GUIDE to SUTURING with Sections on Diagnosing Oral Lesions and Post-Operative Medications
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Surgery Guidelines Infection Prevention
SURGERY GUIDELINES SURGICAL SITE INFECTION: REDUCING YOUR RISK A surgical site infection is a Stanford Hospital & Clinics is committed to implementing strategies to improve risk with any type of surgery. surgical care and to reduce the risk of You can take steps to reduce surgical site infections. your risk of surgical site We want your surgical experience at Stanford Hospital & Clinics to be positive. infection and complications. That experience includes educational • Talk with your healthcare provider materials that describe the process of your about your risk of infection and review surgery and the measures we take to ensure your safety. It is especially important to steps you can take to reduce your reduce the risk of infection. risk prior to the procedure. These are general guidelines. You will • Know the signs and symptoms be provided with more specific instructions of surgical site infection. related to your surgery before your discharge from the hospital. • Know how to reduce your risk while you are in the hospital. INFECTION PREVENTION stanfordhospital.org stanfordhospital.org PRIOR TO DAY OF AFTER SURGERY SURGERY SURGERY KEY POINTS HEALTHCARE TEAMS’ ROLE IN PREVENTION After your surgery and hospital stay, it is Tell your healthcare provider about other • Your surgeon may use electric clippers to important to watch for any changes in your medical problems you may have. Factors remove some of your hair before surgery. symptoms. Call your physician immediately or such as diabetes, obesity, smoking and some • Your surgical team will apply a skin antiseptic go to the nearest emergency room if you are medications could affect your surgery and immediately before the surgery experiencing any of the following symptoms: your treatment. -
Medical-Dental History Personal History All of the Information Which You Provided on This Form Will Be Held in the Strictest Confidence
Medical-Dental History Personal History All of the information which you provided on this form will be held in the strictest confidence. Although some questions may seem unimportant at the time, they may be vital in an emergency situation. Please answer each question and ask if you need assistance completing the form. Patients Name:________________________________________________ Sex: M F Parents / Guardian:___________________________________________________________________ Date of Birth: __________________________ BC Care Card: ____________________________ Mailing Address:_____________________________________________________________________ Home Phone: ______________________________ Cell Phone:________________________________ E-Mail:_____________________________________________________________________________ Purpose of Visit:______________________________________________________________________ Family Dentist:____________________________ Medical Doctor: ___________________________ Referred by:_________________________________________________________________________ I authorize the doctor to perform diagnostic procedures and treatment as may be necessary for proper dental care. I authorize the release of information concerning my child’s health care, advice, and treatment provided for the purpose of evaluating and administering claims for insurance benefits. I understand that my dental insurance carrier or payer of my dental benefits may pay less than the actual fee for services. I understand that I am financially responsible for payment -
Dental Medicine (DDS/DMD)
Pre-Health Information for Dental Medicine (DDS/DMD) Dentists who have a DMD or DDS have the similar education. Both degrees use the same curriculum requirements set by the American Dental Association and the type of degree awarded is determined by the university. Profession web site(s): www.ada.org , www.adea.org Application web site: www.adea.org/aadsas or for Texas schools: www.tmdsas.com Admission/Entrance exam:– DAT (Dental Admission Test) Transcripts: Official transcripts from ALL institutions attended, including Marquette University, must be sent directly from the institution to the central application service. If you completed study abroad courses at a U.S. sponsored program abroad, you must send transcripts. If you