Ch 14 Clincial Detection and management of dental restorative materials during scaling and polishing

Question 1

What are some restorations easy to detect?

Answer 1

PFM Crowns
Amalgam fillings
Grills/Fronts
Stainless steel crowns

Question 2

What are some restorations not easily detected?

Answer 2

Composite
Crown
Implant and crown
Veneers

Question 3

How do you detect restorations?

Answer 3

• opaque or translucent
• smooth or rough
• tooth-colored
• glossy or dull
• margin
• dull sound or sharp sound

Question 4

What is used to help aid in identification of material?

Answer 4

• Radiograph
• visual apearance
• surface smoothness
• sound and touch
• location

Question 5

What are the two sensations used?

Answer 5

Tactile- character of surface
Sound-silent on enamel but has a scratching sound

Question 6

What are some detrimental Procedures?

Answer 6

• production of excessive heat - can hurt patient and damage restorative materials.
• excessive use if abrasive

Question 7

What is a way to heelp reduce the chances of detrimental procedures?

Answer 7

• selective polishing
• use correct grit
• reduce speed of application and pressure

Question 8

What type of prophy pastes that are safe to use on newer esthetic restorations?

Answer 8

• ones that contain calprox, aluminum oxide or xylitol and fluoride
• use fine grit
• desenitizing paste good for sensitivty and cervical restorations. Has 8% arginine and calcium carbonate

Question 9

What is the proper power instrumentation technique?

Answer 9

• proper water flow
• proper power level
• keep the tip in motion

Question 10

When using a air polisher what should be avoided?

Answer 10

• teeth with sealants
• teeth with class V restorations
• Aluminum trihydroxide powder should be avoided on resin composites

Question 11

If you are going to polish a tooth with composit restorations, it is best to use ?

Answer 11

Glycine based powders

Question 12

Which fluoride is best to appliy?

Answer 12

1.1% sodium fluoride (NaF) is preferable choice for esthetic restorations

Question 13

Stannous Fluoride can cause?

Answer 13

discolor tooth colored restorations and enamel margins

Question 14

Acidulated Phosphate Fluoride can ?

Answer 14

• dull porcelain, composite and glass ionomer
• protect corwns and other restorations with petroleum jelly prior to application.