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Clincal Dental Hygiene 2 > Final :D !!! > Flashcards

Final :D !!! Flashcards

0
Q

Some reasons for using lubricant (either water or oil on the stone) is to facilitate movement during sharpening and prevent clogging the pores of the stone. T or F

A

True

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1
Q

The last downward stroke of sharpening should go completely off the stone and have created lateral pressure than any of the upward stokes to reduce the formation of wire edges. T or F

A

False

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2
Q

During sharpening the stone should be moved vertically 1-2 inches

A

False

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3
Q

The internal angles of the cutting edges of sickle scalers and cutest are the same. T or F

A

True

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4
Q

If you use a dull instrument you may burnish instead of remove the calculus. T or F

A

True

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5
Q

The American academy of periodontology definition of scaling is: the instrumentation of the teeth to remove calculus

A

False

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6
Q

When using the plastic testing stick to wbu late instrument sharpness place the instrument blade abasing the stick at the same angle used for scaling and scrape the plastic in a scaling stroke removing several thin strands of plastic. T or F

A

False

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7
Q

Sharpening area specific gracey curets require sharpening only the lower one third of the curing edge because these curets are used on such specific surfaces T or F

A

False

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8
Q

Hypo mineralized enamel absorbs fluoride in greater quantities than sound enamel. T or F

A

True

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9
Q

It is important to professionally apply fluoride on patients who have decreased salvia flow because they need the increased mohair use in their mouths. T or F

A

False

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10
Q

More surface enamel is lost from abrasive polishing over demineralization white spots than over intact enamel T or F

A

True

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11
Q

The majority of stain that was not removed during patient education can be removed with scaling and not require rotary polishing. T or F

A

True

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12
Q

To help ensure the correct position of the gracey curet blade the operator observes the position of the terminal shank whereas it is the handle of the universal curet which help position it’s blade T or F

A

True

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13
Q

Sodium fluoride gel is applied professionally in a 5% form for maximum uptake

A

False

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14
Q

Padding the rubber cup using slow speed and moist polishing agent help to control the amount of heat produced during rotary polishing

A

True

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15
Q

Patients are told not to swallow during a professionally applied fluoride because a tray or paint on technique contains enough fluoride to cause a certainly lethal dose of fluoride

A

False

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16
Q

Acidulated phosphate fluoride has a low ph so it should not be used on teeth with proclein or composite restorations

A

True

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17
Q

When placing the fluoride in a tray the fluoride should reach the rim of the tray completely filling the tray to ensure coverage of all surfaces

A

False

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18
Q

Digital video imaging done with intraoral wand is not as valuable during patient education as using a typhodont to identify locations needing better biofilm removal

A

False

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19
Q

To determine the sequence of a treatment plan you have to consider if there are any urgent problems what the etiological factors are, the severity of the condition and the patient as an individual

A

True

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20
Q

When you ask for feedback in the ccp clinic the instructors will perform the necessary immediate evaluation of your treatment of a patent by exploring all surfaces to see if all the deposits have been removed

A

False

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21
Q

A patient with excellent periodontal treatment results has been well maintained the first year after treatment has no complicating favored and good oral hygiene may require only one maintenance recall appointment per year

A

True

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22
Q

Immediate evaluation does not include an assessment of the gingival respond to deposit removal because the tissues haven’t had time to respond so you must wait for the follow up evaluation

A

True

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23
Q

According to Wilkins the purpose of a maintenance program is the removal of any deposits missed during initial therapy

A

False

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24
Q

Patients with extensive restorative treatment like crowns, bridges and implants require less frequent recall maintenance appointments because restore surface accumulate less calculus

A

False

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25
Q

After reviewing the patients medical/dental histories/ medications and obtaining the vitals signs you will sign to for the dentist to review your findings, do a cursory exams and prescribe radiographs

A

True

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26
Q

Follow up evaluation includes assessing if the hygienists biofilm removal education/ instructions were effective

A

True

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27
Q

Exploratory or assessment stokes should be done intermittently between each scaling and root planning stroke

A

True

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28
Q

Fluoride varnish contains 46% NaF

A

False

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29
Q

A patient presenting with no deposits, including no biofilm and yet there are signs of gingival inflammation may not be removing the biofilm completely on a regular basis

A

True

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30
Q

During follow up evaluation it is important to evaluate how the patient performs plaque removal and how effective it is

A

True

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31
Q

Digital video imaging done with intraoral wand is not as valuable during patient education as using typhodont to identify locations needing better biofilm removal

A

False

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32
Q

An extrinsic dental stain is one which is on the outer surface therefor is of an exogenous source and can be removed by mechanical means

A

True

33
Q

Intro oral photographs can be used for comparison between pre treatment and post treatment

A

True

34
Q

Immediate evaluation includes an assessment of the gingival response to deposit removal

A

False

35
Q

Assessment data must be looked at as a whole, synthesizing and correlating the information to create a treatment plan

A

True

36
Q

Exploratory or assessment strokes should be done intermittently between each scaling and root planning stroke

A

True

37
Q

Mottled enamel (fluorosis) will not occur with topical fluoride applications

A

True

38
Q

The abutment tooth is the natural tooth remaining or implant which supports a prosthetic

