1. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 1 PowerPoint ® Presentation for Introduction to Dental Assisting Module: Examining the Dental Patient

2. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 Module: Examining the Dental Patient Examining the Dental Patient Part A: Patient History and Examination Part B: Vital Signs

3. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 Module: Examining the Dental Patient Learning Objectives 1. Define the Key Terms. 2. Recognize the importance of a patient medical and dental history. 3. Review a medical history and identify any areas of concern. 4. Recognize the steps in an oral evaluation including the lips, tongue, lymph nodes, and oral cavity.

4. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 4 Module: Examining the Dental Patient Learning Objectives 5. Perform and record vital signs on the patient including temperature, pulse, respiration, and blood pressure. 6. Read vital signs and alert the dentist if the signs are not within normal limits.

5. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 Key Terms Asymmetric Baseline vital signs Brachial artery Celsius Commissures Diastolic blood pressure Exhalation Fahrenheit Fever Inhalation Palpate Smile line Sphygmomanometer Stethoscope Symmetric Systolic blood pressure Vermilion border Vital signs

6. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 Part A: Patient History and Examination Personal information Medical information Dental information

7. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 7 Clinical Observation DA observes patient as he or she is escorted into the treatment room. –Look for: Deviation from the normal: walking with an abnormal gait, speech or behavioral problems, and symmetry of the patient’s face. –Any deviations must be noted in chart.

8. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Clinical Evaluation

9. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 9 Clinical Evaluation

10. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 Clinical Evaluation

11. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 11 Clinical Evaluation

12. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 12 Clinical Evaluation

13. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 13 Clinical Evaluation

14. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 14 Clinical Evaluation

15. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 Clinical Evaluation

16. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 16 Part B: Vital Signs Temperature Pulse Normal range in Fahrenheit: 99.5 – 98.6 (average) – 96.0 Normal range for an adult is: 60 to 90 beats per minute Normal range for a child is: 90 to 120 beats per minute

17. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 17 Vital Signs Respiration Blood Pressure Normal respiration for an adult is: 12 to 18 respirations per minute Normal respiration for a child is: 20 to 40 respirations per minute Normal blood pressure range for an adult is: Systolic pressure: 100 – 140 mm Hg Diastolic pressure: 60 – 90 mm Hg

18. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 18 Vital Signs Body Temperature

19. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 19 Vital Signs Pulse rate determined by palpation

20. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 20 Vital Signs Taking patient’s radial pulse and respiration

21. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 21 Vital Signs

22. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 22 Vital Signs

23. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 23 Assessment Questions Why should the DA keep fingers on the radial pulse while counting the patient’s respirations? What is the proper position of the earpieces of the stethoscope in the ears? This allows the patient to continue to breathe normally because he or she believes the pulse is still being recorded. The earpieces should be placed forward into the ear canals.

24. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 24 Summary of Module Key Terms The dental team Communication Dental nomenclature Dental charts and abbreviations Patient history and examination Vital signs