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RDA > Coronal Polishing > Flashcards

Coronal Polishing Flashcards

0
Q

A complete prophylaxis is completed by who?

A

Only by a licensed dentist or RDH

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1
Q

What is the goal of coronal polishing?

A

Remove soft deposits, plaque, and extrinsic stains w/ minimum patient discomfort and trauma to the tissues

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2
Q

What is a legal consideration to be taken when coronal polishing?

A

Coronal polishing includes only the removal of soft deposits and stains. Should any hard deposits be found, an RDH or dentist must be informed.

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3
Q

What are the qualifications required in order to coronal polish?

A

1) must be an RDA
2) must complete a board approved polishing course
3) must have polishing certificate
4) must complete polishing course to maintain RDA licensure
5) must provide polishing course completion with RDA application

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4
Q

The qualified RDA may perform coronal polishing when?

A

Under direct supervision of a licensed dentist

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5
Q

What are some indications for coronal polish?

A

1) oral hygiene- plaque and stain removal
2) prior application of topical fluoride
4) prior to rubber dam placement
5) prior cementation of orthodontic bands
6) prior application of acid etching solutions
7) after removal of dressings and packs

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6
Q

What are the constituents of plaque?

A

1) saliva
2) bacteria
3) cellular debris
4) materia alba

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7
Q

Why remove plaque?

A
  • Number one cause of dental disease (periodontal disease and decay)
  • increase caries susceptibility
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8
Q

What is disclosing and why do we do it?

A

Method of plaque detection by use of dye to stain the plaque and make it visible

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9
Q

What is the main ingredient in disclosing tablets?

A

Erythrosine die

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10
Q

What are some disclosing solutions?

A

1) plaque-chek
2) trace solution
3) iodine solutions
5) plaque-lite

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11
Q

What is calculus?

A

Hard calcified mass “tartar” usually yellow or dark brown

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12
Q

Where are the heaviest accumulations of calculus found?

A

Buccal surfaces of the upper posterior teeth and lingual surfaces of the lower anterior teeth

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13
Q

Calculus can only be removed by who?

A

A licensed dentist or RDH

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14
Q

Calculus is removed before or after coronal polishing?

A

Before

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15
Q

When can an RDA use a scaler?

A

To remove cement and calculus on a denture

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16
Q

What are the 4 classifications of stains?

A

1) extrinsic
2) intrinsic
3) exogenous
4) endogenous

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17
Q

What is the most common type of extrinsic stain?

A

Yellow stains

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18
Q

What is the second most common extrinsic stain?

A

Tobacco stains

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19
Q

Where are green stains primarily found?

A

Children’s maxillary anterior teeth at the cervical line

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20
Q

What stains are found more often in females and in children?

A

Black line stains

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21
Q

What can be done for intrinsic stains?

A

Bleaching, veneers or a crown

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22
Q

What is dental fluorosis and how do you get ?

A

Hypocalcification from ingestion of excessive fluoride

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23
Q

When can tetracycline discoloration appear in children?

A

3rd month of pregnancy, infancy or early childhood

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24
Q

Irregular alignment of tooth or teeth

A

Malocclusion

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25
Q

What systemic conditions affect coronal polishing?

A

1) heart-kidney disease
2) hepatitis
3) diabetes
4) epilepsy

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26
Q

What does pumice consist of?

A

Volcanic origin made of silicates of aluminum, potassium and sodium.

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27
Q

What conditions may cause pain and discomfort during coronal polishing?

A

Exposed roots, herpes, or gingivitis

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28
Q

What are some common agents?

A

1) pumice
2) tin oxide
3) commercial premixed preparations

29
Q

What types of abrasives are there?

A

Silex, chaulk, and aluminum oxide

30
Q

What is the purpose of a prophy brush?

A

They are used on the occlusal surface to remove stains from pits and fissures on the enamel.

31
Q

What position are the rotary instruments held in?

A

Modified/pen grasp using a fulcrum

32
Q

Why fulcrum?

A

Stabilize the hand and prevent injury

33
Q

Where should you NOT fulcrum?