studied abroad and the courses and grades do not appear on a U.S. transcript, then you need to have transcripts sent to AADSAS from the foreign school or an evaluation service. Course prerequisites: Course prerequisites vary by program. Typical prerequisites include Biology 1001, 1002, a separate lab course such as Biology 2001, a biochemistry course, Chemistry 1001, 1002, 2111, 2112, Physics 1001 and 1002. Different course numbers for majors (e.g., Chemistry 1014 for Majors) will be accepted. Physics is required for dental school but not for the DAT. Many dental schools require courses such as Biochemistry, Anatomy, Physiology and/or Microbiology, Psychology, Sociology and other upper level biology or science courses. Students should research schools to which they will apply early enough to ensure they can complete all necessary pre-requisite courses. Observation hours/experience: Dental schools like to see well-rounded applications and look for quality and depth of experiences rather than requiring a specific number of hours. -
Medications to Avoid Before Surgery
ENTRUST MEDICAL GROUP Pre‐operative Information Medications to Avoid Before Surgery It is important to avoid certain medications prior to surgery. The following medications can have effects on bleeding, swelling, increase the risk of blood clots, and cause other problems if taken around the time of surgery. Please notify your surgeon’s office if you are taking any vitamins, herbal medications/supplements as these can also cause problems during your surgery and should not be taken for the two week period before surgery and one week after surgery. It is extremely important that if you come down with a cold, fever, rash, or “any new” medical problem close to your surgery date, you should notify your surgeon’s office immediately. Section One: The following drugs contain aspirin and/or aspirin like effects that may affect your surgery (abnormal bleeding and bruising). These drugs should be avoided for at least two weeks prior to surgery. A.P.C. Doloprin Nuprin A.S.A. Easprin Orudis A.S.A. Enseals Ecotrin Pabalate‐SF Advil Emprin with Codeine Pamelor Aleve Endep Parnate Alka‐Seltzer Plus Equagesic Tablets Percodan Alka‐Seltzer Etrafon Pepto‐Bismol (all types) Anacin Excedrin Persantine Anaprox Feldene Phenteramine Ansaid Fiorinal Phenylbutzone Argesic Flagly Ponstel Arthritis pain formula Four Way Cold Tablets Propoxyphene Compound Arthritis strength Bufferin Gemnisyn Robaxisal Arthropan Liquid Gleprin Rufen AS.A. Goody’s S‐A‐C Ascriptin Ibuprofen (all types) Saleto Asperbuf Indocin Salocol Aspergum Indomethacin Sine‐Aid/Sine‐Off/Sinutab Aspirin (all brands) Lanorinal SK‐65 Compound Atromid Lioresal St. Joseph’s Cold Tab B.C. -
Organ Transplant Discrimination Against People with Disabilities Part of the Bioethics and Disability Series
Organ Transplant Discrimination Against People with Disabilities Part of the Bioethics and Disability Series National Council on Disability September 25, 2019 National Council on Disability (NCD) 1331 F Street NW, Suite 850 Washington, DC 20004 Organ Transplant Discrimination Against People with Disabilities: Part of the Bioethics and Disability Series National Council on Disability, September 25, 2019 This report is also available in alternative formats. Please visit the National Council on Disability (NCD) website (www.ncd.gov) or contact NCD to request an alternative format using the following information: [email protected] Email 202-272-2004 Voice 202-272-2022 Fax The views contained in this report do not necessarily represent those of the Administration, as this and all NCD documents are not subject to the A-19 Executive Branch review process. National Council on Disability An independent federal agency making recommendations to the President and Congress to enhance the quality of life for all Americans with disabilities and their families. Letter of Transmittal September 25, 2019 The President The White House Washington, DC 20500 Dear Mr. President, On behalf of the National Council on Disability (NCD), I am pleased to submit Organ Transplants and Discrimination Against People with Disabilities, part of a five-report series on the intersection of disability and bioethics. This report, and the others in the series, focuses on how the historical and continued devaluation of the lives of people with disabilities by the medical community, legislators, researchers, and even health economists, perpetuates unequal access to medical care, including life- saving care. Organ transplants save lives. But for far too long, people with disabilities have been denied organ transplants as a result of unfounded assumptions about their quality of life and misconceptions about their ability to comply with post-operative care. -