A

True

39
Q

When cleaning a denture you should hold it carefully by the border so that all surfaces can be cleaned

A

False

40
Q

In the ccp dental hygiene clinic, the agreement and consent are aofned by the patient after the treatment plan has been completely written and signed by an instructor

A

False

41
Q

Removable spoil and should be kept in water or cleaning solution when not in patients mouth because the applicable may distort

A

True

42
Q

The first thing you do after receiving a removable prosthetic from a patient is place it in a sterile beaker clean it in the ultrasonic bath to remove all debris the examine it for defects

A

False

43
Q

One client care evaluation form is used during all of the treatment from the first appointment to the last

A

True

44
Q

If there is stain or calculus on a dentures impression surface the hygienist does not scale it off

A

True

45
Q

Parents should use full strength household bleach to clean their removable dentures and partials if there is stain on them

A

False

46
Q

An advantage of fluoride varnish is that it does not require a completely dry environment for application

A

True

47
Q

During polishing with rotary rubber cup, the rubber cup should be placed at a 45 degree angle to the tooth surface

A

False

48
Q

Gross scaling should be done at the first appointment and fine scaling / root planning done during subsequence appointments so compete refinement can be accomplished

A

False

49
Q

The sickle scalers have an advantage over curets because they can remove deposits close to the contacts between teeth

A

True

50
Q

The primary objective of scaling and root planning is to smooth the tooth so it is esthetically acceptable

A

False

51
Q

The 13/14 Columbia curet is a true universal in that it can be used anywhere in the mouth on any surface in any depth of pocket to remove any kind of calculus

A

False

52
Q

Exploratory/ assessment strokes should be done intermittently between each scaling stroke and root planning stroke

A

True

53
Q

To identify the universal curets cutting edge to be used for scaling you hold the terminal shank perpendicular to the floor

A

False

54
Q

Channeling/ channel scaling means you engage a small segment of a calculus deposit with each working stroke to remove it not trying to remove a whole deposit with one stroke

A

True

55
Q

Root planning strokes begin like scaling strokes and the progressively become longer strokes with lighter lateral pressure until the surface is smooth

A

True

56
Q

Flies as a scaling instrument are used to help crush and fragment especially tenacious calculus deposits so sickles and curets are not needed

A

False

57
Q

To remove calculus deposit from interproximal surfaces begin your scaling strokes directly apical to the contact and move to the base of the interproximal pocket

A

False

58
Q

On external surface of tooth

  • May be removed by mechanical means (tooth brushing, scaling, ultrasonic, polishing)
  • always exogenous
A

Extrinsic stain

59
Q

Occur within tooth surface

  • can not be removed by mechanical means
  • May be exogenous or endogenous
A

Intrinsic stain

60
Q

Come from sources outside of the tooth

  • develop after tooth eruption
  • May remain extrinsic or become intrinsic
A

Exogenous

61
Q

Originates within the tooth substances

-always intrinsic

A

Endogenous

62
Q

Chromosome bacteria or fungi

  • do not scale; underlying demineralization may be present
  • brush away
A

Green stain

63
Q

Stain most frequently seen in clean mouths

  • recurrent
  • scale/polish off
A

Black stain

64
Q

Light brown to leathery black brown

A

Tobacco stains

65
Q

Chromogenic bacteria in biofilm

A

Orange/ red stain

66
Q

Acute gingivitis appears in about 2-3 weeks T or F

A

True

67
Q

Gingival health restores in 3-5 days of effective brushing and flossing T or F

A

True

68
Q

Angulation greater than 90 degrees

A

One cutting edge will be in contact with the soft tissue lining

69
Q

Angulation less than 45 degrees

A

The cutting edge will slide over the calculus deposit rather than biting in to it

70
Q

The face to root surface angulation for root debridement is an angle between

A

60-70 degrees

71
Q

For calculus removal the face to tooth surface angulation is an angle between

A

45-90 degrees

  • calculus removal= closer to 70 degrees
  • root planning= a little more than 45 degrees
72
Q

Calculus removal stroke

A

Biting stroke

73
Q

Shaving stroke made with light pressure with the cutting edge against the tooth cementum
-slightly longer than a calculus stroke

A

Root debridement stroke

74
Q

When sharpening point tip or toe I instrument toward self and face parallel to the floor T or F

A

True

75
Q

Grasp stone firmly in superior hand by opposing edges and position it against the heel of the cutting edge at a 70-80 degree internal blade angle (100-110 degree angle to face of blade) T or F

A

True

76
Q

When sharpening use a rhythmical stroke 1/2 to 1 inch WITHOUT stone coming off instrument T or F

A

True

77
Q

Polishing agent used on sealants

A

Plain flour of pumice - no oils , fluoride or flavoring agents

78
Q

Face of the blade is at a 90 degree angle to the terminal shank

A

Sickle scalers and universal curets

79
Q

Face perpendicular to the lower shank (90 degrees)

A

Sickle scalers & universal curets

80
Q

Face tilts at a 70 degree angle to the lower shank

A

Gracey curets

81
Q

The lower cutting edge is automatically at the correct angulation when the lower shank is parallel to the tooth surface

A

Gracey curet

Clincal Dental Hygiene 2 (1 decks)

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