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BTY Interview Study Material > BTY Dental Services & Procedures > Flashcards

BTY Dental Services & Procedures Flashcards

To pass 2nd interview

1
Q

What is Prophylaxis?

A

Phrophylaxis is routine cleaning which involves cleaning of your teeth to treat or prevent inflamed or infected gum tissue.

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2
Q

What is the proposed treatment of Prophylaxis?

A

Treatment involves plaque and the mineralized form of calculus from tooth surfaces above gum line known as scaling.

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3
Q

What is the mineralized form of plaque deposits in the tooth surfaces above the gum line called?

A

Calculus

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4
Q

What are the benefits Prophylaxis?

A

Creating and maintaining an environment in which your gums can heal.

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5
Q

What are the common risks of Prophylaxis?

A

Hold and cold sensitivity.

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6
Q

What are the consequences of not performing prophylaxis?

A

Inflammation and infection of gum tissue, tooth decay, mouth odors, deterioration of the bone, and loss of teeth.

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7
Q

What is bleaching?

A

Tooth Whitening

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8
Q

What is the proposed treatment for bleaching?

A
  1. impressions of your teeth
  2. fabricating a plastic mouth guard
  3. Pt will be given a bleach gel for the mouth guard to wear 2 to 3 hours a day for several weeks
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9
Q

Do dental insurance carriers cover bleaching?

A

No, they consider it a cosmetic procedure and will be pt’s responsibility.

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10
Q

Are x-rays and photograph fees included in the bleaching fees?

A

NO

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11
Q

What does the initial treatment fee of bleaching involve?

A

Professional Eval
Treatment Recommendations
Treatment Supervision
and Materials

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12
Q

What happens if treatment for bleaching is requested beyond the initial 2 week period?

A

Pt may purchase a refill kit.

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13
Q

When is follow up recommended after a bleaching tx?

A

1 to 2 years.

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14
Q

Is a professional eval required for any additional tx and/or materials after the initial treatment?

A

YES

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15
Q

What are the benefits for bleaching?

A

Lightening in color of teeth.

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16
Q

What are the common risks of bleaching?

A 
Sensitivity
Gum Irritation
Undpredictable Results
Stability of bleaching
Color of existing fillings or crowns
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17
Q

What are the consequences of not performing bleaching?

A

It will leave teeth the same color and appearance.

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18
Q

What are sealants?

A

They are plastic materal that protect the surfaces of the permanent or baby teeth to keep them cavity free.

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19
Q

Will Sealants protect against cavities on the smooth surfaces between and around your child’s teeth?

A

NO, which is why good brushing and flossing is extremely important.

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20
Q

How long does Sealants last?

A

They last for many years, but longer with good oral care.

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21
Q

What are the benefits and alternatives of sealants?

A

Prevention of cavities is a benefit. Alternative is do nothing.

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22
Q

What are the common risks of sealants?

A

Loss or Leakage of sealant

and Change of Bite

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23
Q

Consequences of not performing treatment of sealants?

A

Cavities will form in the grooves and pits will then require restoration

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24
Q

What are fillings?

A

Fillings are done to restore the appearance, contour and function of the tooth.

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25
Q

What is the proposed treatment of fillings?

A

Decay is removed then filling is placed
OR
And existing filling is removed and replaced with new filling or inlay

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26
Q

What happens if the doctor cannot do a filling if carries are present and extends into the pulp (nerve) tissue?

A

Root canal treatment
Extraction
Pulp cap

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27
Q

What are fillings made of?

A

It is made of bonding agents,
insulating materials
and the selected filling material such as amalgam (silver), composite resin, cast gold, porcelain, etc.

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28
Q

What are the benefits of fillings?

A

It restores and improves the appearance, strength and function of the tooth, as well as the way they fit together.

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29
Q

What are common risks of fillings?

A

Hot/Cold Sensitivity
Spontaneous Pain
Change in bite
recurrent decay.