Preprosthetic Surgery
Principles of Preprosthetic Surgery Preprosthetic Surgery • Define Preprosthetic Surgery • Review the work-up • Armamanterium • Importance of thinking SURGICALLY…… to enhance the PROSTHETICS • Review commonly occurring preprosthetic scenarios What is preprosthetic surgery? “Any surgical procedure performed on a patient aiming to optimize the existing anatomic conditions of the maxillary or mandibular alveolar ridges for successful prosthetic rehabilitation” What is preprosthetic surgery? “Procedures intended to improve the denture bearing surfaces of the mandible and maxilla” Preprosthetic Surgery • Types of Pre-Prosthetic Surgery – Resective – Recontouring – Augmentation • Involved areas – Osseous tissues – Soft tissues • Category of Patient – Completely edentulous patient – Partially edentulous patient Preprosthetic Surgery • Alteration of alveolar bone – Removing of undesirable features/contours • Osseous plasty/shaping/recontouring – Bone reductions – Bone repositioning – Bone grafting • Soft tissue modifications – Soft tissue plasty/recontouring – Soft tissue reductions – Soft tissue excisions – Soft tissue repositioning – Soft tissue grafting Preprosthetic Surgery Goals • Goals - To provide improvement to both form and function – Address functional impairments – Cosmetic - Improve the denture bearing surfaces – Alveolar (bone) ridges – Adjacent soft tissues Prosthetic Surgery Work-up Preprosthetic Surgery Work-Up • Considerations in developing the treatment plan – Chief complaint and expectations • Ascertain what the patient really -
ADA Statement on Dental Patient Rights and Responsibilities
ADA Statement on Dental Patient Rights and Responsibilities Background: The ADA Council on Ethics, Bylaws and Judicial Affairs (CEBJA) has developed the following template Dental Patient Rights and Responsibilities Statement (DPRR Statement) as a guide and as an aid to be used by constituent and component societies and practitioners in creating their own dental patients rights and responsibilities statements. In the DPRR Statement that follows, the term “rights” is used not in a legal sense, but merely to convey an indication that a patient should have an expectation of experiencing treatment in accordance with the enumerated “rights.” Several other dental and medical related organizations publish patient rights statements; indeed, CEBJA reviewed those statements during the development of the DPRR Statement, as well as Standard 5-3 of the ADA Commission on Dental Accreditation (CODA) Standards for Predoctoral Dental Education Programs, which also refers to a statement of patients’ rights. The DPRR Statement grew out of a collaborative ethics summit conducted in March 2006 by the American College of Dentists (ACD) and the American Dental Association (ADA) on the topic of commercialism in dentistry. Members of CEBJA were invited to attend along with representatives from ADA and ACD leadership, the ADA Council on Dental Education and Licensure, the recognized specialty groups, the National Dental Association, the U.S. Department of Veterans Affairs, the American Dental Education Association, dental school deans and faculty, ethicists, dental editors and leading representatives from the insurance, practice management and dental product manufacturers industry. The summit attendees noted that patients have become more assertive in seeking elective procedures and that the dental profession seeks to be mindful of protecting patient autonomy while balancing the importance of overall dental health and lifelong consequences. -
Dental Implants Placement of Dental Implants Is a Procedure, Not an American Dental Association (ADA) Recognized Dental Specialty
