Planning For Dental Hygiene care

The patient's ability to walk up a flight of stairs with no distress suggests that they are in good health and have no significant medical conditions. ASA I classification is given to patients who are healthy, with no systemic disease and no functional limitations.

ASA II refers to patients with mild systemic disease. In this case, the patient has well-controlled chronic conditions, upper respiratory infections, healthy pregnant women, and allergies. These conditions may cause mild limitations but are not incapacitating or life-threatening. Therefore, the patient falls under ASA II classification.

Physical status determines the necessary modifications during treatment. This means that depending on a person's physical condition or health status, adjustments or changes may need to be made to their treatment plan. For example, if someone has a physical limitation or disability, modifications may be necessary to accommodate their needs and ensure their safety and comfort during treatment. Physical status plays a crucial role in determining the specific modifications that are required for effective and appropriate treatment.

The statement is false because it is important to discuss the care plan with the dentist before treatment, regardless of whether they are needed to treat the patient or not. The dentist's expertise and input are crucial in determining the best course of action for the patient's oral health. It is essential to have open communication and collaboration with the dentist to ensure the most effective and appropriate treatment plan is implemented.

The primary objective of the dental hygiene plan for periodontal therapy is to restore and maintain the health of the periodontal tissues. This means that the goal is to improve the condition of the gums and supporting structures of the teeth, which may have been affected by periodontitis. This includes addressing any inflammation, infection, or damage to the tissues, and implementing measures to prevent further deterioration. Controlling dental caries, reducing risk factors for periodontitis, and reducing bleeding on probing may be important components of the overall plan, but the ultimate aim is to restore and maintain the health of the periodontal tissues.

A care plan for dental caries control would include the use of fluorides, dental sealants, and dietary control of fermentable carbohydrates. Fluorides are effective in preventing tooth decay by strengthening the enamel and reducing the ability of bacteria to produce acid. Dental sealants are a protective coating applied to the chewing surfaces of teeth to prevent bacteria and food particles from getting trapped in the pits and fissures. Dietary control of fermentable carbohydrates involves limiting the consumption of sugary and starchy foods that can contribute to tooth decay.

Mouthrinses are only able to provide temporary fixes for oral issues, such as bad breath or plaque buildup. Using them excessively can actually harm the oral tissue, causing damage. Therefore, it is true that mouthrinses only offer temporary solutions and can potentially be damaging if overused.

Informed consent can be lacking even when a document is signed because signing a document does not necessarily mean that the person fully understands the information or implications involved. It is possible for someone to sign a document without being adequately informed or without fully comprehending the consequences of their decision. Therefore, the presence of a signed document does not guarantee that informed consent has been obtained.

Varicella Zoster is not a systemic condition related to periodontal infection. Varicella Zoster is a viral infection that causes chickenpox and shingles, and it is not directly linked to periodontal infection. On the other hand, infective endocarditis, cardiovascular disease, and adverse pregnancy outcomes have all been associated with periodontal infection.

ASA V is the correct answer because it represents a patient with severe systemic disease that is a constant threat to life. End stage renal disease, hepatic disease, infectious disease, and terminal cancer are all examples of severe systemic diseases that can significantly impact a patient's overall health and increase the risk of complications during surgery. ASA V classification is reserved for patients who are not expected to survive without the operation.

ASA III is the correct answer because the patient has multiple chronic conditions, including cardiovascular diseases, insulin-dependent diabetes, pulmonary diseases, and elevated blood pressure. ASA III classification is given to patients with severe systemic diseases that limit their activity but are not incapacitating. These patients may have limitations in their daily activities and require medical management for their conditions.

A well-prepared dental hygiene care plan should not only focus on the most common problems that most patients have. It should be individualized and tailored to address the specific needs of each patient based on the assessment data collected. By considering the unique needs and conditions of each patient, the care plan can provide more effective and personalized treatment goals, interventions, and recommendations.

ASA IV is the correct answer because it indicates that the patient has severe systemic disease that is a constant threat to life. Conditions such as unstable cardiovascular conditions, extremely elevated blood pressure, uncontrolled epilepsy, or uncontrolled insulin-dependent diabetes fall under this category. These patients require immediate medical attention and may have a high risk of complications during surgery.

Vitamin C deficiency is not a cause of halitosis. Halitosis, or bad breath, can be caused by various factors such as poor oral hygiene (not flossing), dry mouth (xerostomia), and throat infections. However, a deficiency in vitamin C does not directly contribute to the development of halitosis. Vitamin C deficiency is more commonly associated with other health issues such as scurvy, weakened immune system, and poor wound healing.

CAMBRA stands for Caries Management By Risk Assessment. It is a caries risk assessment tool that helps dental professionals identify a patient's caries risk status and select appropriate dental hygiene interventions based on risk factor assessment. This tool helps in preventing and managing dental caries by addressing individual risk factors and tailoring treatment plans accordingly. By using CAMBRA, dental professionals can provide personalized care and interventions to patients, reducing the risk of caries development and promoting oral health.

Prognosis refers to the predicted outcome or course of a disease. Evidence from scientific literature plays a crucial role in determining prognosis as it provides reliable and validated information about the disease, its progression, and potential treatment options. Scientific literature includes studies, research papers, and clinical trials that have been conducted by experts in the field. This evidence helps healthcare professionals make informed decisions about the likely outcomes for a patient based on previous research and data. Age, culture, and gender may influence certain aspects of prognosis, but evidence from scientific literature is a more objective and comprehensive factor in determining prognosis.

