Dental Hygiene
Diagnosis
by Trisha O'Hehir, RDH, MS
Hygienetown Editorial Director
To some, the word "diagnosis" is taboo for hygienists
to even consider using, let alone doing! Diagnosis is
simply recognizing the signs and symptoms of disease,
something all hygienists are required to do to take their
licensing exam. Hygienists also must practice this in
the clinical setting to provide care for patients. If a
hygienist can't tell the difference between health and
disease, keeping a clinical position will be difficult.
Those who don't want RDHs to "diagnose" must
instead want a robot to simply "scale teeth." Every
dentist I've know wants the RDH employed in the
practice to "actually have a brain," to quote Dr.
Michael Rethman. Providing dental hygiene care
involves critical thinking to assess the health of each
individual patient. A wide variety of information is
gathered to determine health, disease and individual
risk factors presented by each patient. With the identification
of the dental hygiene diagnosis, the dental
hygiene treatment plan can be devised and followed by
the RDH. The dental hygiene diagnosis and treatment
plan are part of the comprehensive dental diagnosis and
treatment plan created by the dentist. Working as
colleagues, the dentist and dental hygienist gather
information necessary to accurately assess the health
of each patient and provide the necessary treatment,
prevention and maintenance care.
In this issue, Lori Frey presents the history of the
periodontal probe and advice on effective technique.
Information collected with the probe, plus the extraand
intra-oral examination and information gathered
through interviewing the patient about eating habits,
daily oral hygiene and medical history provides the
basis for creating both the dental hygiene diagnosis and
a dental hygiene treatment plan. These activities,
including diagnosis, are all essential parts of the dental
hygiene process of care.
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