Dental Implants Placement of dental implants is a procedure, not an American Dental Association (ADA) recognized Dental Specialty. Dental implants like all dental procedures require dental education and training. Implant therapy is a prosthodontic procedure with radiographic and surgical components. Using a dental implant to replace missing teeth is dictated by individual patient needs as determined by their dentist. An implant is a device approved and regulated by the FDA, which can provide support for a single missing tooth, multiple missing teeth, or all teeth in the mouth. The prosthodontic and the surgical part of implant care can each range from straightforward to complex. A General Dentist who is trained to place and restore implants may be the appropriate practitioner to provide care for dental implant procedures. This will vary depending on an individual clinician’s amount of training and experience. However, the General Dentist should know when care should be referred to a specialist (a Prosthodontist, a Periodontist or an Oral and Maxillofacial Surgeon). Practitioners should not try to provide care beyond their level of competence. Orthodontists may place and use implants to enable enhanced tooth movement. Some Endodontists may place an implant when a tooth can’t be successfully treated using endodontic therapy. Maxillofacial Prosthodontists may place special implants or refer for placement when facial tissues are missing and implants are needed to retain a prosthesis. General Dentists are experienced in restorative procedures, and many have been trained and know requirements for the dental implant restorations they provide. However, if a patient’s implant surgical procedure is beyond the usual practice of a dentist, this part of the care should be referred to another dentist that is competent in placement of implants. -
Risks and Complications of Orthodontic Miniscrews
SPECIAL ARTICLE Risks and complications of orthodontic miniscrews Neal D. Kravitza and Budi Kusnotob Chicago, Ill The risks associated with miniscrew placement should be clearly understood by both the clinician and the patient. Complications can arise during miniscrew placement and after orthodontic loading that affect stability and patient safety. A thorough understanding of proper placement technique, bone density and landscape, peri-implant soft- tissue, regional anatomic structures, and patient home care are imperative for optimal patient safety and miniscrew success. The purpose of this article was to review the potential risks and complications of orthodontic miniscrews in regard to insertion, orthodontic loading, peri-implant soft-tissue health, and removal. (Am J Orthod Dentofacial Orthop 2007;131:00) iniscrews have proven to be a useful addition safest site for miniscrew placement.7-11 In the maxil- to the orthodontist’s armamentarium for con- lary buccal region, the greatest amount of interradicu- trol of skeletal anchorage in less compliant or lar bone is between the second premolar and the first M 12-14 noncompliant patients, but the risks involved with mini- molar, 5 to 8 mm from the alveolar crest. In the screw placement must be clearly understood by both the mandibular buccal region, the greatest amount of inter- clinician and the patient.1-3 Complications can arise dur- radicular bone is either between the second premolar ing miniscrew placement and after orthodontic loading and the first molar, or between the first molar and the in regard to stability and patient safety. A thorough un- second molar, approximately 11 mm from the alveolar derstanding of proper placement technique, bone density crest.12-14 and landscape, peri-implant soft-tissue, regional anatomi- During interradicular placement in the posterior re- cal structures, and patient home care are imperative for gion, there is a tendency for the clinician to change the optimal patient safety and miniscrew success. -
Medical Terminology Abbreviations Medical Terminology Abbreviations
34 MEDICAL TERMINOLOGY ABBREVIATIONS MEDICAL TERMINOLOGY ABBREVIATIONS The following list contains some of the most common abbreviations found in medical records. Please note that in medical terminology, the capitalization of letters bears significance as to the meaning of certain terms, and is often used to distinguish terms with similar acronyms. @—at A & P—anatomy and physiology ab—abortion abd—abdominal ABG—arterial blood gas a.c.