CLINICAL QUICK PREPARATION GUIDE Peronia Dental Clinic

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CLINICAL QUICK PREPARATION GUIDE Peronia Dental Clinic Welcome!

focused on what you do best; making human connections through dentistry.

Please don t hesitate to reach out to any of our team members should you need assistance at any time.

International (Dial 011-502 and then the #s) Charity Bertenshaw Nicole Huser Dr.

1 CLINICAL QUICK PREPARATION GUIDE Peronia Dental Clinic Welcome!! We are so grateful you are spending a week with us at the Ana Edith Hernandez Escobar Dental Clinic in Peronia, Guatemala. Our systematic approach to humanitarian dental outreach was developed so your week of service can be focused on what you do best; making human connections through dentistry. We know you will have a week filled with wonderful experiences! Please don t hesitate to reach out to any of our team members should you need assistance at any time. ~ Open Wide Support Team Support Team Contacts: OWF Office Toll Free International (Dial and then the #s) Charity Bertenshaw Nicole Huser Dr. Stephanie Lambour Evelyn Paiz Executive Director Operations Manager Peronia Clinic Director Board Member Travel Contact: Gustavo Nolasco, Coordinator Maya Sky Tours gustavo.nolasco@mayasky.com.gt Office: Mobile/Text: Skype: Use office telephone #

2 Overview: Peronia is a hillside community on the outskirts of Guatemala City. The average person in Peronia earns about $400 per year and families struggle to fulfill basic needs. As you can imagine, having you traveling to their town and bringing a service they would not have access to otherwise is a big deal to the patients you will see, they are genuinely grateful (expect hugs) and will wear the best clothes they own to their appointment with you. Clinical Staff & Support Team: Peronia Dr. Stephanie Dr. Rodrigo Dr. Barby Vivian Lidia Zaira Ana Edith Hernandez Escobar Dental Clinic

3 Patient Charting Patient Chart Page 1: Patient Info, History, Logs Patient Chart Page 2: Tooth Chart & Diagnostic Patient Chart Page 3: Patient Planning & Services Patient Chart Page 4: Caries Prevention

Patient Services Reporting by Operatory Prescriptions Dental Visit Example Protocol Overview: Ideally the end goal is to have every patient have a comprehensive exam as soon as is

Chart all existing fillings and missing teeth with a blue colored pencil Visual exam best if done with an assistant i.e. #30 MO filling, #3 extraction 2.

If there is an existing restoration on a tooth that is failing place a red line under the blue line that marked the existing restoration i.e. #30 existing MO filling is failing: chart a blue line and then a red line below the blue line, this marks what needs to be replaced.

4 Patient Services Reporting by Operatory Prescriptions Dental Visit Example Protocol Overview: Ideally the end goal is to have every patient have a comprehensive exam as soon as is reasonable. The reason behind this is so every patient is informed and can plan to take care of their oral health longterm. FIRST VISIT: 1. Chart all existing fillings and missing teeth with a blue colored pencil Visual exam best if done with an assistant i.e. #30 MO filling, #3 extraction 2. Chart all the teeth that have decay or needs a restoration with RED colored pencil. If there is an existing restoration on a tooth that is failing place a red line under the blue line that marked the existing restoration i.e. #30 existing MO filling is failing: chart a blue line and then a red line below the blue line, this marks what needs to be replaced. 3. Take the necessary x-rays. (SEE X-ray section for GUIDE) Example 1. Patient has a toothache 1 BW and 1 PA may be necessary for diagnosis Example 2. Patient comes in for basic exam 2 BWs or 4 BWs may be appropriate Example 3 Patient comes in for a comprehensive exam

5 Take full set of x rays Take a full set of photographs of the patient s mouth Evaluate the periodontal condition Oral Cancer exam 4. Review your findings with your patient from the exam, x-rays and photos (if taken). SEE Patient Exam, Photos GUIDE and X-rays GUIDE sections. Help patient to be aware of what of the condition of their mouth Discuss with the patient the possibilities of treatment Discuss the benefits of treatment Formulate a Treatment Plan with the patient SECOND VISIT 1. When treatment is completed, blacken with pen over the red line on the chart. This ensures that every chart is completed and accurate. i.e. #3 MO was charted in red. Now it is black signifying treatment is completed. 2. Always write down the patients next visit so that there is no confusion as to what the next procedure is, especially if there is more than one dentist treating the patient which is typical. Patient Treatment Planning Patient Treatment Planning Example Patient Flow Description Typically, you can expect to see a patient every 45 mins. or so averaging 1-2 procedures per patient (8-10 per day). Patient arrives and checks in with front desk, reviews their medical history, gets triage and is charted if needed by local team. As a dentist, you will treatment plan the patient Chart all missing teeth and decay - Determine needed x-rays. X-rays would be reviewed and diagnosis and appropriate treatment made by you. For example: filling, cleaning and or extraction. Treatment is completed by next available dentist on site. Post-op instructions are given through anyone who can translate, the front desk will go over any prescriptions and dispense nonprescription medication as needed. * Feel free to adapt to whatever scenario works best and coordinate with the local staff and students as you feel is needed. When volunteer dentists join in there are a couple of setups that have worked well:

