Patient Assessment & Documentation Flashcards
7 cards from real CDC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Documentation flashcards as text
A patient's record indicates a 'Class II centric relation to centric occlusion slide of 2 mm.' What should a ceramist note about this finding?
Answer: Restorations may need to accommodate a CO-CR discrepancy, potentially requiring articulator-mounted casts in CR
A significant CR-CO slide means casts should be mounted in centric relation to ensure restorations are fabricated in the correct jaw position.
Which patient factor documented in the medical history is most likely to affect the color stability of ceramic restorations over time?
Answer: Regular consumption of chromogenic foods and beverages and tobacco use
Chromogenic dietary habits and tobacco use can stain ceramic surfaces, particularly affecting glazed surfaces or any surface roughness over time.
Documentation shows the patient has a 'narrow biologic width' with only 1 mm of attached gingiva. This affects ceramist planning by:
Answer: Influencing subgingival margin depth and emergence profile design to avoid tissue inflammation
Narrow attached gingiva means the ceramist must design a physiologic emergence profile that avoids impinging on the biologic width.
On a lab prescription, the dentist notes 'open contacts in the posterior sextants.' How does this affect the ceramist's approach?
Answer: The ceramist should note this but contact points must be established on the new restoration
Open contacts documented elsewhere alert the ceramist to ensure the new restoration establishes appropriate proximal contacts to prevent food impaction.
What is the purpose of documenting the patient's Frankfort horizontal plane in cephalometric records?
Answer: To serve as a reference plane for evaluating facial proportions and tooth position
The Frankfort horizontal plane is a standard craniofacial reference used to assess facial balance and incisal plane orientation.
A patient assessment notes 'knife-edge ridge in the mandibular posterior region.' For a ceramist fabricating an implant-supported restoration, this means:
Answer: Ridge contour affects pontic or implant crown emergence profile design and flange form
A knife-edge ridge requires careful pontic or implant crown design to achieve proper tissue contact, cleansibility, and esthetic tissue drape.
Which document must accompany a dental laboratory prescription for HIPAA compliance in the United States?
Answer: A Business Associate Agreement (BAA) between the dental office and the laboratory
HIPAA requires a Business Associate Agreement between the dental practice and any dental laboratory that handles protected health information.