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Flashcards in 1-5 Deck (52)
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1

Why use photography

-legal documentation---court or for treatment progress/outcomes
-communication---patient education/ dental labs

-Portfolios---educational/presentations

2

1-Implied Consent
2-Express Consent
3-Informed Consent

1-sufficient when getting information to provide healthcare w/in circle of care---describing oral lesion
2-be obtained when you share personal info for purposes other than health care--presentations
3-to take and use photos

  • verbally- w/ note in chart---is fine if its for documentation for patients treatment only
  • signature---when for purposes besides personal health

3

HIPAA & Photography

-eyes are blocked out
-Pixellating, but if patient is identifiable then must block out or try something else
-Patients can revoke consent

4

When Documenting make sure...

-clean mirrors
-no fog
-saliva free area
-position patient, retractors, and mirrors properly
-dont alter the photo

5

Front Surface Mirrors

-avoids double image
-reflective surface is at surface 
-non front= reflective surface is beneath glass

6

left- full arch
middle- wide buccal
right- narrow buccal

7

1-Retractor Cleaning
2- Mirror Cleaning

1-autoclaved
2-wiped w/ soap, dry w/ towel, wrap in towel, autoclave...no sterilization solutions

8

1-Relxed Facial Image
2-profile

1-inter pupillary line/incisal plane
2-center of frame is approximately 1 cm anterior to tragus

9

-Front Maximum Intercuspation

-unilateral retractors
-photograph behind patient
-photos = inverted

10

Front Maximum Intercuspation

-Bilateral retractors
-photographer is in front of patient

11

1- Maxillary Arch
2- Mandibular Arch

1-photographer behind patient w/ bilateral retractors
2-tongue is position in back of the mirror, photographer is in front w/ bilateral retractors

12

L & R Lateral in occlusion

-photographer on contra lateral side of quadrant, focus in mirror...use a bilateral but uni retractor is preferred

13

Patient Record

-recall what has happened
-work out dispute
-look for potential pitfalls
-everyone on same page

14

Adv of electronic health records

-legible
-customized views
-quality/convenient
-patient participation 
-accuracy of diagnoses
-care coordination
-cost saving
-quick retrieval 

-organized + less paper

15

Disadv of Health Record

-significant start up costs
-less patient time
-little compatibility of different systems

16

Disadv to checkbox history

-patients might not understand questions
-patient goes through it too quick
-dentist may look for positive response and thats it
-no in depthness 

17

Patient Assessment

-History
-Clinical Exam
-Radiology
-Assessment/DX
-Treatment Plan
-Treatment
-Prescription

18

Vital Signs

-measures statistics to assess body functions 
-temperature, pulse, BP, and resp rate
-gives a baseline

19

Treating Minors

-minor = anyone under 18
exceptions= minor is pregnant, is married, emancipated, is an emergency

20

Epidemiology

study of health and disease states in population

  • heredity
  • behavior
  • physical
  • social 

21

1-prevalance

2-Incidence
3- Index
4-Caries / Wars

1- # of individuals w/ disease in population at specific point of time
2- #of individuals in pop who experience new disease during specific period of time
3-standard of rating a disease on scale w/ upper and lower limits
4- = rejection from service: 1914 + 1939

22

DMF Index

D= decayed
M= missed

F= filled
DMFT= denotes decay, mising, filled teeth
DMFS= denotes decay, missing, filled surface

23

Contributing Factors to Caries

-tooth
-bacteria in biofilm
-time

-diet

24

Bacterial Infection

-unerupted teeth dont develop from caries
- Strep Mutan and Lactobacilli

25

Diet

-Critical pH= 5.5 stephens curve
-

26

Physiological Equilibrium of Caries

-local environment of teeth
-Dynamics
-Demin/Remin process
-continous exchange of minerals between surface/biofilm saliva
-imbalance in equilibrium 

27

Initial Carious Process

-bacterial acids dissolve tooth structures=loss of minerals

-subsurface porosities= inital white spot lesion

28

Carious Lesions/Time

-Chronic

---also because of environment/personal factors

29

Preventative Caries

Minimize- bad bacteria, acids, and (sugars)
Maximize- awareness, environment, fluoride, saliva

30

Caries Stats

-25% of population experience 75% of disease
-increase in less developed countries
-epidemic in emerging country
---inc in caries when dec in income