Chairside Assisting/Instruments Flashcards

1
Q

The office may be _____ with ___ or _____ treatment rooms or it may have a ______ setting with any number of treatment rooms

A

Small
Two
Three
Clinic

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2
Q

What may a dental office design also include? (6)

A
Consultation rooms
Staff lounge
Storage areas
Office for the manager
Space for a radiograph machine
Reception room
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3
Q

What does the the OSHA require for a dental office design?

A

Requires a room for staff to change and store uniforms

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4
Q

What is the reception room?

A

The area the patient initially enters and gives the first impression of the office

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5
Q

What is important to have for the reception room?

A

It is important that this room be pleasing and comfortable as well as neat and clean

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6
Q

The reception room is an excellent place to provide _______ ________ materials for all ____ groups

A

Patient education

Age

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7
Q

Where and what is the reception desk and business office?

A

Often part of or adjacent to the reception room, so that patients can be greeted as they enter the office

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8
Q

What do some offices have besides a reception desk and business office?

A

Administrative area, where the office manager or business assistant manages the business part of the dental practice

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9
Q

The reception desk should have what?

A

Adequate space and lighting

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10
Q

What separate area that is also well vented is in the dental office design?

A

Dental Office Laboratory

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11
Q

The amount of lab work done in the ______ depends on the ________ preference

A

Office

Dentist’s

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12
Q

What may a dental laboratory contain? (10)

A
Vibrator
Model trimmer
Laboratory handpiece
Vacuum former
Sink
Exhaust fan
Plaster
Stone storage bins
Heat source
Dental lathe
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13
Q

What is the x-ray processing room?

A

A small room near the treatment rooms

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14
Q

What is the x-ray processing room also called?

A

Darkroom

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15
Q

What does the x-ray processing room contain? (6)

A
Sink
Manual processing tank
Drying racks
Space for storage
Safelights
Counter space
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16
Q

What is the counter space in an x-ray processing room used for?

A

Processing and mounting radiographs

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17
Q

In most dental offices, __________ ________ are in each treatment room for _________ x-rays

A

Radiograph machines

Intraoral

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18
Q

What is in the radiography room?

A

Extraoral radiographic equipment

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19
Q

What must the radiography room be? (2)

A

Must provide occupational safety from ionizing radiation

Be large enough to house this equipment

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20
Q

Where do the guidelines for radiography room come from?

A

State health department

Periodic inspections may be required by state agencies

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21
Q

Optional rooms in the dental office are dictated by what?(4)

A

Dentist’s preference
Patient usage
Amount of space available
Practice budget

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22
Q

True or false:

The dentist’s private office is an optional room

A

True

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23
Q

What is a dentist’s private office? (2)

A

Where the dentist conducts personal and professional business
May be used to consult with patients privately or for staff meetings

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24
Q

The dentist’s private office is designed according to the __________ taste of the ______

A

Individual

Doctor

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25
Q

True or false:

The staff lounge is an optional room

A

True

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26
Q

What is the staff lounge? (2)

A

A place for staff to have lunch and relax

May also be used as a room for staff meetings

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27
Q

What is in the staff lounge? (7)

A
Sink
Refrigerator
Microwave
Coffee machine
Table and chairs
Storage cupboards
Countertop space
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28
Q

True or false:

The patient education area is an optional room

A

True

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29
Q

What is the patient education area?

A

A very functional and diverse area in the dental office

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30
Q

What might the patient education area look like in the orthodontic office?

A

Furnished with mirrors and sinks (Where patients can practice home-care techniques)

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31
Q

The patient education area may be an ___________ centre containing a variety of information on ______ care and _________ available to patients, such as _________ treatments or ______ implants

A
Information
Dental
Treatments
Bleaching
Dental
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32
Q

True or false:

The consultation room/area is an optional room

A

True

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33
Q

What is the consultation room/area?

A

A room/area where the dentist can sit down with the patient and discuss the treatment plan and financial arrangement

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34
Q

The consultation room/area is _______ and ____ from the ____ flow of the office

A

Private
Away
Main

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35
Q

What is the centre of all clinical activity?

