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Ultrasonic uses what kind of energy?
High frequency vibrations; soundwaves
If you have a patient with a hearing aid and you are going to use the Ultrasonic, what would you tell your patient?
To turn the hearing aid down or off.
If you have a legally blind patient can they bring in a service dog with them?
- Mechanical removal or cleaning
- Cavitation or cools
- Irrigation or lavage
What disease can be spread through the ultrasonic's aerosols?
- Respiratory Infections
Does PPE decrease the risk of aerosols?
- Titanium Implants
- Exposed dentinal surfaces
- Demineralized areas
- Cardiac pacemaker
- Swallowing difficulties
- Respiratory infections
- Susceptibility to infection (immunosuppressive)
When do you flush the water lines?
Before and after patient and in between patients
How long do you flush the cavitron water line?
For 2 minutes
Which is best for a patient with heavy stain and heavy calculus, Sonic scaler or Ultrasonic?
How far does the tip of the Prophyjet need to be from the tooth surface?
What is Blue Bloater?
Chronic bronchitis: excessive mucous production
Blue Bloater Characteristics
- Chronic cough with sputum
- Overweight / edematous
- Cyanotic and breathless
- Increased respiratory rate (issues inhaling and exhaling
- Cor pulmonale ( RVHF)
- Cardiac enlargement
What is Pink Puffer?
Emphysema: destruction of alveolar walls
Pink Puffer Characteristics
- CO2 Retention ; pink
- Exertional dyspnea (exhaling issues)
- Weak, non-productive cough; wheeze
- Purse lip breathing
- Speaks in short jerky sentences
- Weight loss
- Chest wall expands to give “barrel chest”
- Digital clubbing
- Inherited condition (autosomal recessive) that effects the lungs, pancreas, and liver. Sticky mucous blocks passageways for respiratory and digestive systems.
- No cure
When should you give OHI?
After probing and PFS and before scaling
Normal Blood Pressure
Stage 1 HTN
Hypertension S & S
- Ear noise
- Irregular heartbeat
- Vision changes
What does epinephrine do?
- Constricts blood vessels
- Broncho dilator
- Concentrates anesthetic in desired area and prevents dissipation of LA
Hypertension puts patients at risk for:
- Coronary Atherosclerosis
- Ischemic Heart Disease
- Renal Disease/Renal Failure
When should you appoint a patient with a shunt for dialysis?
Day after dialysis
When should you appoint a diabetic patient?
In the morning
When should you appoint a patient undergoing chemotherapy?
Treat the day before they start chemo
If your patient forgot to take there premed what procedures can you do?
- IOE that does not manipulate gingiva
The wheelchair accessible door width should be ___ inches.
OHI and the special needs patient
- OHI for self care depend on the patient’s motor coordination.
- Self sufficiency is encouraged when possible
- Patients with mental disabilities OHI should be given to the caregiver
What is the most common disease seen in diabetic patients?
Which hepatitis virus will most likely result in chronic liver failure?
What is the most common seen oral manifestation in a patient with HIV?
Fetal Alcohol Syndrome Characteristics
- Smooth philtrum
- Epicanthal folds
- Low and flat nasal bridge
- Hockey stick palmar crease
- webbed fingers and toes
What are some causes of xerostomia?
- Some disorders
How do we treat xerostomia?
- Nutritional counseling- no alcohol, limit sodium intake, and avoid sugar
- Fluoride-for increased risk of caries
- Artifical saliva
Down Syndrome Characteristics
- Chromosomal abnormality.
- IQ usually <70
- Short with short neck
- Short underdeveloped nose
- Oblique laterally slanted eyes
- Short stubby fingers, palm has a single transverse crease
- Excessive saliva
- Class III occlusion
Chemotherapy can lead to what eating disorder?
What oral manifestations are associated with Kidney disease?
- radiographic: loss of lamina dura, demineralized “ground glass” bone, localized radiolucent jaw lesions, wider trabecular spaces
Hypoglycemia can lead to:
Hyperglycemia can lead to:
What does nitroglyercin do?
Helps with angina by dilating vascular smooth muscle
Name one association that you make with CHF?
How do CHF patients need to be seated?
Rule of 2's
Steriods:20mg or greater for 2 weeks or longer
- Muscular Dystrophy
- Rheumatoid arthritis
- End Stage Renal Disease
- Renal Failure
- Basal Cell Carinoma
- Ulcerative colitis
- Rheumatoid Arthritis
Cancer patients receiving head and neck radiation are most likely to get, what?