By Robert B Morris;Robert B. Morris
(Martin Dunitz) Marquette Univ. tuition of Dentistry, Milwaukee, WI. bargains the scholar or practitioner a framework for potent and rational analysis and therapy making plans. makes use of case histories and high quality colour and halftone illustrations.
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18 (a) Criteria for scoring the Oral Health Progress Record. These criteria are easily learned by auxiliary staff (hygienists and assistants), and allow for regular monitoring of a number of oral health indicators. The criteria are written so that, in general, a score of ‘0’ or ‘1’ indicates excellent to good oral health, a score of ‘2’ indicates borderline problems, and a score of ‘3’ or higher signifies a definite problem in that area, requiring further evaluation or intervention, (b) The OHPR (Oral Health Progress Record) uses a criterion-based scoring assessment for Plaque (the patient’s level of daily home care), Stain/Calculus (accretions on the teeth requiring professional help in removal), Tissue (Bleeding), which is an approximation of a periodontal diagnosis (the actual diagnosis and classification being the dentist’s responsibility), and Program Acceptance, which is a neutral way of describing the patient’s attitude toward oral and periodontal health counseling.
Note the structures and regions which each cluster drains (afferent), and where each then drains to (efferent). Palpable lymphatics may provide clues to diagnosis of oral and perioral disease, extraoral disease (neck and/or chest), or actual lymph system disease. Bear in mind that not all palpable masses in the head/neck are lymph glands/nodes. Part of the differential diagnosis of findings from palpation involves the consideration of other possible sources. Consider the anatomy of the region (thyroid gland, salivary glands, muscles, etc) and recall the potential for anomalies (thyroglossal duct cyst, branchial cleft cyst, etc) in the development of the region.
Lose the patient now, and all the technology, all the expertise, all the excellence in the world will not salvage the relationship. 1,2 Certain key issues are so critical to the process, however, that they must be briefly addressed here. our position as trained and licensed professionals, but it does demand that we treat patients as we would wish to be treated, as fellow human beings, deserving of all the respect and dignity that we would wish for ourselves in the same position. Here are some key issues to consider in establishing that relationship.