Clinical DH, Fl and antimicrobials Flashcards

1
Q

name regulated waste

A

sharps, items soaked in blood/saliva, hard and soft tissues removed from puts mouth

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2
Q

invisible, airborne particles, remain in the air for awhile

A

aerosol

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3
Q

visible airborne particles of blood/saliva, drop quickly to floor

A

spatter

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4
Q

kill/inactivate most pathogenic microbes, not spores

A

disinfectants

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5
Q

type of disinfectant, corrosive to metals, strong odor

A

chlorine based compounds

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6
Q

type of disinfectant, not corrosive, have ow kill spectrum, limited efficacy

A

quaternary compounds

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7
Q

type of disinfectant, should not be used as surface disinfectant because of toxic effects, also corrosive

A

Gluteraldehydes

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8
Q

level of surface disinfectant used in dental setting, must kill TB organisms

A

Intermediate

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9
Q

chemical spore test

A

Geobacillus stearothermophilus

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10
Q

dry heat spore test

A

bacillus atrophaeus

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11
Q

steam spore test

A

geobacillus stearothermophilus

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12
Q

do external indicators garnet sterility?

A

no- just that they have been heat processed

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13
Q

pt has decayed #30, ask about whitening. what do I dress first?

A

whitening

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14
Q

nutrient source for supra ging calculus

A

saliva

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15
Q

nutrient source for sub ging calc?

A

crevicular fluid and inflammatory exudate

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16
Q

stain- gram positive bactera, typically located on cervical 1/3 of facials and linguals

A

black line

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17
Q

stain- associated with poor dental hygiene and/or drinking dark colored beverages

A

brown

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18
Q

stain- associated with tobacco product use

A

darn brown and black

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19
Q

stain- chromogenic bacteria in plaque; associated with poor OH, mostly on ant. teeth

A

orange

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20
Q

can be associated with chlorhexidine use of stannous Fl, stannous Fl reaction is from reaction of tin ion in the FL

A

yellow brown and brown

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21
Q

associated with poor OH, chromogenic bacteria, fungi and gingival hemorrhage

A

green

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22
Q

early evidence of bone loss, instrument can enter the depression leading to the furcation

A

Class I (empty triangle)

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23
Q

moderate bone loss, instrument can enter furcation, but cannot pass between the roots

A

Class II (empty triangle)

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24
Q

sever bone loss, instrument can pass between roots

A

Class III (shaded in triangle)

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25
same as class III, but evidence of recession
Class IV (shaded in triangle)
26
what probe is best for assessing furcations?
Nabers
27
Mobility. normal
1 or I
28
mobility. slight horizontal mobility
2 or II
29
mobility, moderate horizontal mobility greater than 1 mm, no vertical displacement
3 or III
30
demin beings at what pH for enamel
4.5-5.5
31
demin begins at what pH for cementum
6.0-6.7
32
fluoride interferes with ______
bacterial metabolism
33
in high concentrations (professional application), Fl is ______?
bactericidal
34
in low concentrations, Fl is _____?
bacteriostatic
35
who monitors the concentration level in community water fluoridation
EPA
36
who monitors Fl levels in bottled water
FDA
37
dietary Fl supplements recommended for who?
children who live in areas with not enough Fl, NOT PREGNANT WOMEN
38
Fl used in presence of tooth colored and porcelain restorations
Sodium Fl
39
contraindicated in presence of tooth colored restorations and porcelain, etches glass components causing surface roughening over time
APF
40
unstable solution, must be mixed fresh, bad taste, stains due to reaction of tin ion on FL (causes metallic taste), can cause ging sloughing
stannous Fl
41
if
administer Fl binding agent
42
if >5 mg/kg (toxic dose) of Fl is ingested you should
induce vomiting, administer Fl binding agent, seek medical tx
43
if >15 mg/kg (lethal dose) of Fl is ingested you should
seek medical tx, induce vomiting, cardiac monitoring
44
brush method. angle bristles 45 to apex at ging 1/3, bristles in sulcus
bass
45
brush method, angle bristles 45 toward apex w/ 1/2 bristles on tooth and other half on ging
stillman
46
use for open embrasures, exposed class IV furcation, ortho appliances, fixed prostheses, dental implant
interdental brush- inner wire must be plastic coated to avoid scratching cementum
47
use for open proximals, hard to access areas (3rd molars, crowded teeth), fixed prostheses
tufted brush
48
use for exposed class IV furcations, interdental cleaning (concave proximal areas), ging margins above ortho
tooth pick holder (perio aid)
49
use for interdental areas with recession
wedge stimulator
50
use for physically challenged, caregivers providing oral hygiene care
floss holder
51
use for under pontics of bridges or ortho
tufted floss
52
disrupts loosely adherent plaque and flushes debris/food particles around ortho
oral irrigator
53
active dentifrices ingredient for caries
Fl
54
active dentifrices ingredient for tartar control
pyrophosphates
55
active dentifrices ingredient for antihypersensitivity
potassium nitrate, strontium chloride, sodium citrate
56
active dentifrices ingredient for antibacterial
triclosan
57
active dentifrices ingredient for whitening
carbamide peroxide, hydrogen peroxide
58
where do you being stroke for scaling?
coronal to edge of junctional epithelium
59
Gracey used for mesial of post only
15/16
60
Gracey for distal of post teeth
13/14 or 17/18
61
what can you use for implant scalers
plastic, nylon, graphite, or gold tipped
62
what stroke does ultrasonic magnetostrictive produce
elliptical or orbital
63
what stoke foes ultrasonic piezo produce
linear
64
what stroke does sonic scaler produce
elliptical or orbital
65
most to least active part of ultrasonic
tip, concave face, convex back, lateral sides
66
how do ultrasonic scalers work?
cavitation
67
contraindications for ultrasonics
demin, exposed dentin, titanium implants, restorations, children with primary/new erupted teeth, dentures or communicable disease, respiratory conditions, diff swallowing, susceptible to infection
68
indications for rubber cup polishing
extrinsic stain
69
contraindications for rubber cup polishing
xerostomia, demin/decay, sensitivity, newly erupted teeth, severe gingivitis, lack of plaque/stain, exposed root surfaces, respiratory conditions
70
powder for air polishing
sodium bicarbonate, aluminum trihydroxide, glycine, calcium carbonate, calcium sodium phosphosilicate
71
indications for air polishing
stain/biofilm removal, root detoxification, sealant prep, soft debris removal around ortho
72
contraindications for air polishing
sodium restrcited diets, spongy ging, respiratory conditions, restorative materials, exposed root surfaces, immunocomprimised, puts taking potassium/anti diuretics/steroid
73
do you use pressure on pulp vitality test
no
74
bactericidal, high substantivity, .012%, stains teeth/tongue/tooth colored restorations, altered taste, irritates, increases supra calc formation
Chlorhexadine gluconate
75
Listerine, burning, sigh extrinsic staining, don't use for alcoholics
Essential oils