Scenario 1: Triage System Example (Multiple Dentists Group): 3 dentists are on a week of service, 1 person diagnosis, charting, treatment planning and the patient is turned over to restorative chair

6 Scenario 1: Triage System Example (Multiple Dentists Group): 3 dentists are on a week of service, 1 person diagnosis, charting, treatment planning and the patient is turned over to restorative chair dentist who performs the treatment. This can be a great rotation if desired. Scenario 2: Full Service System Example: Single Dentist 1 dentist with local staff students. Take patient all the way through beginning to end with the assistance of a dental student using mentoring opportunities and role switching. Variable Scenarios - Dentist plus staff or dentist + family - Specialty Week or Specialist - Mentoring from U.S Dentists to local dentists and students Infection Control Infection control is an important part of every week, consistency when there, is always staff variations is accomplished by having a local staff member doing sterilization throughout volunteer weeks. If you have any input, questions or concerns regarding infection control, please speak with dentists of the local staff to explain or address. There is an infection control and biohazards protocol available in the clinic for your review. X-Rays

8 Photos

9 Instruments and Supplies EXAMS Instrument Setup Mirror, Explorer, Perio Probe, Tweezers, Blue/Red Pencil COMPOSITES Instruments Supplies AMALGAMS Instruments Useful Spanish terms for your use in the clinic

10 One Word Answers Yes Si (see) No No (no) Please Por Favor (pour fah-bohr) Maybe Quizas (kee-sahs) Now Ahora (a-ohr-ah) After Después (dehs-pwehs) Before Antes (ahn-tehs) Phrases Hello, Good morning Hola, Buenos Dias (o-lah bway-nohs dee ahs) How do you do? Como esta usted? (koh-moh eh-stah oo-sted) What is your name Como se llama usted? (koh-moh say yah-mah oo-sted) I am Soy (soy) I am a dentist Soy dentista (soy den-teest-a) Do you speak english Habla usted ingles? (ah blah oo-sted een-glays) How do you say it? Como se dice? (komo say dee-say) Thank you very much Muchas gracias (moo-chus gras-ee-us) What did you say? Como? (koh-moh) Repeat more slowly Repita, mas despacio (ray-peet-ah maas des-pass-ee-o) I am sorry Lo siento (Lo see-en-toe) I don t understand No entiendo (no en-tee-en-do) It doesn't matter No importa (no im-port-uh) Good-bye Adios (ah dee-os) The food is good La comida es bueno (la ko-mee-dah es boo-aina) Waiter, I would like water Camerero, Quisiera agua (kah-mah-rehr-oh, kee-see air-ag-wa) When does the taxi arrive? Cuando llega el taxi (kwan-do ye-ga el tack-see) What is your name Como se llama (ko-mo say ya-ma) How can I help you Como puedo ayudarle (komo poo-way-do ah-you-dar-lay) Where does it hurt Donde le duele (dohn-day lay dwell-ay) Which tooth? Cual diente (coo-wahl dee-en-tay) Open your mouth Abra la boca (ah-bra lah boh kah) Close your mouth Cierra la boca (see-air-a la boh kah) Bite Muerde (moo-air-day) Swallow Traga (tra-gah) Thanks Gracias (gra-see-us) We are almost finished Casi terminado (ka-see tare-mee-na-doe) Beautiful smile Sonrisa hermosa (sone-ree-sa air-mo-sah) Thx for being part of the open wide foundation (Gracias por ser miembro de OWF)

VOLUNTEER ORIENTATION. Peronia Model Dental Clinic

VOLUNTEER ORIENTATION. Peronia Model Dental Clinic VOLUNTEER ORIENTATION Peronia Model Dental Clinic OVERVIEW TRAVEL Arrival in Guatemala City Antigua CLINICAL Schedule for the week WEEK Introduction to the Peronia Staff Clinic Setup Triage & Workflow