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30
Q

Consequences of not performing a filling

A

Further decay
Infection
and Loss of tooth structure

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31
Q

What is periodontal treatment (Non-surgical)

A

It is a non-surgical treatment that involves the cleaning of your teeth to treat inflamed or infected gum tissue.

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32
Q

What is the proposed treatment of Periodontal Treatment (Non-Surgical)?

A

Tx involves removing plaque and calculus from tooth surfaces above AND below gumline.
Medications or a special mouth rinse will be given to help control the growth of bacteria

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33
Q

Where is calculus found?

A

Above and below the gumline

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34
Q

What is scaling?

A

Scaling is removing the calculus above and below gumline

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35
Q

Periodontal treatment may also include root planning, what is root planning?

A

It is smoothing of the roots of the teeth.

36
Q

What are the benefits of Periodontal treatment?

A

Helps create and maintain an environment in which your gums can heal.

37
Q

What are the common risks of Periodontal tx?

A

Hot and Cold sensitivity

38
Q

What are the consequences of not performing Periodontal tx?

A 
inflammation and infection
tooth decay
mouth odors
deterioration of bone
loss of teeth.
39
Q

What is a Root Canal Tx (RCT?)

A

It is an infected pulp filled cavity inside the tooth that requires tx

40
Q

What is the proposed tx of a Root Canal?

A

anesthetizing the tooth
placing a rubber dam
cleaning and filling the root canal
then restoration of the crown.

41
Q

What are the benefits of a Root Canal?

A

It lasts for long time. But dental decay may still occur, so good brushing and flossing is important.

42
Q

What is the alternative to a root canal?

A

Extraction of the tooth.

43
Q

What are the common risks of root canal tx?

A

Damage to existing restorations
Pain/Swelling/Infection
Muscle soreness

44
Q

What are the consequences for not performing a root canal tx?

A

Abscess and infection

45
Q

What is an implant crown(s) treatment?

A

Tx involves replacing missing tooth/teeth with a crown attached to a dental implant.

46
Q

What are stages of implant crown tx?

A
  1. Dental implant is surgically placed in the jaw
  2. An impression is made
  3. The new implant crown is placed on the implant
  4. 2 weeks after implant, the screw hole will be sealed with composite resin or other filling material
47
Q

Benefits of implant crown?

A

Restores appearance and function of teeth. Improves the way teeth bite or come together and preserve normal tooth positions.

48
Q

What are the alternative options of an implant crown?

A

Alternative options includes a removable partial denture or a fixed partial denture ( bridge).

49
Q

What are the common risks of an implant crown?

A

Changes in bite, Gum irritation, Crown loosening, and porcelain or implant component fractures.

50
Q

Consequences of not performing an implant crown?

A

Inability to have this procedure accomplished at a later date, compromised esthetics and possible drift of adjacent and/or opposing teeth into the space(s) with resultant collapse of arch integrity.

51
Q

What are bridges?

A

Bridges are Fixed Partial Dentures

52
Q

What is the proposed tx of bridges?

A

Involves replacing teeth by covering the teeth located on both sides of the space with crowns and attaching and artificial tooth (pontic) to the crowns.

53
Q

What are steps of the tx of bridges?

A
  1. The Anchor teeth for the bridge (the abutment) are shaped to receive the bridge
  2. An impression is taken to make a model for the bridge fabrication.
  3. A temporary bridge will be made and cemented with temporary cement to wear while permanent bridge is being made in the lab.
54
Q

Benefits of bridges?

A

replaces/restores appearance and function by replacing missing tooth/teeth. Will improve the way to teeth bite together and preserve normal tooth positions.

55
Q

What are the alternative options of bridges?

A

Dental implants or a removable partial denture.

56
Q

What are the common risks of bridges?

A

Hypersensitivity, persistent sensitivity or spontaneous pain, changes in bite, gum irritation, loosened bridge, abutment teeth coming loose, fracturing or decaying.

57
Q

What is an abutment?

A

It’s a tooth that supports the bridge

58
Q

Consequences of not performing bridge?

A

Opposing teeth may erupt into the space, adjacent teeth may drift or tip, detract from appearance and cause unfavorable changes in occlusion ( bite relationship)

59
Q

What is occlusion?