A

The dental chair

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36
Q

What is the dental chair designed for?

A

For the operator and the assistant to provide patient treatment comfortably and efficiently

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37
Q

What 3 positions does the dental chair support the patient in?

A

Upright
Supine
Subsupine

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38
Q

What is the upright position?

A

Back of chair is in a 90-degree angle

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39
Q

What is supine position?

A

Reclined position with the nose and knees on the same plane

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40
Q

What is subsupine position?

A

Reclined position with the head lower than the feet

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41
Q

True or false:

The dental chair is only designed to accommodate adults

A

False, the dental chair is designed to accommodate both children and adults

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42
Q

What does the dental chair have? (3)

A

Controls to move seat
Narrow head rest to allow those providing treatment to be close to the patient’s head
Upholstered in a material that is comfortable, easy to clean, and coordinates with office colour theme

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43
Q

Why does the dental chair have a narrow headrest?

A

To allow those providing treatment to be close to the patient’s head

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44
Q

What does the dental unit consist of? (6)

A
Handpieces
Air-water syringe
Saliva ejector
Oral evacuator (HVE)
Ultrasonic scaling unit
Numerous other options
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45
Q

The dental unit may be fixed to the _____ or on a _______ cart

A

Wall

Mobile

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46
Q

What are the 3 basic modes of delivery available on a dental unit?

A

Rear Delivery System
Side Delivery System
Front Delivery System

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47
Q

What is the rear delivery system?

A

Behind the patient’s head

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48
Q

What is the side delivery system?

A

On the dentist’s side

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49
Q

What is the front delivery system?

A

Designed so that it can be pulled over the patient’s chest

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50
Q

What is used to hold the delivery systems?

A

Mobile carts

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51
Q

What is the operator’s cart usually set up for? (5)

A

Two or three dental handpieces
Rheostat
Air-water syringe
Sometimes a HVE and saliva ejector

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52
Q

What is the assistant’s cart usually set up with? (3)

A

Air-water syringe
Saliva ejector
HVE

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53
Q

What provides air, water, or a combination spray of air and water?

A

Air-Water Syringe

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54
Q

What is the purpose of the air-water syringe? (2)

A

Helps keep the oral cavity clean and dry

Protect the tooth from the heat produced by the hand pieces

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55
Q

What are the two types of dental hand pieces?

A

Low speed

High speed

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56
Q

What are dental hand pieces attached to?

A

Attached to hoses that are a part of the dental unit

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57
Q

Each handpiece has ___ controls

A

Two

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58
Q

What are the two controls of the handpiece?

A

On/off switch (to keep more than one hand piece from being turned on)
Rheostat (to control the speed)

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59
Q

What is a rheostat?

A

Foot pedal

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60
Q

The ultrasonic scaler is ________ to the dental unit

A

Attached

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61
Q

When is the ultrasonic scaler used?

A

During prophylaxis and periodontal procedures

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62
Q

What attach to the ultrasonic scaler?

A

Small tips

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63
Q

The scaler has a _________ action that removes ____ ________, such as ________, and other ______ from the teeth

A

Vibrating
Hard deposits
Calculus
Debris

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64
Q

What is used to remove saliva and fluids from the patient’s mouth slowly?

A

Saliva ejector

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65
Q

The ejector tip is a ____, ________, _______ ____ that is disposed of after each patient’s treatment

A

Thin
Flexible
Plastic tube

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66
Q

What is the HVE also known as?

A

Oral evacuator

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67
Q

What does HVE stand for?

A

High-Volume Evacuation

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68
Q

What is the HVE used for?

A

Used by the assistant to remove fluids from the patient’s mouth

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69
Q

Where is the on/off control for the HVE?

A

Handle

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70
Q

Each unit of the HVE has a ____ that collects ______ from the evacuator

A

Trap

Debris

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71
Q

Dental stools are required by who?

A

Operator

Assistant

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72
Q

When are dental stools required?

