OSCE Dental Hygiene
Dental Hygiene Process of Care - -1.Asses Perio disease as a risk factor for systemic
2.Diagnose conditions - -Heart conditions
3.Plan Diabetes
4.Implement Pregnancy complications
5.Evaluate low birth weight
6.Document
Risk factors for dental caries - -Poor oral
Scope of Practice - -A dental hygienist is hygiene
legally bound to provide care within the dental prolonged nursing
hygiene scope of practice eating disorders
drug or alcohol abuse
irregular dental care
Standard of care - -A professional uses the
ordinary and reasonable skill that is commonly
used by other reputable dental hygienists when Risk factors for oral cancer - -Tobacco
caring for patients; involves prudent judgement Sun exposure
and use of all available resources.
Documentation - --complete/accurate
Informed Consent - -Voluntary affirmation -Neat
by a patient to allow examination or treatment by - IN INK
authorized dental hygienist or other member of -right date
the dental team. -abbreviations standardized
-not contaminated
Chief Complaints - -the patients main
concern during the health history Diagnosis - -A statement about an actual or
potential problem
What data to collect - -Health history
dental history Diagnostic decision making - -A process
Intra/oral exam involving the ability to collect, analyze, and
dental charting synthesize data
Perio assessment
Radiographs
DH diagnosis - --Formal statement of the
DH's decision regarding the actual or potential
Risk factors for Periodontal disease - -Age problems of a patient that can be responsive to
oral hygiene treatment through the DH scope of practice.
tobacco use -Provides the basis fro decisions about dental
any systemic conditions hygiene tx, evaluation, and referral.
medications
Prognosis - -Prediction of the outcome
, OSCE Dental Hygiene
-alternative procedures
-pt. legally competent
Caries risk - -Low -pt must be informed
Moderate -
High
Informed refusal - -Document and patient
Active - -Reevaluate everytime needs to sign
Maintenance - -NO reevaluation Bass Method - -Most widely used method.
Bristles are angled at a 45 degree angel towards
the gingiva.
Purpose of Tx plan - --Guides the
healthcare provider
-Informs the patient Stillman's Method - -Bristles are positioned
*Patient consent is secured* on the gums rather than into the pockets and
directed at a 45 degree angle.
Preparing DH tx plan - --Medical History
(allergies, medications, Charter's Method - -Bristles are directed
surgeries/hospitalizations) occlusally, away from the gingiva. Useful for
-Review assessments (I/E oral exam, dental cleaning orthodontic brackets, prosthesis, and
charting, ext) areas treated with surgeries.
-DH diagnosis
-Tx prioritized (preventative or therapy?, patients
input) Fone's Method - -Bristles are moved in
-Tx options (outside factors:cost, time) large circular motion on the buccal and lingual
-Time surfaces. Useful for children, those physically
-Re-evaluation impaired, or adults who lack manual dexterity.
-Recall for maintenance or active
-Cost
-Referral (refer to pt's DDS or specialists) Fluoride Varnish - --Dries immediately
upon contact with saliva.
-Does not require a professional prophylaxis
Informed consent - --patient agrees to tx before hand.
plan -Can eat and drink immediately after.
Signs it in ink, correct date -Avoid brushing, rigorous rinsing, or hard foods
**patient must understand** for 3 to 4 hours.
-Easier and more effective method
Inform patient of: - --describe condition
-nature of proposed treatment Fluoride is recommended for patients who: -
-risks and benefits --Have xerostomia
-failure possibility -High caries risk
Dental Hygiene Process of Care - -1.Asses Perio disease as a risk factor for systemic
2.Diagnose conditions - -Heart conditions
3.Plan Diabetes
4.Implement Pregnancy complications
5.Evaluate low birth weight
6.Document
Risk factors for dental caries - -Poor oral
Scope of Practice - -A dental hygienist is hygiene
legally bound to provide care within the dental prolonged nursing
hygiene scope of practice eating disorders
drug or alcohol abuse
irregular dental care
Standard of care - -A professional uses the
ordinary and reasonable skill that is commonly
used by other reputable dental hygienists when Risk factors for oral cancer - -Tobacco
caring for patients; involves prudent judgement Sun exposure
and use of all available resources.
Documentation - --complete/accurate
Informed Consent - -Voluntary affirmation -Neat
by a patient to allow examination or treatment by - IN INK
authorized dental hygienist or other member of -right date
the dental team. -abbreviations standardized
-not contaminated
Chief Complaints - -the patients main
concern during the health history Diagnosis - -A statement about an actual or
potential problem
What data to collect - -Health history
dental history Diagnostic decision making - -A process
Intra/oral exam involving the ability to collect, analyze, and
dental charting synthesize data
Perio assessment
Radiographs
DH diagnosis - --Formal statement of the
DH's decision regarding the actual or potential
Risk factors for Periodontal disease - -Age problems of a patient that can be responsive to
oral hygiene treatment through the DH scope of practice.
tobacco use -Provides the basis fro decisions about dental
any systemic conditions hygiene tx, evaluation, and referral.
medications
Prognosis - -Prediction of the outcome
, OSCE Dental Hygiene
-alternative procedures
-pt. legally competent
Caries risk - -Low -pt must be informed
Moderate -
High
Informed refusal - -Document and patient
Active - -Reevaluate everytime needs to sign
Maintenance - -NO reevaluation Bass Method - -Most widely used method.
Bristles are angled at a 45 degree angel towards
the gingiva.
Purpose of Tx plan - --Guides the
healthcare provider
-Informs the patient Stillman's Method - -Bristles are positioned
*Patient consent is secured* on the gums rather than into the pockets and
directed at a 45 degree angle.
Preparing DH tx plan - --Medical History
(allergies, medications, Charter's Method - -Bristles are directed
surgeries/hospitalizations) occlusally, away from the gingiva. Useful for
-Review assessments (I/E oral exam, dental cleaning orthodontic brackets, prosthesis, and
charting, ext) areas treated with surgeries.
-DH diagnosis
-Tx prioritized (preventative or therapy?, patients
input) Fone's Method - -Bristles are moved in
-Tx options (outside factors:cost, time) large circular motion on the buccal and lingual
-Time surfaces. Useful for children, those physically
-Re-evaluation impaired, or adults who lack manual dexterity.
-Recall for maintenance or active
-Cost
-Referral (refer to pt's DDS or specialists) Fluoride Varnish - --Dries immediately
upon contact with saliva.
-Does not require a professional prophylaxis
Informed consent - --patient agrees to tx before hand.
plan -Can eat and drink immediately after.
Signs it in ink, correct date -Avoid brushing, rigorous rinsing, or hard foods
**patient must understand** for 3 to 4 hours.
-Easier and more effective method
Inform patient of: - --describe condition
-nature of proposed treatment Fluoride is recommended for patients who: -
-risks and benefits --Have xerostomia
-failure possibility -High caries risk
