or filled and provides a greater precision about the caries history of an individual or a population group when mean scores are derived.
Gingival Inflammation Index: Provides an assessment of gingival inflammatory status that can be used in practice to compare gingival health before and after dental visits and or treatments.
Plaque Index: Same as Gingival Inflammation Index but deals with plaque.
2) Differentiate between the terms prevalence and incidence of a disease.
Disease Prevalence: The number of decayed, missing, and filled surfaces that exist in the mouth at any one time. Only one examination is required to determine prevalence.
(Prevalence is what is present at one point in time!)
Disease Incidence: The number of decayed, missing, and filled surfaces that occur over a given period of time. Two different examinations are required to determine incidence- one before, and one at the end of a selected time period.
(Incidence is what happens over a period of time!)
3) Describe the rationale and demonstrate how to chart existing restorations (amalgam, composite, gold, crowns, bridges, other), missing teeth, incipient caries and caries.
Rationale- Well I think this is pretty common sense. Charting the information listed above will give you a record of your patient. This record can be reviewed upon future visits to note and record any changes. If you want me to explain how to wipe the fog off a mirror against the inside of your patient’s cheek, let me know. I also think I could get the point of a modified pen grasp across if someone really needs the help.
Code for Dental Charting
Existing Restorations:
Fixed bridge (3 units)- Outline tooth crowns and place an X through tooth root to indicate which tooth is the pontic.
Crown- Outline tooth crown and use diagonal lines to indicate gold.
Non-metallic restoration (e.g. composite)- outline margins of the restoration.
Metallic restoration (e.g. amalgam)- fill in the shape of the restoration with blue pencil.
“Cracked” or “chipped” restorations- use red pencil to outline the existing restoration.
Professionalism in the dental profession refers to our responsibilities and obligations that exists throughout our entire dental career. “Professional competence is the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values and reflection in daily practice for the benefit of the individual and community being served (Kirk, 2007).” A health professional must be able to regulate their own behavior and comply with a code of ethics in professional practice. Fundamental principles of professionalism include primacy of patient welfare, social justice and patient autonomy (Kirk, 2007).
For each client I collect several different assessments to help determine a diagnosis and individualized care plans. First, I start with assessing their oral hygiene routine and get a general idea of how important oral hygiene is to the client. After this, I preform an oral cancer screening to make sure all soft tissues appear normal. Next, I preform an assessment of the periodontal tissue color, contour and texture as well as recording a periodontal chart. Once all this information is gathered we take a look at all the information and determine a diagnosis. Then, we set goals and select appropriate interventions
Dentistry is a health science that includes the study and application of measures designed to prevent damage of the oral structures and the use of clinical procedures that that restore the normal masticatory function of teeth and esthetics, correction of speech resulting from loss of natural teeth, satisfaction and comfort of the patient, preservation of alveolar bone and tempromandibular joints. Other goals are to relief pain, treatment of a disease and maintaining the restoration for a long time in the denture without distortion or fracture.
Restoration using a machine and a computer with 3D technology to generate a dental restorations. That is done in one office visit.
I am currently studying at CFCC to get into the Dental Assisting program. Upon graduating, I would like to acquire a job at an orthodontists office. The employment for this occupation is actually expected to grow much faster than average; between 2008 and 2018, employment is expected to grow 36 percent. The job demand in the Cape Fear area seems to be fairly higher than other areas in North Carolina, and higher than some other states as well.
Children are often sweet and adorable, but many times they may be eating too many sweets. According to the Channel Four News, it has been shown that the number one disease in children is the reoccurrence of caries, also known as cavities. Could it be too many sweets or could it be the lack of flossing and brushing teeth? For instance, many children go to bed or wake up without brushing their teeth and go throughout the day eating all sorts of food and candy. The result of eating and not brushing could lead to plaque build up and decaying of teeth. This leaves a child extremely unhappy and in excruciating pain. So who is going to fix this pain? Who is going to help prevent decay in millions of people’s mouths? Today, the world is lucky to have a well-studied field of dentistry.. Dentistry has much history, various specialties, advancements, and an irresistible salary.
