ie-diploma-primary-care-dentistry cheat sheet

Primary care dentistry centers on prevention, risk assessment, and management of common oral conditions in general practice, with referral reserved for complexity beyond competence or facilities.

Caries risk assessment combines lesion history, dietary sugar frequency, fluoride exposure, saliva flow, plaque control, and medical/social factors; risk level determines recall interval and preventive intensity.

Fluoride varnish (typically 22,600 ppm) is applied at least twice yearly for elevated caries risk; high-risk patients may receive applications at 3–6 month intervals.

Periodontal staging uses interdental clinical attachment loss (stage I–IV) and grading uses progression rate (ratio of % bone loss to age plus risk modifiers); staging is not the same as the 2017 case-type severity labels.

Basic periodontal examination (BPE) sextants scored 0–4: score 3 or 4 in any sextant triggers full periodontal charting; score 4 indicates probing depth ≥5.5 mm.

Pulpitis is classified as reversible (provoked pain, resolves on stimulus removal) or irreversible (spontaneous or lingering pain); irreversible pulpitis requires pulp therapy or extraction.

Antibiotics are not indicated for uncomplicated pulpitis, dry socket, or localized dentoalveolar abscess without systemic involvement; drainage is the definitive treatment.

Local anesthesia maximum doses: lidocaine 2% with 1:100,000 epinephrine = 4.4 mg/kg (max 300 mg); articaine 4% = 7 mg/kg (max 500 mg); calculate by body weight before injection.

Medical emergency readiness in primary care includes oxygen, aspirin for suspected MI, glucose for hypoglycemia, and a written protocol; epinephrine autoinjector dosing for anaphylaxis is 0.3 mg IM adult, 0.15 mg child.

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