Unit 1 68 Echo
What are the 3 devices to remove plaque?
1. Disclosing Agent 2. Toothbrush 3. Floss
What is not a part of the emergency kit but should be?
AED
If you suspect hypoglycemia
Ask patient if they have eaten or taken insulin. Then offer food containing glucose
Patient has current exam and requires no further treatment
DRC 1
Patients class is unknown. Needs current exam
DRC 4
DCAS
Dental Company Area Support Provides operational dental care can deploy
What is a consult?
Dentist needs opinion or advice from another provider
What are the two universal protocol forms?
1. MEDCOM form 741 D 2. DHA form 205
What is proper telephone etiquette?
1. NEVER diagnose over the phone 2. Identify yourself and where you are calling from 3. Avoid leaving on hold
What is the proper length of floss?
12-15 inches (thumb to elbow)
Normal respiration rate
12-20 breaths per minute
How much of the tooths surface does floss clean?
15%
Normal pulse rate for adults
60-100 bpm
What are the charting forms (narratives)
603 series 1) 603 A 2) 603 3) 603 EF 4) 603 PN
How much of your body is water?
80%
How much of the tooth's surface does a toothbrush clean?
85%
How often should you brush and floss?
At least 2 times a day for 2 minutes
What is responsible for creating caries?
Bacterial plaque It takes 48 hours for bacteria to organize into plaque
Dental readiness
Based on results after a dental exam Affects a soldiers unit ability to deploy.
When does the oxygen tank need to be replaced?
Below 500 PSI Full at: 2000 PSI
systolic pressure
Blood pressure in the arteries during CONTRACTION of the ventricles. Reading BELOW 120
Patient has arrived (color)
Blue
What is calculus?
Calcium and phosphate salts in saliva that become mineralized and adhere to tooth surfaces. (deposits on teeth)
If you have concerns about a providers treatment during patient care who should you address this with?
Chain of command. (NCOIC or OIC)
Occlusal
Chewing surface of posterior teeth
signs and symptoms of hypoglycemia
Complaint of hunger, clammy skin, increased anxiety and confusion
Once the patient is seated in the dental chair...
Confirm you have the right patient by asking full name and DOB Verify patients consent for the procedure Never assume why a patient is there
What does the schedule application page CDS stand for?
Corporate Dental Scheduler
Patient has current exam and treatment is needed but none that will result in the need for emergency care within 12 months
DRC 2
Patient has had current exam and emergency treatment is needed which may require emergency care within 12 months
DRC 3
What is a specialist?
Dentist, physician, or other healthcare professional
How often does calculus form?
Every 12-24 hours
How often should you replace your toothbrush?
Every 2-3 months, but if the bristles are frayed prior to that time, you either brush your teeth a lot or too hard and need to change brushes sooner.
What does FMP stand for?
Family Member Prefix
APT confirmed
Grey
What can be exposed to aerosols and splatter?
Hair
HIPAA
Health Insurance Portability and Accountability Act Protecting a patients private health info
What are the causes of Syncope (fainting)
Imbalance in blood distribution, large vessels, physiological suffering: fear, sight of blood
Improper brushing leads to:
Injury to the Gingival Margin (top edge of gum surrounding tooth)
What purpose does a universal protocol form serve?
It is a patient safety mitigation form that prevents treating the wrong patient
Fat soluble vitamins
KADE
What will a child's dental record color be based off of?
Last two digits of the sponsors SSN
What can prevent syncope?
Listen to complaints, administer oxygen
If syncope occurs
Lower patients head to redirect blood flow
Vitamin C
Maintains healthy gums
Scheduled APT
Maroon
What does the pressure gauge do?
Measures amount of oxygen
What should you NEVER do to the oxygen tank
Never lubricate it
emergency treatment
No one is refused emergency treatment regardless of eligibility status
Most common drug used
Oxygen
What are some trigger words and their alternatives
Pain - discomfort Blood- hemorrhage Shot, needle - anesthetic Drill and drill bit - handpiece and bur Knife - bard parker
signs and symptoms of syncope
Pale, moist skin, faint pulse, decreased BP
After APT is templated
Peach
Patient seated
Pink
Why is it important to understand general nutrition?
Prevent tooth decay Diet restrictions Knowledge for patients
What is postural hypotension?
Prolonged seating and insufficient blood flow May occur immediately after changing positions Symptoms: light headed, dizzy, disoriented
Clinic fails patient
Red
Patients rights
Refuse treatment and know consequences
Regulator control
Regulates oxygen Adjust flow to NO LESS than 6 liters per minute at MINIMUM
What is the medical consultation form?
SF 513
What's wrong with using an oral thermometer?
Smoking or drinking hot fluids
Regulates balances of body fluids
Sodium
Interproximal
Space between two adjacent teeth
What vital signs are measured prior to treatment?
Temp, pulse, respiration, BP
What is the proper brushing method?
The Bass Sulcular Method
What is the Bass Sulcular Method?
Toothbrush at 45 degree angle Move bristles slightly along the gum line where bacteria and plaque form
Dentrifrice is also known as
Toothpaste
Before submitting appointment reminders
Verify email and phone number
What are good topics to discuss with patients?
Weather, job, duty station NEVER: sex, politics, or religion
Hypoglycemia
abnormally low level of glucose in the blood.
What must be done before patient is checked in?
all patients must be verified in DEERS by checking CAC (eligibilty)
What are the two patient identifiers?
full name and date of birth
rapport
mutual understanding and communication
lingual
pertaining to the tongue
diastolic pressure
the pressure in the arteries when the heart is RELAXED reading BELOW 80
forgotten nutrient
water