Exam 2: Hand positions, Ergonomics, BioMec, Rubber Dams! Flashcards

1
Q

When prepping the bur stays PARALLEL to the ________ of the tooth!

A

long axis

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2
Q

Ergo: limit neck flextion to ___ degrees.

A

20 degrees

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3
Q

Right handed dentists should work in the ___ o’clock position, but can range from ___ o’clock to ___ o’clock.

A

11 o’clock….9 o’clock-12 o’clock

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4
Q

Where should the patient’s head be positioned relative to your body?

A

above belly button, below mid-thorax

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5
Q

The patient’s maxillary face angle should be _____ to slightly ______.

A

vertical….forward

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6
Q

If you word on the Right quadrants, the Pt’s head should turn ______.

A

left

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7
Q

If you work on the left quadrants, the Pt’s head should turn ______.

A

right

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8
Q

Keep your finger rest on a ______!!! AND NEVER on the _____ or the ______.

A

tooth!!!…lips or cheek

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9
Q

Keep the finger rest in the _____ arch that you are working on.

A

SAME

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10
Q

When working in the maxilla, the Pt’s head should be more _______ and use _______ vision.

A

horizontal…indirect

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11
Q

When we did the lower right quad, we worked from the ___ o’clock position.

A

9

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12
Q

When working on the Lower Left Quad from the 11 o’clock position, we had our finger rest on #___, and we ______ our grip of the hand piece.

A

25…extended

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13
Q

When working on the upper left quadrant from the 11 o clock position our finger rest was on the _____ surface of #__.

A

Incisal… #6

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14
Q

When working on the upper right quadrant from the 11 o’clock position, our finger rest was on the facial surface of the tooth _____ to the working tooth and we “______” on the hand piece.

A

distal (in our case it was #2)…“choked up”

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15
Q

What is the #1 priority for dental ergonomics?

A

MAINTAIN LORDOSIS!!!

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16
Q

What are the two best wrist positions?

A

extension and neutral (not flexion or ulnar)

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17
Q

Enamel: ___% inorganic, ___% water, ___% organic

A

96% inorganic, 3% water, 1% inorganic

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18
Q

Dentin: ___% inorganic, ___% water, ___% organic

A

75% inorganic, 20% water, 5% organic

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19
Q

Enamel rods exit ________ to tooth surface.

A

perpendicular

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20
Q

Dentin is ___x softer then enamel. Has a _____ appearance, and is usually ____ in color.

A

5x…duller…darker

21
Q

When is Primary Dentin deposited?

A

during development

22
Q

Young permanent teeth have ____ pulp, and ____ pulp horns, and _____ apecies.

A

large, large, open

23
Q

What type of dentin is deposited as a process of normal aging?

A

Secondary Dentin

24
Q

What type of dentin is deposited in response to trauma?

A

Tertiary Dentin (Trauma=Tertiary)

25
Q

What is hyper-mineralized, Darker, Non-carious, not necessary to remove, more mineralized, harder, more difficult to bond to with composites DENTIN?

A

Sclerotic Dentin

26
Q

How far away from the pulp do you have to be drilling in order to affect it?

A

2mm

27
Q

Fluid in the dental tubule has an ______ flow, so the _______ pressure of blowing air on exposed dentin stretches and disrupts the nerves and odontoblasts.

A

outward….negative

28
Q

What are the 4 steps of the Pulpal Inflammation Cascade?

A
  1. Inflammed pulp stimulates the vascular system 2.Neropeptides released activate vasodilation 3.Odontoblasts swell and close the dentinal tubule 4.Minor fluid changes distend odontoblast to create pain
29
Q

What are the 4 causes to pulpal inflammation?

A

1.Dessication (over dry dentin post etch!) 2.Heat 3.Osmotic Changes 4.Bacteria

30
Q

Dentinal Tubules are ______, less numerous, more occluded, at DEJ….Dentinal Tubules are ______, higher density, less occluded, ______ closer to PULP.

A

smaller….larger….WETTER

31
Q

Which type of bur can be sharpened with a stone?

A

DIAMOND!

32
Q

Concerning cleaning stones: Only use on diamond burs that are ______ or ______ grit….> 80 microns

A

medium or coarse….

33
Q

Which type of diamond bur do we NOT use a cleaning stone for?

A

fine (<30 microns)

34
Q

What causes less micro fracture of enamel…less or more fluted burs?

A

more fluted=less micro fracture

35
Q

When using a diamond bur, ______ are NECESSARY.

A

COOLANTS (h2o)

36
Q

Which procedure is a Rubber dam MANDATORY?

A

any ENDO procedure

37
Q

Where is the clamp of the rubber dam placed?

A

The tooth DISTAL to the working tooth

38
Q

What type of lubricant do you use with a latex rubber dam?

A

h2o soluble jelly

39
Q

What % of the population has a latex allergy?

A

12%

40
Q

Which part of the tooth does the bow of the clamp face?

A

distal

41
Q

Can you put a flat rubber dam clamp on a partially erupted tooth?

A

Nope, it will slip off. We’ll have to numb and use a curved clamp

42
Q

On an upper molar rubber dam clamp, which surface does the LONGER part of the clamp attach to?

A

the FACIAL surface!

43
Q

Are their specific premolar clamps for maxillary and mandibular premolars?

A

Nope, all of their roots or oval shaped

44
Q

BOOM! WHAT HOLE SIZE DO I PUNCH FOR MY RUBBER DAM??? (5 sizes, 5 being the largest-1 is the smallest)

A

5 (largest)= CLAMPED molar (((& premolar?!?!?)))…#4=molars….#3=Premolars & Canines….#2=Maxillary Incisiors…. #1 Mandibular Incisiors

45
Q

What is the more commonly used rubber dam technique, placing the clamp first or placing them as a unit?

A

UNIT!

46
Q

Where am I going to punch a hole in the rubber dam to orient myself?

A

Upper Right!

47
Q

While using the 1 unit rubber dam placement method, do I place the dam on the frame before or after clamping the tooth?

A

BEFORE! it all goes into pt’s mouth ready to go!

48
Q

In ENDO, a rubber dam is freaking REQUIRED. Which tooth do I place the rubber dam on? Also, which frame do I use?

A

Placed on the working tooth (NOT the tooth distal like normal rubber dam placement!)…Use PLASTIC frame!