A

During most procedures

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73
Q

True or false:

The operator’s and assistant’s stools are the same

A

False, they have some similarities but also have several differences

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74
Q

What ergonomic characteristics does the operator’s stool have? (5)

A
Adjustable height
Adjustable back rest
Comfortable seat
Mobility
Broad base
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75
Q

What ergonomic characteristics does the dental assistant’s stool have? (7)

A
Adjustable height
Adjustable back rest/extended arm
Comfortable seat
Mobility
Broad base
Foot rest
Easy to adjust
76
Q

True or false:

The operating light is attached to the dental chair or mounted to the ceiling

A

True

77
Q

Who should be able to adjust the position of the light?

A

Both the operator and the assistant

78
Q

Most treatment rooms have some types of _________ for storage of ________ and _________ used during treatment

A

Cabinetry
Supplies
Materials

79
Q

Some dental units are designed in _____ ________ that surround the ________, ________, and _________

A

Fixed cabinets
Patient
Operator
Assistant

80
Q

What do the fixed units contain?

A

Cupboards that open from the fronts and the back
Drawers
Sinks

81
Q

What are the cupboards for?

A

Treatment trays

82
Q

What are the drawers for?

A

Materials frequently used

83
Q

What are the sinks for?

A

Operator and assistant

84
Q

True or false:

The treatment room should be designed with sinks in convenient locations for the dentist

A

False, for the dentist and assistants

85
Q

Some treatment rooms have ___ sinks

A

Two, one on each side of the dental chair

86
Q

What is the dental x-ray unit used for?

A

To expose intraoral radiographs

87
Q

Where are the controls for the dental x-ray unit found? Why?

A

Outside the room

So that the dental assistant is not exposed to radiation

88
Q

The _________ ______ for exposing extraoral radiographs is usually in a ________ area _______ the treatment room

A

Panoramic machine
Separate
Outside

89
Q

What is used to read traditional radiographs?

A

X-ray viewbox

90
Q

Where may an x-ray viewbox be placed?

A

On a counter or in a wall or cabinet

91
Q

What does the x-ray viewbox consist of?

A

A bright light source covered with a frosted surface

92
Q

Where are x-rays placed for clear viewing in an x-ray viewbox?

A

On the frosted surface

93
Q

What is a dental curing light used for?

A

To “cure” or “set” light-cured materials

94
Q

What are examples of curing light technologies? (4)

A

Tungsten halogen
Argon laser
Plasma arc (PAC)
Light emitting diode (LED)

95
Q

True or false:

Curing lights should be tested periodically

A

True

96
Q

What is a curing light tested with?

A

Radiometer (light meter)

97
Q

Why are curing lights tested periodically?

A

Light bulbs will deteriorate over time and not produce an adequate cure

98
Q

_____ ______ _____ are available to test the halogen curing lights

A

Small handheld meters

99
Q

What is an amalgamator?

A

A small machine that mixes dental amalgram and some dental cements

100
Q

What is a term for “mixes”?

A

Triturates

101
Q

The amalgamator is place near the _________, either on the _______ or in a ______

A

Assistant
Counter
Drawer

102
Q

What is a communication system?

A

A color-coded light system or intercom system the office uses as a method for the staff and the dentist to communicate with each other

103
Q

Where is the communication system usually found?

A

On walls in the treatment rooms, sterilization area, laboratory, and staff lounge

104
Q

True or false:

There are many types of communication systems

A

True, some work in smaller dental offices, some work in large dental clinics

105
Q

What are the computerized equipment? (2)

A

Intraoral camera

Computer terminal

106
Q

What contains a small camera that transmits to the computer monitor?

A

Intraoral wand

107
Q

Computerized equipment allows the office to be “_________”

A

Paperless

108
Q

What provides compressed air for the handpieces and air for the air-water syringes?

A

Dental Air Compressor

109
Q

It is important for what to be changed routinely in a dental air compressor?

A

Filters

110
Q

What should be checked for condensation in the lines in a dental air compressor?

A

Compressor

111
Q

If condensation is apparent in a dental air compressor, call for ______ _______ to correct the problem

A

Dental service

112
Q

What does the central vacuum system do?

