Dental Hygiene Theory III Final

other factors that contribute to dental professional WRI

*repetitive task *awkward positions *forceful movements *no rest -vibrations -poor tool/design -poor fitting equipment -poor fitness -cold temps

in the Health Belief Model, a patient will take preventative action if they believe: (4 things)

- they are susceptible to condition -the condition has serious consequences -they can take actions to reduce condition -benefits outweigh the perceived barriers

indications for need for prosthodontics

-1-2 missing teeth in same arch -supportive tissues are healthy -suitable abutment teeth present -pt in good health -pt has skills/motivation to maintain prosthesis

self care education should addresses what 5 things

-adherence issues -motivation -needs -readiness to learn -process of education

characteristics of a good operator chair

-broad base -4 or more casters -mobile -lumbar support -cushioned -thighs parallel to floor -operators head 14-16 in from pt mouth

best way to position equipment

-easily accessible -as close as possible -good ergonomic design (no coiled hoses)

indications for oral surgery

-ext decayed teeth -ext impacted teeth -preprosthesis surgery -ext for ortho -ext root fragments -remove cysts/tumors -biopsy -tx of max/man fractures -surgery to alter size/shape bones -TMJ surgery -reconstructive surgery -cleft lip/palate -salivary gland surgery -surgical implant

ways to control post surgery swelling

-ibuprofen -cold pack 20 min on and off -after 24 hours, external heat -gently rise 8oz water/ 1tsp salt

examples of strengthening exercises

-isometric exercises -corner stretch -elastic bands -crunches

two things that effect performance descrepancy

-lack ability (skill discrepancy) -knows how but doesn't (management discrepancy)

etiology of need for endodontic treatment

-microbial (decay) -mechanical (tooth prep) -chemical (restorations) -trauma

factor/s to consider with result of pulp tests

-nature/method of test -state of tooth, restoration present -presents of pulp canal -hx of trauma -hx of previous pulp therapy -presence of perio disease -individual pt -effect of any analgesic or med

4 main postural exercises to ues

-neck retraction -neck extension -shoulder retraction -lowerback extension

examples of patient barriers to compliance

-negative health beliefs -low knowledge level -lack of motivation -differing personal values

symptoms of pulpal disease

-pain -swelling -asymptomatic

ways to reduce fatigue and strain

-practice good ergonomics -magnification loupes -armrest -treatment (chiro) -excercise

ways to decrease WRSD

-proper instrumentation -neutral wrist -balanced instruments w/ wider diameter, serrated handles, sharp -alternate work positions -alternate easy/difficult cases -selective polishing -watch for body signals

indications for a crown

-severe decay -recurrent decay needing large restoration -badly broken -fractured -more than one retention required -after endo tx

best way to position patient/ patient chair

-supine -dental chair back nearly parallel to floor -pt head at 12 -ultrasonic at 12

contraindications for prosthesis

-supporting tissues diseased/missing -no suitable abutment teeth -pt in poor health/not motivated -poor OH habits -pt cannot afford the tx

How does MAU work?

-systematically identifies issues important to pt -value expectancy behavior (behavior is result of value one holds)

what are some examples of endodontic test?

-thermal pulp tests -electric pulp tests -transillumination -palpation -percussion -radiograph

4 Phases in Self-Care Education

1. initiation 2. disease theory 3. skill enhancement 4. closure

What are levels of Maslow's hierarchy of needs?

1. physiological 2. safety 3. love 4. esteem 5. self-actualization

11 human needs that relate to dental hyg treatment (ADHA accepted)

1. safety 2. freedom 3. wholesome body image 4. skin/mucous memebrane integrity 5. nutrition 6. biologically sound dentition 7. concept/problem solving 8. appreciation/respect 9. self-determination and responsibility 10. territoriality 11. value system

levels of the learning ladder continuum

1. unawareness 2. awareness 3. self-interest 4. involvement 5. action 6. habit

to diagnose pulp with radiograph what is needed some times?

2 views or more, if you used inaccurate paralleling technique it can be misleading

patients need to be told to keep gauze in extraction site for __ minutes after extraction. If bleeding does not stop call the dentist. Do not rinse vigorously and restrict activity that day.

30

___% of work-related injuries are musculoskeletal disorders

34

repetitive task means it is performed what percent of the time?

50

__% of patients in acute care clinic have an endodontic problem

90

-compression of the median nerve -prominent in women after 40 -caused by repeated bending up, down, side, and pinch gripping -pain, numbness, pins/needles sensation in thumb, index, and half of ring finger, nocturnal pain, loss of strength in fingers, temperature sensitivity, can include wrist, shoulder, and forearm

CTS Carpal tunnel syndrome

-affects connective tissue at base/side of thumb -pain/weakness in thumb

DeQuervain's Disease

-affects connective tissue outside elbow -pain/tenderness outside elbow radiating along back of forearm

Lateral Epicondylitis

what utilized human nature to explain the motivational process?

