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 complete patient record for a full-mouth ceramic reconstruction should include which of the following pre-treatment records?
Answer: Full series radiographs, diagnostic casts mounted in CR, photographs, and periodontal charting
Comprehensive reconstruction requires a full diagnostic workup including radiographs, CR-mounted casts, photographs, and periodontal records to guide ceramic design.
When a patient's prescription documents 'diastema closure requested' between teeth #8 and #9, what esthetic consideration must the ceramist document?
Answer: The width-to-length ratio and midline position must be carefully planned to avoid disproportionate crown dimensions
Closing a diastema adds width to the crowns, so the ceramist must plan proportions carefully to maintain natural-looking width-to-length ratios and proper midline alignment.
A patient's record notes 'Angle Class I with anterior deep bite (overbite 6 mm).' How does this affect ceramic incisal design?
Answer: It requires careful attention to palatal ceramic thickness and incisal edge anatomy to avoid fracture under heavy anterior loading
A deep bite creates high shear forces on anterior ceramic restorations, requiring adequate palatal bulk and strong ceramic materials to resist fracture.
During documentation review, a ceramist notes that the working impression was taken with polyether material. What characteristic of polyether is clinically relevant to ceramic case accuracy?
Answer: Polyether absorbs water and can distort if stored in moist environments, affecting die accuracy
Polyether is hydrophilic and will absorb water if stored in a humid environment, leading to dimensional distortion and inaccurate dies.
A patient assessment documents 'gingival recession of 2 mm on teeth #6 and #11.' This finding most directly influences ceramic design by:
Answer: Affecting the planned margin location and requiring careful root surface contour design to avoid food traps
Recession means exposed root structure at the margin, requiring the ceramist to design contours that are cleansable and do not trap plaque at the root-restoration interface.
When a dentist documents 'ridge lapping' as the pontic design on the prescription for a 3-unit FPD, a knowledgeable ceramist should:
Answer: Recognize that ridge lapping impedes hygiene and communicate with the dentist about a modified ridge lap or ovate pontic alternative
Ridge lap pontics are associated with plaque accumulation and inflammation; the ceramist should advise on hygienic pontic alternatives while respecting the dentist's final decision.
A ceramist reviewing patient documentation finds the occlusal records were taken with an alginate interocclusal record. What concern should this raise?
Answer: Alginate is dimensionally unstable and may not accurately represent the patient's occlusal relationship, potentially leading to occlusal errors in the ceramic restoration
Alginate undergoes syneresis and imbibition rapidly, making it dimensionally unreliable as an interocclusal record material compared to polyvinylsiloxane or zinc oxide-eugenol paste.