Deposit Removal

Question 1

debridement

Answer 1

removal/disruption

Question 2

root detox

Answer 2

remove endotoxins trapped in cementum

Question 3

deplauqing

Answer 3

removal of subgingival biofilm/plaque

Question 4

Emerging goals of removal

Answer 4

conserve cementum and remove biologically?

Question 5

scaling

Answer 5

remove plaque and calculus

Question 6

root planing

Answer 6

remove roughness from cementum

Question 7

Fulcrum

Answer 7

next door

Question 8

stabalization

Answer 8

firm pressure on fulcrum and good grasp

Question 9

adaptation for scalers

Answer 9

tip third in contact with tooth

Question 10

adaptation for curet

Answer 10

toe third in contact (same spot as tip just rounded)

Question 11

Never adapted to the tooth surface

Answer 11

heel

Question 12

insertion of instrument into the mouth

Answer 12

between 0 and 45 degrees; tip towards surface; get below deposit

Question 13

Reason for angulation during insertion

Answer 13

to not tear tissue

Question 14

location relative to deposit

Answer 14

below/apical

Question 15

Activation face angle

Answer 15

45-90 but 60-80 ideal to get under calculus; tip shank away from tooth

Question 16

how to get activation angle

Answer 16

tip away from tooth to make sure just the edge is on the tooth

Question 17

Activation

Answer 17

rocking of wrist on fulcrum

Question 18

3 phases of activation for deposit removal

Answer 18

placement - light
working phase- firm up
recovery-relocate lighter

Question 19

stroke distance in pocket

Answer 19

1-2mm

Question 20

Lateral pressure

Answer 20

firm, directed

Question 21

Stroke number

Answer 21

many, different directions, closed angle

Question 22

stroke for root planing

Answer 22

start short and firm, SMALLER angle than removal, many directions, end longer light strokes

Question 23

channeling strokes

Answer 23

large deposit removals, toward proximal

Question 24

Stroke direction

Answer 24

in a coronal direction

Question 25

ant teeth strokes

Answer 25

vertical stokes on all

Question 26

post teeth strokes

Answer 26

vertical on proximal, oblique on facial and lingual

Question 27

Horizontal stroke

Answer 27

rare, at line angles of post and in furcations, narrow root surfaces, oblique better

Question 28

DO not make these strokes

Answer 28

back and forth or push pull –> these smooth deposit

Question 29

Do not remove first

Answer 29

the outermost layer which will smooth calculus and hard to removal burnished it

Question 30

Burnished deposit

Answer 30

smoothened

Question 31

apply pressure how

Answer 31

through fulcrum; down in mandibular arch and up in maxillary arch