A

Provides suction for saliva ejectors and oral evacuators at each dental unit

113
Q

_______ or _____ must be cleaned regularly to keep central vacuum system working to capacity

A

Filters

Traps

114
Q

What needs to be in place to ensure proper maintenance control?

A

A routine schedule

115
Q

Who is the responsibility of planning a routine schedule given to?

A

dental assistants

116
Q

Usually the office is cleaned ______________, but the _________ should ____________ check the overall appearance of the office

A

Professionally
Assistant
Periodically

117
Q

True or false:

Whoever is responsible to open the office in the morning usually arrives 30 minutes early

A

False, whoever is responsible to open the office in the morning usually arrives 30-45 minutes early

118
Q

To close the office, what happens? (3)

A

The responsible person stays after the last patient
And makes sure that everything is tuned off
And the office is ready for patients the next day

119
Q

When the dentist and assistant are working at the dental chair together, it is called:

A

Four-handed dentistry

120
Q

Sometimes, and additional assistant is needed to bring items to the treatment room, assist the assistant in mixing materials, or help with a patient, what is that called?

A

Six-handed dentistry

121
Q

What is vital when the dentist and the assistant are positioning themselves around the patient? (4)

A

Good visibility of the patient’s mouth
Easy access to all areas of the patient’s mouth
Easy access to dental equipment, instruments, and materials
Safety and comfort for the patient, the operatory, and the assistant

122
Q

How many activity zones are there around the patient’s mouth?

A

4

123
Q

What are the 4 activity zones around the patient’s mouth?

A

Operating zone
Assisting zone
Static zone
Transfer zone

124
Q

Describe the operating zone

A

Area where the operator is positioned to access the oral cavity and has the best visibility

125
Q

Describe the assisting zone

A

Area where the assistant is positioned to easily assist the dentist or access instruments

126
Q

Describe the static zone

A

Area where the rear delivery systems are found along with the dental instruments and equipment used at the chair

127
Q

Describe the transfer zone

A

Area below the patient’s nose where instruments and materials are passed and received

128
Q

How are activity zones determined?

A

By visualizing the patient’s head as the centre of a clock

129
Q

How many classifications of motion are there?

A

5

130
Q

Describe Class I motion

A

Involves only finger movement

131
Q

Describe Class II motion

A

Involves movement of the fingers and wrist

132
Q

Describe Class III motion

A

Involves finger, wrist, and elbow movement

133
Q

Describe Class IV motion

A

Involves movement of the entire arm and shoulder

134
Q

Describe Class V motion

A

Involves movement of the arm and twisting of the body

135
Q

Most instruments are made of __________ _____, and a few consist of a high-tech _______/_____ or ________ ________

A

Stainless steel
Plastic/Resin
Anodized aluminum

136
Q

How are dental instruments classified? (4)

A

Working ends
Function
Manufacturer’s number
Black’s formula

137
Q

What is the basic setup of instruments found on all trays? (3)

A

Mouth mirror
Explorer
Cotton pliers

138
Q

Dental instrument is generally _ inches long and is _____ or ______ ended

A

6
Single
Double

139
Q

What are the parts of the dental hand instrument? (3)

A

Working end
Shank
Handle

140
Q

Describe the working end (2)

A

Performs the specific function of the instrument

May be a point blade or nib

141
Q

(Working end) A point is sharp and is used to _______, ______, and _______ materials

A

Explore
Detect
Reflect

142
Q

(Working end) The blade may be ____ or ______ and have a _______ or _______ edge

A

Flat
Curved
Rounded
Cutting

143
Q

Describe the handle (shaft) (2)

A

Is where the instrument is held by the operator

May be serrated or smooth and is usually hexagonal for a better fit

144
Q

Describe the shank (2)

A

Connects the handle to the working end and narrows from the handle to the working end
It narrows or tapers from the handle to the working end

145
Q

What are cutting instruments used for?

A

To assist in the design of the cavity preparation

146
Q

What is a chisel used for?

A

Used to shape and plane the enamel and dentin walls of the cavity preparation

147
Q

Describe the chisel (2)

A

Straight blade and has a cutting edge with a one-sided bevel

Have several different shanks, which is where they get their names

148
Q

What is a chisel with no angle in the shanks?