—before meals ac & cl—acetest and clinitest ACLS—advanced cardiac life support AD—right ear ADL—activities of daily living ad lib—as desired adm—admission afeb—afebrile, no fever AFB—acid-fast bacillus AKA—above the knee alb—albumin alt dieb—alternate days (every other day) am—morning AMA—against medical advice amal—amalgam amb—ambulate, walk AMI—acute myocardial infarction amt—amount ANS—automatic nervous system ant—anterior AOx3—alert and oriented to person, time, and place Ap—apical AP—apical pulse approx—approximately aq—aqueous ARDS—acute respiratory distress syndrome AS—left ear ASA—aspirin asap (ASAP)—as soon as possible as tol—as tolerated ATD—admission, transfer, discharge AU—both ears Ax—axillary BE—barium enema bid—twice a day bil, bilateral—both sides BK—below knee BKA—below the knee amputation bl—blood bl wk—blood work BLS—basic life support BM—bowel movement BOW—bag of waters B/P—blood pressure bpm—beats per minute BR—bed rest MEDICAL TERMINOLOGY ABBREVIATIONS 35 BRP—bathroom privileges BS—breath sounds BSI—body substance isolation BSO—bilateral salpingo-oophorectomy BUN—blood, urea, nitrogen -
Regulation 4 —Pharmacy
Agency # 070.00 REGULATION 4 —PHARMACY 04-00: GENERAL REGULATIONS REGARDING PHARMACIES 04-00-0001—EQUIPMENT SPECIFICATIONS Prescription equipment appropriate for the pharmacy’s specific scope of practice shall be maintained by the pharmacy and may include but is not limited to: (a) Graduates capable of measuring from 0.1ml to at least 120ml (b) Mortars and pestles--at least one (porcelain or glass) (c) Hot and cold running water in the prescription department (d) Spatulas (e) Ointment slab or ointment papers (f) Exempt narcotic record book (g) Class III balance and weights or comparable electronic scale (h) Equipment for labeling (i) Refrigeration for the proper storage of biologicals and other medications. Medications shall be stored in a separate compartment or area from food. Each pharmacy shall maintain a pharmacy library: (1) available for use by the pharmacist and the patient, including either current drug information manuals, or computers capable of printing current drug information for the pharmacist and patient drug information and monographs for patients. (2) other pharmacy reference books and periodicals necessary for effective pharmacy practice. EXCEPTIONS: Pharmacies meeting the requirements of regulation 04-02-0100 or regulation 07-02-0001 shall be exempt from requirements of this regulation when not applicable. (10/09/80, Revised 6/25/83, 4/07/89, 6/07/90, 8/20/97, 11/1/2007 and 11/6/2008) 04-00-0002—TIME REQUIRMENTS FOR PHARMACIES AND FOR THE PHARMACIST IN CHARGE (a) Unless expressly provided otherwise in Board regulations, all pharmacies in Arkansas shall be open a minimum of forty (40) hours per week and have on duty an Arkansas licensed pharmacist in charge. -
ADA.Org: Dental History Timeline
ARCHIVES OF THE AMERICAN DENTAL ASSOCIATION HISTORY OF DENTISTRY TIMELINE Compiled from various sources by ADA Library/Archives staff Ancient Origins • 5000 BC -A Sumerian text of this date describes “tooth worms” as the cause of dental decay. • 2600 BC -Death of Hesy-Re, an Egyptian scribe, often called the first “dentist.” An inscription on his tomb includes the title “the greatest of those who deal with teeth, and of physicians.” This is the earliest known reference to a person identified as a dental practitioner. • 1700-1550 BC -An Egyptian text, the Ebers Papyrus, refers to diseases of the teeth and various toothache remedies. • 500-300 BC -Hippocrates and Aristotle write about dentistry, including the eruption pattern of teeth, treating decayed teeth and gum disease, extracting teeth with forceps, and using wires to stabilize loose teeth and fractured jaws. • 100 BC -Celsus, a Roman medical writer, writes extensively in his important compendium of medicine on oral hygiene, stabilization of loose teeth, and treatments for toothache, teething pain, and jaw fractures. • 166-201 AD-The Etruscans practice dental prosthetics using gold crowns and fixed bridgework. The Beginnings of A Profession—Middle Ages • 500-1000 -During the Early Middle Ages in Europe medicine and surgery, including dentistry, is generally practiced by monks, the most educated people of the period. • 700 -A medical text in China mentions the use of “silver paste,” a type of amalgam. • 1130-1163 -A series of Papal edicts prohibit monks from performing any type of surgery, bloodletting or tooth extraction. Barbers often assisted monks in their surgical ministry because they visited monasteries to shave the heads of monks and the tools of the barber trade—sharp knives and razors—were useful for surgery.