Summary CDCA/ NERB Review (complete Latest Summer 2023.)
CDCA/ NERB Review (complete Latest Summer 2023.) What conditions require a Pre- medication? *- 1. Previous IE 2. Joint Replacement 3. Valve Replacement 4. Unrepaired congenital or developmental cardiac defects The dental evaluation should include *- - Chief complaint - Date of last visit (new clients) - Areas of pain or discomfort - Swelling/ bleeding - Anxiety - Previous treatments - Oral habits Know your vital signs Normal body temp for adults and children *- 98.6 Know your vital signs Normal pulse for adults *- 60 to 100 BPM Know your vital signs Normal pulse for children *- 80 to 120 BPM Know your vital signs Normal pulse for infants *- 100 to 160 BPM Know your vital signs Normal respiration for adults *- 14 to 20 breaths per minute Know your vital signs Normal respiration for children *- 20 breaths per minute Know your vital signs Normal Blood Pressure for adults and children *- Below 120/80 is ideal Know your vital signs Prehypertension *- 130 to 139 / 85 to 89 Be cautious Know your vital signs Hypertension 1 *- 140 to 159 / 90 to 99 Need a consult Know your vital signs Hypertension 2 *- 160 to 179 / 100 to 109 Need a consult Know your vital signs Hypertensive crisis *- 180+ / 110+ Emergency situation Know your ASA classifications ASA I *- Normal, healthy Know your ASA classifications ASA II *- Mild systemic disease controlled asthma, epilepsy, non-insulin dependent diabetes, cigarette smoking, BP between 140-159/90-94 Know your ASA classifications ASA III *- Severe systemic disease, limits activity stable angina, CVA/myocardial infarction more than 6 months ago, Congestive Heart Failure, well controlled insulin dependent diabetes, CPOD, exercise induced asthma, BP between 160-199/95-114 This level patient needs a consult before procedure Know your ASA classifications ASA IV *- Incapacitating systemic disease unstable angina, myocardial infarction or CVA within 6 months, severe CHF or COPD, uncontrolled diabetes or diseases, BP 200 or higher over 115 or higher You would not be treating this level patient Know your ASA classifications ASA V *- Patient not expected to survive 24 hours. You would not be treating this level patient. Patients with heart conditions may require accommodations, what are they *- Shortened appointments Let them sit up for a bit before standing after being supine They might need a premed, might have high BP, might need a consult What is the standard premed regimen? *- 4 x 500 mg of Amoxicillin (2g) 30 minutes to 1 hour before treatment What is the premed alternative if the patient is allergic to penicillin? *- 600 mg of Clindamycin one hour before treatment A vitamin K deficiency results in what? *- Prolonged clotting time Anticoagulants are used to treat what? *- - Pulmonary emboli - Thrombophlebitis - Myocardial infarction Commonly used anticoagulants *- Heparin and Coumadin Be aware when these are on a medical history, increased bleeding is an issue. Mydriasis *- Dilated pupils Can be caused by a CNS stimulant (like cocaine) or lack of oxygen to the brain Miosis *- Pinpoint Pupils Can be caused by a CNS depressant (like heroin), narcotics, alcohol Crepitus *- Noise in the joint Trismus *- Difficulty opening the mouth Be able to identify lymph nodes *- - pre/ post auricular - occipital - anterior cervical - posterior cervical - submental - submandibular - tonsillar - Superficial clavical The Parotid gland is associated with which duct? *- Stensons The Submandibular gland is associated with which duct? *- Whartons The Sublingual gland is associated with which duct? *- Bartholins Know the types of palpation Digital *- Single finger Used on the hard palate Know the types of palpation Bidigital *- finger and thumb on the same hand used on the lip, parotid, under the tongue Know the types of palpation Manual *- One hand, all fingers used on the lymph nodes and the larynx Know the types of palpation Bimanual *- fingers from each hand applied simultaneously used on the floor of the mouth, one on the inside, one on the outside Bilateral *- two hands at the same time used on the TMJ, cervical lymph nodes What is the palatine fovea? *- the two dots between the hard and soft palate. Characteristics of Filiform papilla *- - Hairlike projections on the dorsum of the tongue - Most numerous - No taste buds Characteristics of Fungiform papilla *- - Mushroom shaped, among the filiform on the dorsum - Has taste buds Characteristics of Circumvallate papilla *- - Large and circular - Form a V on the back