A

Straight

149
Q

What is a chisel with slightly curved shank?

A

Wedelstaedt

150
Q

What is a chisel with two angles in the shanks?

A

Binangle

151
Q

Describe a straight chisel

A

No angle in shanks

152
Q

Describe a wedelstaedt chisel

A

Slightly curved shank

153
Q

Describe a binangle chisel

A

Two angles in the shank

154
Q

What is a hatch used for?

A

Used in a downward motion to refine the cavity walls and obtain retention in the cavity preparation

155
Q

What is a hatch also known as?

A

Enamel hatchet

156
Q

How can you tell a hatchet’s left and right ends?

A

Marked with rings on the handles

157
Q

What is a hoe used for?

A

Used in a pulling motion to smooth and shape the floor of the cavity preparation

158
Q

What is a hoe shaped like?

A

A garden hoe, with straight and angled shank

159
Q

What is a gingival margin trimmer used for?

A

Used in pairs during cavity preparation since one is for the distal and one is for the mesial surface

160
Q

Describe a gingival margin trimmer (3)

A

Similar to the hatchet regarding the position of the blade to the handle
Blade is curve and the cutting edge is at an angle
Is double-ended and paired

161
Q

What is an angle former used for?

A

Used in a downward pushing motion to form and define point angles and to sharpen line angles

162
Q

Describe an angle former

A

Similar to the hoe except the fact that it’s angled and is also double-ended

163
Q

What is an excavator used for? (2)

A

Used to remove carious material and debris from teeth

Used during the removal of excess dental cement, tucking rubber dam material, etc.

164
Q

Describe an excavator

A

Similar to the GMT with the curved blade but the cutting edge is rounded all the way around the periphery

165
Q

True or false:

A mouth mirror is double-ended and made out of metal

A

False, a mouth mirror is single-ended and made of metal or plastic

166
Q

A mouth mirror may have a ______ with a ____ socket for easy replacement

A

Handle

Cone

167
Q

What is the three types of mirrors of a mouth mirror?

A

Plane surface
Front surface
Concave surface

168
Q

Is an explorer a single or a double ended instrument?

A

Single or double-ended instrument

169
Q

What is the purpose of an explorer?

A

Allows the operator to examine the surfaces of the teeth to detect irregularity

170
Q

Describe cotton pliers

A

Shaped like large tweezers

171
Q

What is a cotton plier used for?

A

Used to transport and manipulate various materials

172
Q

What is a periodontal probe used for?

A

Used to measure the depth of the gingival sulcus

173
Q

True or false:

The periodontal probe is very functional and reduces the number of instruments on the tray

A

True

174
Q

What are plastic filling instruments used for?

A

Used to place and condense pliable restorative materials and to place cement bases in the cavity preparation

175
Q

What are amalgam carriers used for?

A

Carry and dispense amalgam or composite into the cavity preparation

176
Q

How is an amalgam carrier used? (3)

A

Dental assistant loads both ends of the carrier with the restorative material
And either passes it to the operator or places the amalgam in the cavity preparation
And then refills the carrier as need

177
Q

A ______-______ amalgam gun is used to carry and place __________, _____ ________, and _______ ______

A

Spring-action
Composites
Glass ionomers
Amalgam alloys

178
Q

What is an amalgam condenser used for?

A

Used to pack amalgam into the cavity preparation

179
Q

What is an amalgam condenser also called?

A

Pluggers

180
Q

What are the various shapes of condensers? (5)

A
Round
Ovoid
Rectangular
Diamond
Cone-shaped
181
Q

What are carvers used for?

A

Used to remove excess restorative material and to carve tooth anatomy in the restoration before the material hardens

182
Q

What are burnishers used for?

A

Used to smooth rough margins of the restoration and to shape metal matrix bands

183
Q

What are files used for?

A

Used to trim excess filling material and to smooth the restoration, especially the margins

184
Q

What are finishing knives used for?

A

Used to trim the excess filling material

185
Q

What are the working ends of finishing knives like? (2)

A

Sharp, knife-like blades

Come in variety of shapes an angles to access restoration margins