Assessment. Maricela started by taking the patient’s blood pressure, as well as added new medical information to her chart and let the Dentist evaluate her medical history. After that she proceeded with the intra/extra oral exams. Since the patient had dentures, Maricela made sure to pay extra attention to her maxillary hard palate. There was definite signs of irritation, redness, and a few sores from constant rubbing. Next, Maricela did a periodontal assessment. Even though the patient had a lot of tooth loss, her gums were decently healthy. She had a few pockets, but it surprised me how healthy the gums actually were. When documenting caries and dental charting, it was documented that the patient had a low plaque score that did end up being a little higher than the last appointment. No radiographs where
The original dental hygiene diagnosis for patient number 12931 was a P4. A full mouth supplemented with bitewings were exposed to monitor and examine the extent of periodontal disease. This patient as you would expect is at a high risk for periodontal disease. While the patient’s caries risk is only considered to be moderate. Biofilm plaque score was low, but the patient could increase their flossing frequency as she admitted to rarely making the commitment. However, the patient did mention she had vision impairment, in which could add an extra obstacle to homecare.
Fontana, Margherita, and Domenick T. Zero. "Assessing Patients Caries Risk." JADA 137 (2006): 1231-239. Print.
The dentist has full responsibility for diagnosing patients and treatment planning to meet the patient's needs. There are 17 procedures that general dentistry provides for example Sealants, Crowns and bridges, Dental implants, Dentures, Restorative care and many more.
Tooth loss, dental caries, periodontitis, dry mouth, and oral cancer are the most common conditions leading to poor oral health in the elderly. According to Ludmila et al.2016) and Dye et al.(2007) 22% of the older population has been diagnosed with dental caries and has remained untreated 4,5. In addition, According to Eke et al.2012) 70.1% of persons age 65 years and over have periodontal disease. If left untreated, both dental caries and periodontal disease can lead to tooth loss 6. Tooth loss considers one of the primary oral health indicator in USA. The total percentage of 65 years and over with complete tooth loss reach 23% in reference to Bruce et al. (2012), which indeed play a major factor in diminish the quality of life among this age
Dental caries is one of the highly prevalent disease in the world. According to the National institute of dental and craniofacial research, during 1999-2004, 42% of children between 2-11 years of age had history of dental caries and 92% of adults between 20-64 years of age had history of dental caries.5,6 For children aged 6-19 years, dental caries prevalence during 2007-2010 was 15.6 per 100 ...
Dental caries, also known as tooth decay, cavities, or caries, is a breakdown of teeth due to the activities of bacteria. The cavities may be a number of different colors, from yellow to black. A dynamic process characterized by repeated episodes of demineralization and remineralisation occurring over a period of time. If caries are not treated on time, this may lead to tooth destruction. Risk factors Food rich in carbohydrate Frequent eating of sugary foods e.g. chocolate, toffees Socio economic status: low and high Decrease saliva flow e.g. dm, Bacteria e.g., Streptococcus mutants, Drugs e.g. antihistamine age; babies’ secondary to bottle feeding and use of pacifiers.
What makes dental care not a part of health care? What makes dental care “medically unnecessary”? Why is dental care not a publicly funded service? What impact does the lack of access to dental care have on our community and on patients? These are question we ask ourselves as a way to access the right information that can help us come to a conclusion on whether dental care should be a part of the OHIP plan.
In conclusion, the process of fabricating a removable partial denture from scratch is a long, complicated and detailed process. There must be complete harmony between the dentist and the technician to produce a perfect partial denture. Talbot (7) stated “The laboratory authorization requires detailed instructions. Framework evaluation and subsequent placement necessities adherence to basic prosthodontic principles”