Exam 3 Review Flashcards
Purpose of flouride. What does it do?
Inhibits demineralization, enhances remineralization, and inhibits plaque
formation
Optimum range of fluoride in drinking water (ppm)
the optimum range of fluoride
concentration of 0.7-1.2 ppm
- Professionally applied prescription products
- Self-applied non prescription products
- Self applied prescription products
Put these in order from lowest concentration to highest
- 1.
Dentifrices
Mouth Rinses are what type of fluoride products
Rx Dentifrices & Gel
Rx Mouth Rinses
Self-applied nonprescription products
INDICATIONS FOR PRESCRIPTION
FLUORIDE USE
• Moderate/high caries risk determined by risk
assessment • Caries or white spot lesions/ demineralization • Dental hypersensitivity • Exposed root surfaces
PROFESSIONALLY APPLIED PRESCRIPTION PRODUCTS are?
- Sodium Fluoride (NaF)
- Sodium Neutral Fluoride (NaF) Foam
- Acidulated Phosphate Fluoride foam
Acute ingestion of fluoroide
Rapid ingested over short period of time - RARE
Chronic ingestion of fluoride
long term ingestion that exceed the approved therapetuic levels - Dental fluorosis-tooth development
- Skeletal Fluorosis
What are the percentages of the professionally applied prescription fluorides below?
- NaF varnish/Sodium Fluoride
- NaF gel or foam/Sodium Neutral Fluoride
- APF gel or foam /Acidulated Phosphate Fluoride
- 5% NaF varnish
- 2% NaF gel or foam
- 1.23% APF gel or foam
Sodoium Fluoride varnish is FDA approved for and off label use is for
FDA approved for dentinal
hypersensitivity…off label use is for
caries prevention
CONTRAINDICATIONS for VOCO fluoride varnish is
colophony rosin - solid form of resin obtained from pines
APF/ Acidulated phosphate fluoride gel or foam contraindication!
Contraindication: potential for etching; not to be used for patients w/ porcelain & composite restorations, sealants, titanium implants, sensitivity
How can people take fluoride systemically
take fluoride drops or tablets
• Emergency protocol for fluoride ingestion
• Induce vomiting
• Second person assist as needed- Call 911
• Administer binding liquid- milk, milk of magnesium,
limewater (if pt isn’t vomiting) • Additional therapy indicated at ER
Contraindications for Sealing
Wide fossa – self cleaning Low caries risk Good dietary habits Restorations present Decayed teeth (evaluate radiographically for interproximal decay)
Indications for Sealant Application
Deep pits and narrow fissures on occlusal surfaces Xerostomia Orthodontics Recently erupted teeth Incipient caries Snacking >3X/day Teeth free of interproximal caries Elevated risk for dental caries Total prevention program Heavy plaque Infrequent preventive care Head and neck radiation
Factor Affecting Penetration & Bonding
Dry field- Saliva occludes porosities and inhibits bonding. Re-etch with acid 10-20 seconds following saliva contamination.
Free from oils and flavoring-pumice.
proper sequence for sealant application (general)- don’t worry about how long to etch or cure.
Clean/ toothbrush or polish Isolate Dry Etch-period of time Rinse-period of time Isolate/Dry Sealant material Cure or not depending
Sequence of proper polishing technique can look notability
F/L UR ,Max Anteriors,UL
then
F/L LR, man Anteriors, LL
Contraindications to essential selective polishing
Medications? Inflammation primary teeth cementum restorations
Angle rubber polish cup to __at gingival margin. Use __ pressure
flare
moderate
Polishing: Modified pen grasp- rest HP in ___
between thumb and index finger
- V
- between index nuckle 1
V
Contraindications to essential selective polishing
Medications? Inflammation primary teeth cementum restorations -Decalcification, hypocalcification, demineralization, rampant caries Immediately following nonsurgical periodontal therapy- gingival treatment and or scaling and root planing Inflamed gingiva:enlarged, spongy, or bleeds easy
Polishing: Employ “___ and ___” motion working from
gingival 1/3 to incisal/occlusal 1/3
pat and sweep
2 types of powered instrumentation and cycles per second for each
Sonic: Low frequency 3,000-8,000 cycles/second
Ultrasonic: frequency of 18,000-
45,000 cycles/second
2 Subtypes of ultrasonics and how they differ
- Piezoelectric Electrical energy activates ceramic crystals within the handpiece to make the tip vibrate
- Magnetostrictive Electronic energy is transferred to metal stacks or to a ferrous rod.
Cavitation, fluid lavage, amplitude, frequency
Cavitation- Tiny bubbles formed by water stream. Bubbles collapse, which produces
shock waves that may alter or destroy bacterial
cell walls.
Levage: flush
out bacteria from beneath the gingival
margin
Amplitude- How far the instrument tip moves back and forth during one cycle. (length of stroke)
Frequency- How many times the tip vibrates per second (kHz)
Limitations for powered instrumentation
Disadvantages less tactile senstiitivty water control production of aerosals medical contraindications potential occupational hazard(noise and vibrations)
Slim vs standard working ends- when and where they are used- appropriate power settings for each
Slim : Light to moderate calculus
Improved for subgingival access due to 30% thinner
Standard: Moderate to heavy calculus
Thicker inserts with larger tips, specifically designed for efficient removal of heavier deposits