Design and Care of Dental Hygiene Instruments Flashcards

1
Q

Types of stainless steel available for hand instruments

Stainless steel does not corrode or rust

A
  • Austenitic.
  • Martensitic.
  • Ferritic.
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2
Q

Austenitic

A
  • Hypodermic needles.

- Probe.

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3
Q

Martensitic

A
  • Cutting instruments.

- Scalers.

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4
Q

Ferritic

A
  • For bulk.

- Handles.

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5
Q

Most and instruments are made from steels containing chrome. Disadvantages?

A
  • Do not maintain a good cutting edge.

- Need constant sharpening.

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6
Q

What can be used for instruments instead of steels?

A

Tungsten carbide tips.

  • Hard compound.
  • Stays sharp for a long time.
  • Should not be used on enamel.
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7
Q

Why do we need instruments for implant care?

A

To not scratch or damage the titanium abutments.

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8
Q

Anatomy of dental instruments

A
  • Handle - To grasp the instrument.
  • Shank - Connects handle to working end. Allows adaptation of the working end to the tooth surface.
  • Working end
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9
Q

Factors to consider when selecting instrument handles

A
  • Weight
  • Diameter
  • Serration
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10
Q

Instrument weight

A
  • Hollow handles increase tactile sensation and reduce fatigue.
  • Silicone handles are lightweight and improve grasp.
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11
Q

Instrument diameter

A
  • Large handles maximise control and encourage a lighter grasp.
  • Smaller handles increases muscle fatigue.
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12
Q

Instrument serration

A
  • Knurled and silicone handles provide a gripping surface.

- Enhances control.

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13
Q

Instrument shank

A
  • Functional shank - From working end to handle

- Terminal shank - Between working end and first bend. Used to adapt the instrument to the tooth.

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14
Q

Working end

A
  • Back.
  • Lateral surface.
  • Face.
  • Heel.
  • Tip (pointy) or toe (rounded).
  • 1st third is the tip/toe.
  • Middle third.
  • 3rd third is the heel.
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15
Q

Instrument design features

A
  • Single ended.
  • Double ended - Fewer instruments needed. Saves times and less sterilisation. Need to be careful to not injure operator or patient when turning the instrument.
  • Balanced.
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16
Q

Mirror uses

A
  • Indirect vision.
  • Indirect illumination.
  • Transillumination.
  • Retraction of soft tissues.
17
Q

How to use mirror

A
  • Avoid hitting teeth.
  • Avoid galvanic shock with amalgam restorations.
  • Prevent fogging by ringing with warm water or wipe along buccal mucosa.
18
Q

Probe uses

A
  • Screening.
  • Assessment.
  • Monitoring.
  • Recording indices.
  • Guide to treatment.
  • Evaluation of treatment.
19
Q

Screening

A
  • Generalised picture of periodontal condition.

- WHO probe (BPE)

20
Q

Assessment

A

Assess periodontal status for preparation of a treatment plan.

21
Q

Monitoring

A
  • Accurate measuring of disease and health.
  • Hu-Friedy probe.
  • Williams probe.
22
Q

Recording indices

A
  • Bleeding.
  • Plaque.
  • Pocket depth.
  • Furcations.
23
Q

Hu-Friedy 15 measurements

A

Measures probing depths.

Black lines:

  • 4.5
  • 9.10
  • 14.15
24
Q

WHO probe measurements

A

Screening periodontal disease.

  • 0.5
  • 3.5
  • 5.5
  • 8.5
  • 11.5
25
Q

Williams probe

A

Measures probing depths.

  • 1
  • 2
  • 3
  • 5
  • 7
  • 8
  • 9
  • 10
26
Q

Right angled sharp probe

A

Detection of caries.

27
Q

Gross calculus probe

A
  • Double ended probe.

- Detection of calculus.

28
Q

ODU Calculus Explorer 11/12

A
  • Detection of sub and supragingival calculus.

- Assess calculus, root surfaces, overhangs, carious lesions.

29
Q

Tweezers

A
  • Hold cotton wool rolls and finishing strips.

- Application of medicaments.

30
Q

Excavators

A
  • Removal of supragingival calculus.
  • Occlusal, labial, lingual, palatal.
  • Removal of caries from deep carious lesion.
31
Q

Care of instruments

A
  • Wear heavy duty gloves.
  • Ultrasonic cleaner then rinse to remove debris.
  • Sterilise.
  • Store in aseptic conditions.
  • Sharpen non tungsten carbide tips regularly.