She is currently an examiner at NEBDN and past chair of the Oral Health Committee. She is also the program director for the certificate course in dental nurse sedation.
Introduction
Carrying out statutory registration has ensured that dental nurses are updated every year to ensure they are fit to practise. In such circumstances, this person would no longer be able to practice the profession of dental nurse.
Governing b odies and p rofessional a ssociations
National Certificate for Dental Nurses ■ NVQ Level 2 Oral Health Support Worker ■ NVQ Level 3 Oral Healthcare Dental Hygienist ■ Certification in Oral Health Education. The British Association of Dental Nurses (BADN) was established in 1943 with the NEBDN and is also based at Fleetwood, but in different premises to the NEBDN.
Continuing p rofessional d evelopment ( CPD )
Oral health research and the delivery of quality oral care should be actively encouraged. Each five-year cycle, it is necessary to complete a minimum of 150 hours of CPD, of which a minimum of 50 hours must be controllable CPD.
Further a ctivities and r esources for CPD
Virtually any aspect of a dental practice or clinic may be subject to an audit. They provide the opportunity to build a personal learning resource that can be accessed with ease at any time since.
THE AUDIT CYCLETHE AUDIT CYCLE
British Society for the Study of Prosthetic Dentistry (www.derweb.co.uk/bsspd) ■ British Society of Periodontology (www.bsperio.org. British Society of Pediatric Dentistry (www.bspd.co.uk/) ■ British Society of Orale implantologie (www.bsoi.org/.
Career o pportunities
Nurses working in these hospitals are expected to complete post-qualification training in the relevant discipline. The employment of a dental hygienist in the armed forces is different from that in civilian life.
Interprofessional d evelopment
Further information is available on the website of the British Dental Association (www.bdha.org.uk. Further information is available on the website of the British Association of Dental Therapists (www.badt.org.uk).
Teaching and t raining
During verification, centers are expected to pass the D35 qualification issued by the awarding authority. Most of them are employed full-time and have all the qualifications listed above (except D35), including a management qualification.
In the past, dental nurses were encouraged to take courses relevant to their work environment or develop their own interests. Statutory registration and CPD have changed this concept, and now that registration is mandatory, dental nurses must take relevant courses to stay up to date and maintain their annual registration.
Promoting o ral h ealth
This means that the results of the evaluation must be interpreted and communicated to the relevant parties. A similar demonstration of the importance of the frequency of sugar intake can be made using a sugar watch. Using fluoride toothpaste reduces susceptibility to tooth decay as the fluoride is applied to the surface of the teeth.
Care of a ppliances and a dvanced r estorations
The patient must go back to the dentist for the removal and readjustment of the dentures for the first time. A fluoride mouthwash should be recommended if the patient is at high risk of developing new caries. Care must also be taken not to damage any part of the implant that protrudes into the mouth.
Dental p ublic h ealth
The dental public health consultant will be able to provide details of the fluoridation status in the area they cover. In many individuals it begins in adolescence and the majority of the population is affected by the age of 30 years. Other studies have shown a strong correlation between the level of dental caries and the deprivation status of the population.
Nursery nurses, teachers, classroom assistants, social workers and caterers can be very important in promoting oral health. The Ottawa Charter, discussed earlier in this chapter, demonstrated the importance of the community in promoting the health of its own members. One of the biggest challenges encountered with any motivational activity is keeping the message constantly fresh as time goes on.
Planning and p reparing an e xhibition or d isplay
It must be updated regularly and can be downloaded from www.dh.gov.uk/en/. The National Oral Health Promotion Group (formally the National Dental Health Education Group [NDHEG]) – www.nohpg.org. Health Development Agency (formally Health Education Authority) ■ Institute for Health Promotion and Education – www.ihpe.org.uk.
Legislative f ramework
Start outside the surgery, even in the parking lot, and follow the patient's entire journey through the clinic/practice. The dentist's duty of care to the patient means that treatment planned will lead to oral health gains and be in the best interests of the patient. Think of ways to persuade the caregiver that appropriate physical intervention for the task is in the patient's best interest.
Working p rinciples
The British Society for Disability and Oral Health has formulated guidelines for physical intervention for dental care to include the above indications and these can be accessed via their website ( www.bsdh.org.uk. The British Society for Disability and Oral Health has a number of clinical guidelines , and these are available on the association's website (www.bsdh.org.uk. Carers play a vital role in the lives of many people with disabilities when parents are no longer directly involved in daily living ( www.carersuk.org.
