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D2: 625 Clinical Skills III > 01: Polishing and Topical Fluoride Application > Flashcards

01: Polishing and Topical Fluoride Application Flashcards

1
Q

What is the goal of polishing?

A

To remove extrinsic stain from coronal surfaces

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2
Q

Areas/Patients at Risk for Caries

A

Demineralized areas
Rampant Caries
Xerostomia
Head/Neck Radiation Patients

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3
Q

What are Indications for Polishing?

A

Extrinsic Stain Removal following scaling

Prep of Enamel Surfaces prior to placing sealants

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4
Q

What instruments are used to polish?

A

A prophylaxis angle

Slow speed handpiece

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5
Q

What tips will be used in the prophy angle?

A

Disposable cup

Disposable bristle brush

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6
Q

What are some of the polishing compounds to be used?

A

Fine grit paste
Dentifrice
Tin oxide or Whiting
Pumice

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7
Q

What aides can supplement the polishing?

A

Dental Floss

Polishing Strips

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8
Q

What other supplemental items will be needed?

A

Saliva ejector
Safety glasses for patient
Lubricant for patient’s lips
Disclosing agent

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9
Q

What are the first three steps to take prior to the actual polishing?

A
  1. Explain procedure to patient
  2. Lubricate patient’s lips
  3. Pre-procedural rinse (antiseptic mouthwash)
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10
Q

Does the cup ever go under gingival margin?

A

No, but you can apply pressure in order to flare the cup edges out and into sulcus.

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11
Q

How many surface areas should posterior teeth be divided into?

A

6 each on buccal and lingual

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12
Q

In what order do you proceed to polish the posterior teeth?

A

First the cervical portion from proximal to proximal then the occlusal portion from proximal to proximal

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13
Q

What teeth do you start with first?

A

Lingual of the mandibular teeth

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14
Q

What is the maximum amount of time you can hold a cup in the same area

A

2 seconds

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15
Q

What tooth tissue must you avoid using abrasives on?

A

Root cementum

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16
Q

What is the only dental tissue we can use the brush on?

A

Enamel

17
Q

What materials are we to use fine grit abrasives on?

A

Gold
Porcelain
Composite Resin

18
Q

When you switch abrasives, what else should you switch?

A

You should get a fresh cup or brush to avoid contaminating a fine grit with a coarse grit

19
Q

After polishing, what should be done to all of the proximal spaces?

A

They should be flossed

20
Q

What can be done to remove abrasive particles from the gingival margins?

A

Gentle irrigation

21
Q

What is an abrasive

A

any material composed of particles that have enough hardness or sharpness to cut or scratch softer materials

22
Q

What is abrasion?

A

Wearing away of surface material by friction

23
Q

What are the pros and cons of polishing?

A

It produces a smooth and glossy surface that reflects light but it also produces tiny scratches on a surface too

24
Q

What are 3 types of abrasives

A

Finishing
Polishing
Cleansing

25
Q

What are 2 examples of Finishing abrasives

A

Fine agent
OTC Toothpaste
(Creates a Smooth Surface)

26
Q

What are polishing abrasives used for?

A

Light to moderate staining

More abrasive than the finishing type

27
Q

Which abrasives remove moderate to heavy extrinsic stain

A

Cleansing Abrasives

28
Q

What are the 4 Application Factors of Abrasive Action?

A

Speed
Grit
Quantity of Abrasive Agent
Pressure

29
Q

When is fluoride a good idea?

A

After rubber cup polishing
After etching
C&B prep
After home bleaching

30
Q

What does topical fluoride treatment accomplish?

A

Reduces enamel solubility
Enhances remineralization
Bacteriocidal/Static
Reduces Caries Rate and indidence

31
Q

What Fluoride Preparation is used at VCU?

A

Topical Varnish

32
Q

What should be done to determine need for varnish treatment?

A

Discuss rationale for application

Obtain patient consent

33
Q

What are the patient instructions after varnish application?

A

No brushing for 4 hours

Patient can eat/drink right away

34
Q

What is the documentation for patient chart?

A

5% Neutral Sodium Fluoride (Brand Name) varnish applied. No adverse effects noted. Patient instructed not to brush/floss or eat hot/crunchy foods for 4-6 hours.

35
Q

What RPM must the handpiece be kept under?

A

10,000 RPM

36
Q

Which teeth can you use the bristle brush on?

A

Occlusal and Lingual Surfaces of Sextants 2 and 5

37
Q

Why do we need to floss after cleaning?

A

To get extra abrasives from the interproximal area

D2: 625 Clinical Skills III (5 decks)

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