Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Patient Care III > Grasp, Fulcrum, Periodontal instruments & probing > Flashcards

Grasp, Fulcrum, Periodontal instruments & probing Flashcards

1
Q

Grasp for holding periodontal instruments, that allows precise control of the working-end, permits a wide range of movement & facilitates good tactile conduction:

A

The modified pen grasp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

This image shows:

A

Modified pen grasp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In the modified pen grasp, ____ & _____ hold the instrument

A

thumb & index finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In the modified pen grasp, the ____ stabilizes

A

middle finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In the modified pen grasp, the _____ is used to fulcrum (hinge/pivot)

A

Ring finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In the modified pen grasp, the ____ is used to roll the instrument

A

thumb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

In the modified pen grasp, fingers maintain contact & work together to:

A

adapt the instrument

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where does movement come from in the modified pen grasp?

A

The wrist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Placement on the instrument, functioning to hold the instrument:

A

index & thumb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Placement rests slightly on the shank, functions to help guide the working end & feels vibrations transmitted from the working-end to the shank:

A

middle finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Placement is on oral structure (often a tooth surface), and functions to stabilize the hand for control and strength:

A

ring finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Placement near ring finger, held in a natural, relaxed manner and has no function in the grasp:

A

pinky finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

stabilizing point for clinician’s hand during instrumentation:

A

fulcrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The three types of fulcruming techniques include:

A
  1. intraoral
  2. extraoral
  3. advanced
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

_______ fulcrums provide the best stability for the clinician’s hand, decreases the likelihood of injury to the patient or clinician, and provides the best leverage and strength for instrumentation

A

standard intraoral fulcrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

a stabilizing point inside the patient’s mouth, against a tooth surface:

A

Intraoral fulcrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

a stabilizing point outside the patient’s mouth (e.g., against the patient’s chin or cheek)

A

Extraoral fulcrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What fulcrum is shown in the image?

A

Intraoral fulcrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Intraoral fulcrums can be ____ or ____

A

palm up or palm down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What fulcrum is shown in the image?

A

advanced fulcrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Parts of the periodontal instrument include: (3)

A
  1. handle
  2. shank
  3. working-end
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Part of the periodontal instrument used for holding the instrument:

A

handle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Part of the periodontal instrument that is the rod-shaped length of metal located between the handle and working-end of an instrument:

A

shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Part of the periodontal instrument that does the work:

A

working-end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Label the following parts of the periodontal instrument:

A

a) handle
b) shank
c) working-end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Label the following parts of the periodontal instrument:

A

a) handle
b) shank
c) working-end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Label the following parts of the periodontal instrument:

A

a) handle
b) shank
c) working-end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

The parts of the shank include:

A
  1. functional shank
  2. terminal shank
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

The part of the shank that allows the working-end to be adapted to the tooth surface; begins below the working-end and extends to the last bend in the shank nearest the handle:

A

functional shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

The portion of the functional shank nearest to the working-end:

A

terminal shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Label the following parts of the shank:

A

a) terminal shank
b) working-end
c) functional shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

A shank that is bent in one plane (front-to-back):

A

simple shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

A simple shank can also be called:

A

straight shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Simple shanks are used primarily on:

A

anterior teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What type of shank is seen in the following image?

A

simple shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What type of shank is seen in the following image?

A

complex shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

A shank that has been bent in two plane (front-to-back & side-to-side):

A

complex shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

A complex shank may also be called:

A

angled/curved shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

A complex shank is used on:

A

posterior teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

When determining if your shank is simple or complex, hold the instrument so that the:

A

working-end is facing you

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

If an instrument (shank) when viewed from the front appears to be straight, this is a:

A

simple shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

If an instrument (shank) when viewed from the front appears to be bent from side-to-side, this is a:

A

complex shank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Label which shank is simple, and which is complex:

A

A) Simple
B) Complex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

The function of an instrument is determined, primarily, by the:

A

design of the working-end

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

The two main types of periodontal hand instruments include:

A
  1. sickle scalers
  2. curettes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Sickle scalers are ____ in cross-section of the blade

A

triangular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What type of scaling are sickle scalers used for?

A

Supragingival

48
Q

How many cutting edges are present on a sickle scaler:

A

two

49
Q

Curettes are ____ in cross-section of the blade

A

rounded

50
Q

What type of scaling are curettes used for?

A

supra- and subgingival scaling

51
Q

______ and ______ curette instruments are available

A

universal & area-specific

52
Q

How many cutting edges are present on universal curettes?

A

2

53
Q

How many cutting edges are present on area-specific curettes?

A

1

54
Q

The end of a sickle scaler is a _____ while the end of a curette is a ____

A

tip; toe

55
Q

What are the arrows pointing to in the following images?

A

Cutting edges

56
Q

Describe the following aspects of a sickle scaler:

End:
Cutting-edge:
Angulation:
Cross-section:
Blade:

A

End: pointed toe
Cutting-edge: 2
Angulation: 90 degrees
Cross-section: triangular
Blade: straight

57
Q

Describe the following aspects of a universal curette:

End:
Cutting-edge:
Angulation:
Cross-section:
Blade:

A

End: rounded
Cutting-edge: 2
Angulation: 90 degrees
Cross-section: half-eliptical
Blade: straight

58
Q

Describe the following aspects of an area-specific curette (gracey’s curette)

End:
Cutting-edge:
Angulation:
Cross-section:
Blade:

A

End: rounded
Cutting-edge: 1 (lower end)
Angulation: 70 degrees
Cross-section: half-eliptical
Blade: curved away from cutting edge

59
Q

Important for maintaining contact of working-end and tooth structure during instrumentation:

A

Adaptation

60
Q

Incorrect adaptation resutls in:

A

ineffective calculus removal & tissue laceration

61
Q

Important for efficient plaque and calculus removal:

A

activation

62
Q

______, _____ & _____ work as a unit in activation of an instrument

A

wrist, hand & forearm

63
Q

For activation, what is NOT effective, and what might this cause?