A p ractical a pproach
For children under six years of age, a 0.05% sodium fluoride (250 ppm F) mouthwash may be used instead. There are low-foaming toothpastes available, and some contain fluoride in combination with chlorhexidine, which may be helpful for patients who have difficulty managing oral hygiene. This method of delivering topical fluoride has not yet been tested in people with impairments.
Learning d isability
This can be facilitated by the input of CDS/PDS services to help deliver oral health maintenance programs specifically tailored to the needs of the client group and carers. It is of dental importance because prolapse of the mitral valve (MVP) of the heart occurs in up to 80% of affected people and may require antibiotic prophylaxis before dental treatment. Genetic problems can be single gene defects which can be autosomal dominant (e.g. osteogenesis imperfecta; see acquired and congenital bone disorders) or autosomal recessive (e.g. cystic fibrosis; see below), or X-linked recessive (e.g. ectodermal dysfunction). plasias; see below).
Physical i mpairment
Staff should be aware of the potential and trained in crisis management while the patient is under treatment. The primary palate is that part of the palate anterior to the incisor foramen. These clefts can be unilateral or bilateral and involve only a point at the vermilion border of the lip or up to the border of the primary palate.
Cardiovascular s ystem
Affected patients will have all the signs and symptoms of general anemia, but will also exhibit jaundice due to the bilirubin in the blood due to the increased breakdown of the red blood cells. Patients become anemic because the bone marrow is crowded out by the precursors of abnormal white blood cells. In the UK, the National Institute for Health and Clinical Effectiveness (NICE) now recommends that antibiotic prophylaxis should not be given prior to dental treatment in patients previously thought to be at risk of developing cancer due to the type of heart defect . infective endocarditis.
Cancer of the h ead and n eck r egion
Head and neck cancer patients undergoing radiotherapy will experience a profound lack of saliva (xerostomia) in most cases. The five-year survival rate for head and neck cancer is 40%, although this depends on the stage. Detail the health promotion tips you would design for the waiting room as an aid to prevention.
Respiratory d isorders
This is defined as repeated, reversible attacks of wheezing, shortness of breath and coughing as a result of narrowing of the airways. General anesthetics may be contraindicated in a person who has severe scoliosis due to poor ventilation of parts of the respiratory tree. It is the most common inherited condition in people with 1 in 25 of the population being carriers.
Endocrine d isorders
In adults, it can occur as a result of autoimmune disease, surgical removal, or impaired pituitary control. Their activity is not controlled by the pituitary gland, like other glands, but by the level of calcium in the blood. Increases heart rate, alertness and blood glucose and fat levels etc.
These patients need to be hospitalized for the management of their diabetes during dental surgery. However, if suspected, glucose should be given by mouth to differentiate from hypoglycaemia if the patient is still conscious, or intravenous glucagon if not. Walk them through the protocol to follow when referring patients for dental care under GA, including the patient/caregiver preoperative instructions.
Gastrointestinal and r elated d isorders
Eventually, the villi in the wall of the intestine shed and malabsorption ensues. Orally, there may be a cobbled appearance of the buccal mucosa (also seen in orofacial granulomatosis) and aphthous ulcers. In addition to the symptoms described above, patients complain of pain in the liver area.
Neurological and p sychiatric d isorders
In this way, irrational behavior and patient distress can be avoided. Wearing dentures can be compromised by uncontrolled movements and lack of saliva (xerostomia). Talking to the patient's parents, where the patient is still a minor in the eyes of the law, is difficult.
Management of a nxiety
If you went to your dentist for TREATMENT TOMORROW, how would you feel?
If you were about to have a TOOTH DRILLED, how would you feel?
Anxious patients should always be given a stop signal as this transfers an element of control to the patient. It is helpful to listen to the patient's fears and transfer some control to the patient. Normal physiological responses to fear and anxiety are typically not harmful; However, in a medically compromised patient, they can pose a risk to the patient's health.
Patient a ssessment
The health of the patient does not present problems to proposed dental treatment under sedation; the patient has no systemic disease. The various methods of pain and anxiety control should be discussed with the patient (eg behavioral methods, local anaesthesia, sedation and possibly GA). Practice your answer by role-playing (ask a colleague or friend to pretend to be the patient so you can practice your response). 3) List the information obtained from the assessment visit that should be recorded in the patient's clinical notes.
Applied p hysiology and a natomy
The shape of the oxygen dissociation curve favors the loading of hemoglobin with oxygen in the lungs and the release of oxygen in the tissues. The relationship between the Pa O 2 and the percentage saturation of hemoglobin with oxygen is not linear - this is clear from the oxygen dissociation curve (Figure 4.2); the line is described as a sigmoid or 'S' shape. Knowledge of the cardiac cycle is essential to understanding blood pressure and the electrical activity of the heart.
Monitoring
