Final Review - FUCK POSTLE

Question 1

Ohio State Dental Board

Answer 1

 Patient safety

 Doesn’t make appointments
 Infrequent, complaint driven and
currently not random
 Ohio Dental Practice Act
 Nature of complaint
 Infection control documentation and practices
 Posting of appropriate licenses
 CE documentation
 Other interaction at licensure renewal
 Noncompliance may = licensure revocation

Question 2

Ohio Department of Health

Answer 2

 X-ray machine safety

 Makes appointments
 Infrequent, programmed inspections
 Ohio Department of Health radiological health rules
 X-ray unit performance
 Regulatory and work practice documentation
 Other interaction at registration renewal
 Noncompliance may = fines up to $1,000/day/violation & registration revocation

Question 3

Ohio Department of Commerce

Answer 3

 Unclaimed funds
 Payroll (wages, bonuses, commissions), expense
reimbursement checks, insurance proceeds due an individual, credit refund checks, refund and rebate checks, customer deposits

 Makes appointments
 Likely at least once in dentist’s career, programmed audits
(typically for failing to file annual report)
 Office policy and documentation of efforts to return unclaimed funds to rightful owners or the state if necessary
 Annual report of unclaimed funds (including negative “none” reports if nothing to report)
 Noncompliance may = fines up to $100/day & interest payments up to 1%/month on unclaimed funds balance

Question 4

OSHA

Answer 4

 Employee safety
 Doesn’t make appointments
 Rare, complaint driven inspections  Nature of complaint
 Bloodborne Pathogens Standard
 Hazards Communication
Standard
 General workplace safety
 Noncompliance may = fines up to $70,000

Question 5

US Department of Health and Human Services, Office for Civil Rights

Answer 5

 Confidentiality of patient information

 Typically off-site audits rather than in-office
inspections
 Rare, complaint driven, possibly random or programed
 HIPAA Privacy and Security Rules

Question 6

US Department of Justice

Answer 6

Americans with Disabilities Act
 Mayormaynotmake appointments
 Very rare, appear to be only complaint driven inquiries
 Make reasonable accommodations for those with disabilities, including patients who are hearing, vision or speech impaired

Question 7

Ohio EPA and Local Health Departments

Answer 7

 Infectious waste disposal

 May or may not make appointments
 Very rare, programmed or complaint driven inspections
 Ohio EPA infectious waste disposal rules
 Identify, quantify and document infectious waste  Proper containment, labeling and disposal

Question 8

Ohio EPA & Local Sewer Districts

Answer 8

 Amalgam waste disposal

 May or may not make appointments

Question 9

Mucogingival deformities can be described as

Answer 9

generalized or localized

Question 10

Mucogingival deformity encompasses many things including

Answer 10

Gingival/soft tissue recession, whether it be interproximal or facial.

Lack of keratinized gingiva
Decreased vestibular depth
Aberrant frenum/muscle position
gingival excess, abnormal color.

It an also be more or less the same things but on an edentulous arch - vertical and horizontal ridge deficiency, lack of gingiva/keratinized tissue, tissue enlargement, aberrent frenum, decreased vestibule, abnormal color.

Question 11

Mucogingival:

Answer 11

encompasses oral mucosa that covers alveloar process, including keratinized attached tissue and alveolar mucosa.

Question 12

Mucogingival deformity formal definition:

Answer 12

a departure from the normal dimension and morphology of and/or interrelationship between gingiva and alveolar mucosa. It can be associated with a deformity of the underlying bone.

Question 13

Mucogingival defomrity does not apply to

Answer 13

implants - the paper explicitly noted that there should be a difference in how these are treated and classified.

Question 14

Gingival recession

Answer 14

Associated with attachment loss and exposure of root surface with oral cavity.

Question 15

Gingival recession risk factors:

Answer 15

thin perio biotype, absence of attached gingiva, reduced alveolar bone thickness

Question 16

Needed keratinized tissue and attached gingiva:

Answer 16

2mm, 1mm

Question 17

Possible affects to recession:

Answer 17

ortho, tooth brushing - ortho is legit, tooth brushing isn’t well supported. Also, cervical restorative margins seen with recession, but low levels of evidence.

For ortho, if you move lingual it is fine, tissue actually increases. Ultimately, if you have thin tissue biotype and are making facial movements, you can see recession.

Question 18

Autonomy

Answer 18

Self governance

Question 19

Non-maleficence

Answer 19

Do no harm

Question 20

Beneficence

Answer 20

Do good (help in community, report abuse of children, etc.)

Question 21

Justice

Answer 21

fairness - do not withold services, and whatnot.

Question 22

Veracity

Answer 22

truthfulness - see amalgam example

Question 23

Space analysis: what do you need?

Answer 23

the space available

the width of  the lower incisors the estimated width of the canine and      premolars in one quadrant 		 And for the upper arch you also need the width of the upper incisors

Question 24

Notes: Remember you estimate from the lower incisors because they

Answer 24

are less variable than the upper incisor due to the variable upper lateral incisors

Question 25

If space is adequate and primary teeth are prematurely missing and will not erupt in —-, you save space

Answer 25

6 months

Question 26

Remember maintaining space or any orthodontic treatment along with poor hygiene is not good and can lead to more decay. The ethical basis of the concern is

Answer 26

Non-maleficence (do no harm).