Download Dental Hygiene Patient Records and Instrumentation and more Study Guides, Projects, Research Dentistry in PDF only on Docsity! 1 / Intro to dental hygiene 2 Test 3 Study set 1.What is the Patient record?: Is the most important document confidential should always be available for reference organized in a certain format to allow for most efficient use for dental team 2.A.D.P.I.E.D: Assessment DH Diagnosis Planning Implementati on Evaluation Documentati on 3. Information gathering forms/data: This should be done by the patient before any treatment is provided it includes: patient registration forms medical/dental health history 2 / forms HIPPA forms medical alert information insurance information consent forms verification of accuracy 4.Diagnostic information gathering forms: is done by a dentist or dental hygienist Includes: Physical examination forms radiographic examination clinical examination 5.What does assessment mean?: process of collecting data and then evaluatating or drawing conclusions from findings 6.What is a permanent record?: It is a legal document that is used as: evidence in legal settlements/lawsuits reference tool in forensic cases reference for third 5 / procedures performed 17.progress/history notes: treatment is recorded in this section of the patient record every entry should be made as if it will be used/seen in court if writing on paper, the ink should always be black, and corrections are made by making a single line on the mistake 18.what should be included in the progress/history notes: tooth number ( if needed), date, all services and treatment, and signature 19.What should always be documented: missed appointments telephone conversations prescriptions difficulties during treatment contact with insurance companies 20.Patient Information: name, date of birth, residence, phone number, employ- ment, spouses information 21.Insurance Information: employee name and date of birth, employer name, address, and number, carrier and policy number 22.who is the responsible party?: the person responsible for payment 6 / 23.Body Mechanics: studies muscular actions and functions in the maintenance of the posture of the body 24.Ergonomics: Study of human performance and workforce designed to maxi- mize health, comfort, and efficiency 25.Neutral working position: the position of the body in which the normal curva- tures of the spine are maintained and the muscles and joints are naturally aligned 26.What is the ideal working distance between the patient and dental hygien- ist: 15 to 22 inches, should be maintained in a neutral position 27.Examination Instruments: Explorer and mirror 28.Periodontal examination instruments: Probe and mirror 29.debridement instruments: Scalers and curettes 30.Other types of instruments: cotton pliers and hand-pieces 31.what are most instruments made from?: stainless steel, plastic, carbon steel 32.Handle shapes: round or hexagonal 33.handle patterns: smooth or grooved 34.what is the shank?: The part that attaches to the working end of the handle may be flexible to some degree or contain angles 7 / thickness varies 35.whats the working end?: The end of the instrument that has a specific function 36.what are instrument parts for mirror?: shank, mirror end, and handle 37.Indirect vision ( uses of mirror): sees areas of the mouth that are not directly visible 38.retraction ( Uses of mirror): keeping the tongue or cheek out of the way 39.light reflection ( uses of mirror): directs light into oral cavity 40.Tissue protection ( uses of mirror): protects soft tissues from damage during procedures 41.parts of explorer: shank, working end, handle 42.Uses of explorer: detects caries, examines restorations, assesses plaque and calculus 43.Probe parts: handle, shank, and measurement end 44.Uses for probe: sulcus pocket depth reading, gingival exam readings, oral and skin pathology Looking for bleeding 45.Ultrasonic scaler: Device used for rapid calculus removal; it