Xerostomia is a symptom. Xerostomia refers to the condition of having a dry mouth, which is often caused by reduced saliva production. It is not a disease itself, but rather a manifestation or indication of an underlying condition or disease. Xerostomia can be a symptom of various health issues such as Sjögren's syndrome, diabetes, or certain medications. Therefore, it is important to identify and address the underlying cause of xerostomia in order to effectively manage and treat the symptom.

Tobacco use, alcohol use, and sun exposure are the correct risk factors for oral cancer. Tobacco use, including smoking and chewing tobacco, is a well-known risk factor for oral cancer. Alcohol use, particularly heavy and prolonged consumption, increases the risk of developing oral cancer. Sun exposure, specifically prolonged exposure to ultraviolet (UV) radiation, can also contribute to the development of oral cancer. These risk factors have been extensively studied and are widely recognized in the medical community.

Iatrogenic factors refer to conditions or complications that are caused by medical or dental treatment. Overhangs and open contacts in dental restorations can create areas where plaque and bacteria can accumulate, leading to gum inflammation and periodontal disease. Therefore, iatrogenic factors such as overhangs and open contacts are a risk factor for periodontal disease.

Tobacco use is not a risk factor for dental caries. Dental caries, also known as tooth decay, is primarily caused by the presence of bacteria in the mouth, which produce acids that erode the tooth enamel. Low fluoride levels, xerostomia (dry mouth), and genetic factors can all contribute to an increased risk of dental caries. However, tobacco use does not directly contribute to the development of tooth decay.

The answer "oral healthcare" is correct because assessing the knowledge level of the patient in regards to oral healthcare provides a starting point for planning appropriate interventions. By understanding the patient's level of understanding and awareness about oral healthcare practices, healthcare professionals can tailor their interventions to address specific areas of improvement and educate the patient on proper oral hygiene techniques. This knowledge baseline is essential for promoting oral health and preventing dental issues.

The correct answer is "Teach the patient." This is because teaching the patient is actually a part of the dental hygiene three part plan. The three parts of the plan include gingival/periodontal care, prevention of dental caries, and teaching the patient. Therefore, the answer "Teach the patient" is incorrect.

It is false that you can design a care plan to fit every patient that comes into the office. Each patient is unique and has different needs, medical conditions, preferences, and circumstances. A care plan should be personalized and tailored to the individual patient to ensure the best possible outcomes and meet their specific requirements.

The best time to teach the patient is before the appointment. This allows the patient to receive important information and instructions prior to their visit, enabling them to come prepared and make the most out of their appointment. Teaching the patient before the appointment also gives them time to ask any questions or seek clarification, ensuring a more productive and efficient consultation.

The statements "A patient appears for their appointment," "The patient allows us to collect data," and "Patient allows us to go forward with treatment plan without discussion" would be considered "IMPLIED" consent. These actions imply that the patient is giving consent for the collection of data and for the treatment plan to proceed without further discussion. The statement "The patient signs a legal document regarding their care" would be considered "INFORMED" consent, as signing a legal document indicates that the patient has been provided with information and has made an informed decision regarding their care.

Preprocedural removal of dental biofilm refers to the cleaning of the teeth and gums before a dental procedure. This process helps to reduce the amount of bacteria present in the mouth. As a result, the chances of bacteria entering the bloodstream and causing bacteremia, which is the presence of bacteria in the blood, are decreased. Therefore, the correct answer is bacteremia.

The correct answer is Options A, B and C only. This is because dental hygiene diagnostic models address health functioning and behaviors, describe actual or potential health problems that dental hygienists are educated and licensed to treat, and classify diagnostic statements according to the disease process. Therefore, all of these options are correct.

Halitosis, or bad breath, can be caused by various factors, including oral and non-oral reasons. The given answer includes non-oral reasons for halitosis. Renal or hepatic failure refers to the failure of the kidneys or liver, both of which can lead to the accumulation of toxins in the body and contribute to bad breath. Carcinomas, which are cancerous tumors, can release foul-smelling substances that cause halitosis. Diabetes, a metabolic disorder, can lead to the production of ketones, resulting in a fruity odor on the breath. Cirrhosis of the liver, a condition characterized by liver damage, can also cause bad breath due to the buildup of toxins in the body.

The risk factors for dental caries include dietary factors, inadequate biofilm removal, family history, xerostomia (dry mouth), tooth morphology and position, low fluoride levels, developmental factors, and genetic factors. These factors contribute to the formation of dental caries by either promoting the growth of harmful bacteria in the mouth, weakening the tooth structure, or impairing the natural defense mechanisms of the oral cavity.

Poor response to periodontal therapy can be caused by inadequate biofilm removal, noncompliance with treatment recommendations, an unhealthy diet, tobacco use, and systemic conditions such as diabetes and osteoporosis. These factors can contribute to the persistence of periodontal disease and hinder the effectiveness of therapy. Age alone may not necessarily cause a poor response, but it can be a risk factor for periodontal disease and may affect the overall response to treatment.

The risk factors for periodontal disease include inadequate biofilm removal, tobacco use, genetic factors, nutritional status, iatrogenic factors, and systemic conditions. Inadequate biofilm removal refers to not properly cleaning the teeth and gums, which can lead to the buildup of plaque and bacteria. Tobacco use, such as smoking, can also contribute to periodontal disease by causing inflammation and reducing blood flow to the gums. Genetic factors can play a role in determining an individual's susceptibility to periodontal disease. Nutritional status, including a diet low in essential nutrients, can weaken the immune system and make it harder for the body to fight off infections. Iatrogenic factors refer to complications or side effects caused by dental treatments. Systemic conditions, such as diabetes or heart disease, can increase the risk of periodontal disease.