Maslow's needs hierarchy

-disorder of hand/wrist caused by compression of median nerve between the pronator teres muscle -caused from holding arm away from body -pain/numbness in wrist/hand

Pronator Syndrome

RSI

Repetitive Strain Injuries

-vascular compression in the hands/fingers -tingling/numbness in fingers/hands, possible loss of control, pale/blue when cold

Reynaud's Syndrome

-inflammation of the muscle tendons in the shoulder region -caused by holding elbow above waist-level and holding arm away from body -intense pain and impaired function of shoulder

Rotator Cuff Tendinitis

-reduced blood flow/nerve function -caused by wearing too tight of gloves -numbness or pain in hands/fingers

Surgical glove induced injury

-inflammation of the tendons of the wrist - caused by repeatedly bending hand up/down/side -pain in wrist (outer portion)

Tendinitis

-a painful inflammation of the tendons on the side of wrist and base of thumb - caused by hand twisting, forceful gripping, bending hand back/side -crackling noise with movement

Tenosynovitis

OSHA's definition of ergonomics

The science of fitting the job to the workers, where there is a mismatch between the physical requirements of the job and the physical capacity of the worker, WMS can result

-painful disorder from compression of brachial nerve plexus and vessels -caused by tiling head forward, hunched shoulders, and reaching overhead -hard to reach up, pins/needles sensation, muscle spasm in shoulder/neck, weakness in hands, pale/blue hands

Thoracic outlet syndrome

-disorder of lower arm/wrist -pinched ulnar nerve -caused by repeated bending hand up/down/side and pinky out -pain, numbness, tingling, loss of strenth

Ulnar Nerve Entrapment

WMSD

Work Related Musculoskeletal Disorder

definition of ergonomics

a branch of ecology dealing with human factors in the design and operation of machines and the physical environment

substance containing of two or more metals

alloy

failure of the healing process

alveolitis (dry socket)

direct restoration examples

amalgam composite

definition of WRMD

an injury affecting the musculoskeletal and neurovascular system that is caused or aggravated by occupational exposure to ergonomic hazard.

oral health

an oral condition that results rom interaction of individuals with their environment

most common endodontic surgical procedure. Removal of infection or inflammation around the apicies of a tooth

apicoectomy

On what do you base your patient's readiness?

attitude toward changing behavior, willingness, and responsibility

metals of relatively low value with inferior properties

base metal

what is ment by levels 1/2 physical/physiological needs and safety?

basic needs of shelter, food, water, safety

removal of impacted teeth is considered a _____ extraction

complex

used on vital teeth, support cast crown, provides larger area for retentin/cemetation

core build up

what is seen with transillumiation

cracks caries

CTD

culmulative trauma disorders

definition of RSI

cumulative trauma disorders resulting from prolonged repetitive, forceful, or awkward movements.

what is used for a thermal (cold) test?

dry ice

the surroundings in which the patient and the dental hygienist find themselves in, both can influence

environment

definition of occupational hazards

exposure or potential for exposure to injury or disease within the workplace environment

-disorder of the fingers from injury to the extensor muscles of the thumb and fingers -extending fingers independently -pain, numbness, loss of strength in fingers

extensor wad strain

personalize dental care through _______ communication

facilitative

impression that must be accurate and have details

final impression

when should transillumination be used/done?

for all teeth with pulp or periapical disease that have had trauma

four components that cause musculoskeletal injury?

force repetition position no rest

Dental care providers are at most risk because of which 2 factors

forceful movements combined with awkward postures

what is ment by level 5, self-actualization

full developoment of one's ambitons or potential

forces tissues away from the tooth to facilitate a final preparation/impression

gingival retraction

another name for root resection

hemisection

metals consist of at least 60% noble metals, 40% must b gold

high noble alloy

What is the (MAU) Multiattribute Utility Theory?

if the health educator emphasizes topics that are of no interest or have little relevancy to the patient, change will be unlikely

Covers a portion of the occlusal and proximal surface.

inlay

____ and ___ are cast restorations that are designed to fit snugly into a preparation within a tooth

inlays onlays

very sharp pain to hot/cold pain liger may be sensitive to purcussio

irreversible pulpitis

motivation and needs are interrelated because ???

motivation is needed to change behavior. change in behavior results when a need is unmet.

internal motivation

motivation that comes from within

external motivation

motivation that is provided by the encouragement of someone else, often family or an employer

what is ment by level 3, love/belonging?

need to feel part of a group, culture, and have relationships

consist of 25% noble metals, % of gold not fixed

noble alloys

gold, palladium, platinum

noble metals and a ring for ms. wood

covers the proximal surface and most or all of the occlusal surface

onlay

what is ment by level 4, ego/self-esteem?

overall believe in oneself, confidence, self worth, usefulness, and capability

___ lesion is most often found on mucosa tissue

periapical lesion

_____ lesion is most often found on gingival tissues

periodontal lesion

may need added to core build up for retention

pin retention

_______ relationship between the dental professional and the client serves to encourage compliance.

positive

nonvital tooth, post is placed into pulp canal

post and core

what are the two appts needed for crown/bridge

preparation appt cementation appt

where do oral surgeons practice?

private practice or hospital

replacement for a missing body part

prosthesis

radiographs no significant findings, tooth does not respond to pulp sensitivity tests, may or may not have pain, dull ache from heat, relieved by cold temporarily

pulp necrosis

health

relative condition that exists on a continuum from wellness to illness

mild inflammation of pulp, tooth reacts to normal stimuli, pain subsides after stimuli is removed, no significant radiographic findings.

reversible pulpitis

what needs involve patient education?

safety love ego/esteem

thin shell of tooth colored material

veneer

best time to stretch

when tissues are warm (after shower or exercise for 10 seconds)