Chapter 29 Ultrasonic Instrumentation Flashcards

1
Q

Applies to sound (acoustic) energy, having a frequency above the highest that is audible to the human ear (20 kHz)

A

Ultrasonic

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2
Q

Foward and backward movement

A

Oscillation

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3
Q

Irrigant creating a continuous flow, demonstrating removing loosely attached biofilm and endotoxin from the root surface, in addition to flushing debris from the treatment site.

A

Lavage

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4
Q

Characterized by formation and explosive collapse of microscopic bubbles in a flowing liquid resulting from forces acting on the liquid. The violent collapse of the microbubbles forms high-velocity liquid jets that aid in debriding oral biofilm from the tooth surface.

A

Cavitation

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5
Q

Occurs near any object in oscillating motion in liquid, including ultrasonic scaler tips and cavitation bubbles, and is characterized by vigorous swirling motion of the fluid.

A

Acoustic microstreaming

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6
Q

The conversion of electrical current into high-frequency mechanical vibrations is attained by a transducer that is either what?

A

magnetostrictive/piezoelectric

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7
Q

The insert of the magnetoristrictive ultrasonic scaler is composed of?

A

A stack of thin nickel strips soldered together at the ends and attached by a connecting body to a tip

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8
Q

How is a piezoelectric ultrasonic scaler differentiated from a magnetoristrictive scaler?

A

The tip which screws onto the handpiece using a torque wrench, the handpiece contains a crystalline/quartz disc which contracts in response to alternating application of current

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9
Q

Ultrasonic debridement mechanisms of action

A

Mechanical, irrigation, cavitation, acoustic microstreaming

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10
Q

Vibratory action of the oscillating blunt tip against the deposit disrupts or ablates the deposit from the tooth’s surface

A

Mechanical

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11
Q

Lavage action of water flowing over tip flushes biofilm from the tooth’s surface and debris from the treatment site

A

Irrigation

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12
Q

Removal/disruption of biofilm by turbulent currents of water surrounding the tip

A

Acoustic microstreaming

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13
Q

Holds the insert to surround the nickel stack in a spiral of copper wire which generates a magnetic field upon application of electrical current, resulting in magnetostriction of the stack

A

Magnetorestrictive Handpiece

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14
Q

Houses control that regulates power level and water flow; provides connection between foot switch and handpiece

A

Magnetorestrictive Base unit

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15
Q

When engaged, sends electrical current through the base unit to the handpiece, activating movement of the tip

A

Magnetorestrictive Foot switch

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16
Q

The number of complete back-and-forth cycles (stroke) the oscillating tip completes per second, measured in kilohertz

A

Operating frequency

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17
Q

Screws onto handpiece by a torque-controlled wrench

A

Piezoelectric tip

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18
Q

Embeds ceramic or crystal discs that encircle a metal bar. The terminal end of the bar is threaded to allow attachment of the tip

A

Piezoelectric handpiece

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19
Q

Houses controls that regulate power level and water flow, provides connection between foot switch and handpiece

A

Piezoelectric base unit

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20
Q

When engaged, sends electrical current through base unit to the handpiece, activating movement of the tip

A

Piezoelectric foot switch

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21
Q

Stroke length is measured by?

A

displacement amplitude

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22
Q

How far the tip is displaced from a position of zero movement, represents half the peak to peak displacement of the tip and is measured in microns

A

displacement amplitude

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23
Q

A flow rate of what provides a sufficient flow of water for cooling and occurrence of microstreaming and cavitation?

A

20-30mL/min

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24
Q

Diameter refers to the width or thickness at the active area. True or false?

A

True

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25
Terminal 2-4mm of the tip of an ultrasonic scaler is?
The active area
26
The acoustic power produced by the ultrasonic scaler is a function of?
The efficiency of the mechanical mechanisms of action combined with the amount of cavitation and microstreaming activity.
27
Categories of ultrasonic tips by diameter
Standard, slim, ultra-slim
28
Tip with greater mass, wide in diameter, either circular or rectangular in shape, straight geometry
Standard ("scaling")
29
Tip with less mass, reduced in diameter 30-40% narrower than standard tips, either circular or rectangular in shape, straight or curved geometry
Slim ("thin" or "perio")
30
Tip with least mass, narrowest in diameter 40% thinner than slim tips, circular in shape, straight geometry
Ultra-slim ("Extra-thin")
31
Key design features of ultrasonic tips
diameter, shape, geometry, profile
32
Width of the active area of the tip, impacted by degree of force, amount of cavitation, degree of contact
Diameter
33
Shape of the active area in cross section (circular or rectangular)
Shape
34
Number of planes crossed by the shank (one or two), impacted by access to treatment site, degree of contact
Geometry
35
Number of bends in the active area (single, double, triple)
Profile
36
Maxillary buccal/facial right side ultrasonic curved tip type
Left curved
37
Maxillary buccal/facial anterior ultrasonic curved tip type
Right curved
38
Maxillary buccal/facial left side ultrasonic curved tip type
Right curved
39
Maxillary palatal/lingual right side ultrasonic curved tip type
Right curved
40
Maxillary palatal/lingual anterior ultrasonic curved tip type
Left curved
41
Maxillary palatal/lingual left side ultrasonic curved tip type
Left curved
42
Mandibular lingual right side ultrasonic curved tip type
Left curved
43
Mandibular lingual anterior ultrasonic curved tip type
Right curved
44
Mandibular lingual left side ultrasonic curved tip type
Right curved
45
Mandibular buccal/facial right side ultrasonic curved tip type
Right curved
46
Mandibular buccal/facial anterior ultrasonic curved tip type
Left curved
47
Mandibular buccal/facial left side ultrasonic curved tip type
Left curved
48
Adapt any surface of the active tip, vertical or horizontal orientation
Adaptation
49
0-15 degrees to tooth surface
Angulation
50
Light pressure applied to maintain contact with the tooth
Lateral pressure
51
Constant and varied in direction
Stroke
52
At gingival margin for outer edge of deposit if supragingival
Insertion
53
Light standard pen
Grasp
54
Established at a distance from treatment site for stabilization
Fulcrum
55
How many kHz do ultrasonic devices operate at?
25-30 kHz
56
Carbon fiber or plastic ultrasonic tips are safe for use on what?
Smooth titanium portion of implants, and restoration margins
57
Ultrasonic tips coated with fine or medium grit diamond tips are used when?
Only during open flap (surgical) debridement
58
What ultrasonic tip is contraindicated because of significant risk of root surface removal by the coating on the tip?
Fine or medium grit diamond
59
Type of deposit removed in scaling with an ultrasonic
Moderate calculus
60
Type of deposit removed in debridement with an ultrasonic
Biofilm, light calculus
61
Types of ultrasonic working strokes are?
Equally distributed, overlapping, constant, bi-directional, short
62
Types of stroke directions are?
Horizontal, oblique, vertical, tapping