A

On the patient’s face (lips, chin, or cheeks)

34
Q

Abrasive

A

Agent capable of scratching a surface

35
Q

Plaque

A

Sticky substance of saliva, bacteria and food debris that adheres to teeth

36
Q

Extrinsic stain

A

Stains on external surface of teeth that may be removed by polishing techniques

37
Q

Pellicle

A

Clear thin matrix of insoluble mucoproteins from saliva which sticks to teeth

38
Q

Materia Alba

A

Mass of food debris and bacteria that sticks to teeth and provide the source of plaque build up

39
Q

Intrinsic stain

A

Stains on the side of the tooth structure that are not removable by polishing

40
Q

Prophylactic antibiotic therapy

A

Antibiotic therapy prescribed to prevent transient bacteria, given pre and post treatment

41
Q

Prophylaxis

A

Complete professional removal of calculus, debris, stains and plaque from the teeth

42
Q

Subgingival

A

Below the gingival tissue- gumline

43
Q

Supragingival

A

Above the gingival tissues- gumline

44
Q

Cellular debri

A

Second stage of plaque formation occurring when bacterial colonies merge to cover large surfaces of the teeth

45
Q

Exogenous stain

A

Develops from external sources and may be extrinsic or intrinsic

46
Q

Endogenous stain

A

Develops from within teeth and are always intrinsic

47
Q

What is plaque composed of?

A

Microcolonies embodied in the pellicle

48
Q

What does the pellicle come from?

A

Bacteria and saliva

49
Q

Where does bacteria accumulate in the oral cavity?

A

Around the surface of teeth, interproximally and sulcular.

50
Q

What is the second stage of plaque formation?

A

Cellular debri

51
Q

Which disclosing solution would you NOT use on a patient with diabetes?

A

Iodine solutions

52
Q

Which two disclosing solutions both have erythrosine dye as their main ingredient?

A

Plaque – chek and Trace solution

53
Q

What does Plaque–Lite use that can only be seen with a special light?

A

Fluorescein sodium

54
Q

What precautions should be taken for all disclosing methods?

A

Staining of clothes, face, lips and hands

55
Q

What are the two classifications of calculus?

A

Supragingival (above gumline) and Subgingival (below gumline)

56
Q

What is calculus composed of?

A
  • 80% in organic- 2/3 hydroxyapatite matrix, salts and minerals
  • 20% organic- matrix, bacteria, carbohydrates, proteins, cellular debris
57
Q

What type of stain would be in example of an exogenous stain?

A

Tobacco stains

58
Q

What establishes the degree of staining?

A

State of oral hygiene, surface texture of the tooth, contour of the tooth

59
Q

What are some extrinsic stains?

A

Yellow, tobacco, green, black line, orange or red and metallic stains

60
Q

What are some intrinsic stains?

A

Stains in pulpless teeth, drugs and metals, dental fluorosis, tetracycline, dentinogenesis and amelogenesis

61
Q

Which Heart–Kidney diseases may require pre-and post anabiotic therapy?

A

Rheumatic heart disease, congenital heart disease and nephritis

62
Q

What condition requires strict adherence to universal precautions and infection control?

A

Hepatitis

63
Q

Why should you avoid tissue trauma on a patient with diabetes?

A

Their tissue healing is impaired

64
Q

What can Dilantin due to a patient with epilepsy?

A

The anticonvulsant drug may produce hyperplastic gingival (overgrowth)

65
Q

What agent can accomplish both cleaning and polishing?

A

Zirconium silicate

66
Q

What is the least abrasive pumice used to remove stains from enamel in the form of wet paste?

A

Pumice flour or superfine pumice

67
Q

Which polishing agent is used for teeth and metallic restorations?

A

Tin oxide mixed with water or glycerin

68
Q

What is a superfine abrasive agent used for heavy stain removal?

A

Silex (silicone dioxide)

69
Q

Chaulk

A

A.k.a. whitening, precipitated calcium carbonate used as polishing agent and whitener

70
Q

Type of abrasive available in strips for interproximal surface usage

A

Aluminum oxide

RDA (5 decks)

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