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C.E. Credit Worksheet
from CDA Journal-JUNE 2022: Oral Health Care for People With Special Health Care Needs: A Call to Action
C.E. QUESTIONS
June 2022 Continuing Education Worksheet
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This worksheet provides readers an opportunity to review C.E. questions for the article “Strategies To Reduce the Use of General Anesthesia for Children and Adolescents With Special Health Care Needs: Dental Desensitization and ‘Shorten the Line’ Models” before taking the C.E. test online. You must first be registered at cdapresents360.com. To take the test online, please click here. This activity counts as 0.5 of Core C.E.
1. Which of the following statements concerning the use of general anesthesia to complete dental treatment for children with special health care needs (CSHCN) is not accurate:
a. Eliminates the need for patient cooperation.
b. Permits the dentist to complete more dental procedures at a time.
c. Is the best solution to manage the child’s dental care needs.
d. Is the costliest method for delivering dental care.
2. T/F: The Special Care Dentistry Association’s Consensus Statement about the use of sedation, anesthesia and alternative techniques for people with special needs describes a number of nonpharmacological strategies that can reduce the need for sedation and general anesthesia; however, these techniques are underutilized because of limited training in their use, reimbursement mechanisms and lack of availability.
3. The College of Dental Medicine at California Northstate University’s community-based “shorten the line” system includes all but which one of the following strategies:
a. Identify individuals at risk of being referred for dental treatment using sedation or general anesthesia.
b. Deliver behavioral, physical and psychological support using on-site community oral health teams.
c. Provide diagnosis, prevention and early intervention strategies utilizing the virtual dental home care model and allied dental team members.
d. Establish dentist rotations for on-site care.
e. Use targeted referral and warm handoffs to dental offices.
4. T/F: The unmodulated nervous system response of a child with special health care needs to stimuli in a dental setting is often perceived as uncooperative behavior and often results in referral for general anesthesia.
5. Which of the following statements describe systematic desensitization:
a. Systematic desensitization is the gradual exposure of individuals to a stimulus or setting that they may be hypersensitive to or that may induce anxiety. b. The goal of systematic desensitization is to increase the individual’s tolerance and acceptance of a stimulus.
c. The pairing of relaxing or calm-inducing stimuli with the noxious stimulus can result in increased acceptance over time.
d. Desensitization processes assist patients to build long-term skills that increase their ability to accept dental care.
e. a, b and d
f. All of the above.
6. The UCSF Pediatric Dental Clinic model of dental desensitization uses which of the following strategies (mark all that apply):
a. Telehealth
b. Pre-visit imagery
c. Interprofessional care
d. Systematic desensitization
e. Dental office accommodations
f. Home oral health practice
7. The benefit of the initial telehealth visit in the UCSF model includes all but which of the following:
a. Facilitates comprehensive data gathering by the practitioner prior to an in-office visit.
b. Allows the practitioner to assess the parent’s communication skills.
c. Permits the practitioner to learn from the parent how their child’s last dental visit went and how the parent feels the visit could have been improved.
d. Reduces the amount of time that the child spends in the dental office while not receiving treatment.
e. Provides the patient an opportunity to meet the dental team in a nonthreatening environment.
8. T/F: Though possible to do in a dental office setting, desensitization for CSHCN is difficult to do, so referral to a specialized program, such as those at UCSF or California Northstate University, is preferable.
9. Which of the following are used for desensitization visits (mark all that apply):
a. Eliminate or reduce the time that the patient is in the waiting room or reception area.
b. Complete the visit in a dental operatory that is protected from the other clinical spaces, such as a designated “quiet room.”
c. Offer sunglasses, noise-canceling headphones and weighted blankets to individuals with sensory differences.
d. Make available a variety of toothpaste flavors and manual or electric toothbrushes.
e. Provide calming sensory-related experiences, such as playing music or offering fidget spinners or squishy balls, as appropriate to the child’s needs.