of the tongue - Has taste buds Characteristics of Foliate papilla *- - On the side of the tongue - Taste buds T/F: Joint enlargement is typically a concern when assessing the TMJ *- False. enlargement is not a concern crepitus, trismus, deviated opening. Which teeth have multiple roots? *- - Mandibular molars - Maxillary molars - Maxillary first premolars If a tooth other than these has two roots, it is considered an anomoly Characteristics of the area surrounding dental implants *- - There is no PDL - The gingival sulcus is replaced with a biologic seal Why is titanium used for dental implants? *- - It is biocompatible - It is osseointegrated into alveolar bone What type of instruments should be used around an implant? *- Non- Metal only Plastic or carbon How do you assess bone loss around an implant? *- RADS. Not a probe What is the #1 sign of implant failure? *- Mobility T/F: Patient selection is critical for implant candidates *- True. adequate bone is essential, smokers, immunocomp, severe osteoporosis are poor candidates Know Occlusion Classes Class I *- The mesiobuccal cusp of the maxillary first molar occludes with the buccal groove of the mandibular first molar This is normal occlusion Know Occlusion Classes Class II division I *- The mesiobuccal cusp of the maxillary first molar is mesial to the buccal groove of the mandibular first molar, and the maxillary incisors are protruded This is a retrognathic profile Know Occlusion Classes Class II division II *- The mesiobuccal cusp of the maxillary first molar is mesial to the buccal groove of the mandibular first molar, and the maxillary incisors are retruded This is a retrognathic profile Know Occlusion Classes Class III *- The mesiobuccal cusp of the maxillary first molar is distal to the buccal groove of the mandibular first molar This is a prognathic profile Open Bite *- Lack of contact between teeth in the maxilla and teeth in the mandible What causes an open bite? *- Caused by tongue thrusting, thumb sucking, or a pacifier. Will often cause crowding of the lower anteriors Cross Bite *- When the mandibular teeth are outside (facial/ buccal) of the maxillary teeth Can be unilateral or bilateral Diastema *- Space between the teeth Most commonly between teeth #8 and 9 Can be genetic or caused by a low/ short frenum Components of gingiva *- - Free - Attached - Alveolar mucosa - Mucogingival junction T/F: The acquired pellicle is an inorganic layer *- False. It is an acellular, organic membranous layer that forms over tooth surfaces within minutes after they are cleaned - composed of glycoproteins from the saliva T/F: The acquired pellicle is both protective, and provides a surface for bacteria to adhere to . *- True. The acquired pellicle: - is protective: barrier to acids - provides lubrication: prevents drying - provides adherence: microorganisms for plaque formation - provides attachment: for calculus T/F: The more apical the bacteria, the more aerobic and gram positive *- False. The more anaerobic (no oxygen) and gram negative Supragingival plaque *- Facultative anaerobic Subgingival surface plaque *- Similar to supragingival - G+ and G- - Cocci and rods - strep and actinomyces Subgingival apical plaque *- - G- - Anaerobic - Motile rods and filamentous - Associated with perio - Vibrios and spirochetes - Treponema Be able to identify Materia Alba *- White plaque that CAN be wiped off Some facts about Gingivitis to know *- - etiology (plaque), - contributing factors (medications, pregnancy) - signs of gingivitis (inflammation with no attachment loss) - papillary, marginal, - diffuse gingivitis (involves all) - bacterial plaque seen along gingival margin is causing gingivitis in patients (red indicates disease) .......................
Connected book
Written for
- Institution
- Commission on Dental Competency Assessments
- Course
- Commission on Dental Competency Assessments
Document information
- Summarized whole book?
- No
- Which chapters are summarized?
- Unknown
- Uploaded on
- June 15, 2023
- Number of pages
- 45
- Written in
- 2022/2023
- Type
- Summary
Subjects
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commission on dental competency assessments
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cdca nerb review
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what conditions require a pre medication
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the dental evaluation should include
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know your vital signs normal body temp for adults