A

Bite relationship

60
Q

Explain Proposed Surgical Procedures

A

Sometimes it’s necessary to surgically remove abnormal tissue for examination and dx, or remove/enhance jaw bone or gums prior to a tx.

61
Q

Sometimes, a root amputation surgical procedure may be requested by dr. What is a root amputation?

A

Roots of teeth needing to be removed

62
Q

Sometimes, an apicoectomy will be required, what is that?

A

Filling placed in root tips

63
Q

Benefits of Proposed Surgical Procedures?

A

Expected to improve oral health

64
Q

Common risks of Proposed Surgical Procedures?

A

Bleeding, swelling, pain and infection. Fx of jaw, Dry Socket, allergic reactions

65
Q

What type of anesthetic options are there?

A

Local Anesthesia, Local with Intramuscular Section, Local with Intramuscular Sedation, Local with oral premedication, local with nitrous oxide/oxygen, and local with General Anesthesia.

66
Q

What are the risks of Anesthetics?

A

Discomfort, swelling, bruising, infection, prolonged numbness and allergic reactions.

67
Q

What type of Anesthesia has the risk of death?

A

IV anesthesia (Intravenous anesthesia) is a serious medical procedure that is safe but does carry the rare risk of heart irregularities, heart attack, stroke, brain damage and even death.

68
Q

What type of anesthesia causes prolonged drowsiness and requires someone to drive pt home?

A

IV anesthesia. pt should not drive for 24 hours.

69
Q

How many hours should a pt not drink or eat prior to anesthetic, or else it will be life threatening?

A

8 hours (can take required medications w/ only a sip of water)

70
Q

What are extractions?

A

Procedure of removing one or more teeth.

71
Q

What is proposed tx of extraction?

A

Involves cutting the tooth or gum or removing the bone.

72
Q

Benefits of an extraction?

A

Relieve symptoms and enable you to proceed w/ further proposed tx.

73
Q

What is alternative of an extraction?

A

Root canal followed by restoration of tooth and /or periodontal tx including surgery

74
Q

Risks of extractions?

A

Dry socket, damage to adjacent teeth, opening into sinuses, bone fracture, tooth fragments and changes to nerve sensations.

75
Q

Medical tx of cavities

A

Dentist will instruct proper care and diet. He may apply a topical flouride to the teeth durijng teeth cleaning. Sealants may be placed.

76
Q

What does a crown (cap) and veneers do?

A

It covers all or most of the visible part of the tooth. Veneers covers the front tooth. Crowns and Veeners are placed for restoring function, shape or appearance of tooth.

77
Q

What is known as the Laughing Gas?

A

Nitrous Oxide Sedation (N2O)

78
Q

Proposed Oral Conscous Sedation

A

This drug is used to induce the conscious sedation orally.

79
Q

What are removable partial dentures?

A

They are partial dentures made with a metal framework adn resin (plastic) base which will rest on your gum/ridges and hold the artificial teeth.

80
Q

What are immediate complete dentures?

A

An immediate denture is a denture that is contructed for placement immediately after the removal of natural teeth.

81
Q

What are complete dentures?

A

They are either a complete maxillary (upper) or mandibular (lower) denture, or complete maxillary AND mandibular dentures referred to as conventional dentures. They make impresses of the shape of your jaws that will support the dentures. This process requires a minimum of 5 visits?

82
Q

What dental tx needs a process of 5 visits?

A

Complete dentures

83
Q

What are the risk of dentures?

A

Compromised chewing efficiency, stain and denture odor, broken denture or denture teeth, sore spots and relines.

84
Q

What are the consequences of not performing dentures?

A

appearance, facial contours and ability to properly chew food will be compromised. Some nutritional and gastro-intestinal problems could result from improper chewing of foods.

85
Q

What is Denture Repair?

A

An attempt to extend the usefulness of the denture.

86
Q

An Alternative to a denture repair?

A

Leave the denture unrepaired or to costruct a new one

BTY Interview Study Material (2 decks)

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