A

Finger pulling; operator fatigue

64
Q

Components that contribute to activation of an instrument include: (5)

A
  1. blade adaptation
  2. instrument angulation
  3. blade insertion
  4. lateral pressure
  5. working stroke
65
Q

Refers to the angle between the face of a bladed instrument and the tooth surface:

A

angulation

66
Q

Angulation refers to the angle between:

A

face of a bladed instrument & tooth surface

67
Q

Instrument used to search into and explore thoroughly:

A

Periodontal probe

68
Q

The MOST important instrument used for assessing and diagnosing periodontitis:

A

periodontal probe

69
Q

What is a periodontal probe used to measure? (9)

A
  1. probing depth
  2. gingival recession
  3. size of pathologic lesions
  4. clinical attachment level
  5. furcation involvement
  6. distance between teeth
  7. amount of attached gingiva
  8. bleeding on probing
  9. overbite/overjet
70
Q

A slender, tapered, blunt instrument with millimeter markings on it:

A

periodontal probe

71
Q

What is probing inaccuracy related to? (3)

A
  1. probe design
  2. pressure applied
  3. contour of tooth
72
Q

Probing depth usually correlates to:

A

attachment loss

73
Q

Probing depth is always an objective measure of the:

A

Distance between the base of the pocket and the crest of the gingiva (regardless of attachment loss)

74
Q

Readings of probing depths may change over time due to:

A

changes in position of the gingival margin

75
Q

Label the following types of probes:

A

a) implant probe
b) periodontal assessment probe
c) periodontal assessment probe
d) biotype probe

76
Q

Used to evaluate the bone support in the furcation areas of bifurcated & trifurcated teeth:

A

Nabers (furcation) probe

77
Q

When using a nabers probe, the correct working-end of the probe is when the lower (terminal) shank is positioned:

A

Parallel to the tooth surface being examined

78
Q

Of the following images of a nabers probe, which is showing the correct use?

A

Top- correct

79
Q

When using a nabers probe you do not need to read mm marking when:

A

identifying class of furcation

80
Q

What type of probe is seen in this image?

A

Nabers (furcation) probe

81
Q

act of walking the tip of the probe along the junctional epithelium (JE) within the sulcus or pocket for the purpose of assessing the health status of periodontal tissues:

A

probing

82
Q

The movement of a calibrated probe around the perimeter of the base of a sulcus/pocket:

A

walking stroke

83
Q

When probing, it is essential to evaluate the entire “length” of the pocket base, because:

A

The JE is not necessarily at a uniform level around the tooth

84
Q

Probing is the act of walking the tip of a probe along the ______ within the sulcus or pocket, for the purpose of assessing the health status, of the periodontal tissues

A

Junctional epithelium (JE)

85
Q

What grasp should be used for holding the probe?

A

Modified pen grasp

86
Q

When probing, you should fulcrum:

A

Close to the tooth you are probing

87
Q

When probing, ______ of the probe should always contact the tooth

A

working-end

88
Q

When probing, the probe should be _____ to the long axis of the tooth, around all proximal surfaces, except when probing the ______ (due to the ____)

A

parallel; interproximal spaces; gingival col

89
Q

When probing, where should the probe be placed?

A

below the gingival margin to the base of the sulcus

90
Q

When probing, place the probe below the gingival margin to the base of the sulcus using _____ of pressure

A

10-15 grams

91
Q

In health, the probe will stop at the:

A

junctional epitheliun

92
Q

In disease, the probe will go into the:

A

connective tissue (not stop at the junctional epithelium)

93
Q

Your probing depth will be calculated based on the line you see at the:

A

Gingival margin

94
Q

After the probe is inserted you should keep the probe _____ as you move along the tooth

A

subgingival

95
Q

Keep the probe subgingival as you move along the tooth and _____ along the circumference of the tootg

A

hop

96
Q

When probing, begin at the ______ and back into the _____ aspect of the tooth; move forward toward the ____

A

distal line angle; distal; mesial

97
Q

If you get multiple different measurements when probing your readings should be the:

A

deepest

98
Q

Probing measures six sites per tooth, these include:

A
  1. Distofacial
  2. facial
  3. mesiofacial
  4. distolingual
  5. lingual
  6. mesiolingual
99
Q

PD=

A

Probing depth/pocket depth

100
Q

GM=

A

Gingival margin (measuring recession or overgrowth)

101
Q

ATTACH=

A

Clinical attachment loss (CAL)

102
Q

BOP=

A

Bleeding on probing

103
Q

Base of pocket to gingival margin is the measure of the:

A

PD

104
Q

CEJ to base of pocket is the measure of the:

A

Attachment level

105
Q

CEJ to gingival margin (GM) is the measure of:

A

Recession

106
Q

If the PD=2mm and the GM=3mm, then the attachment loss=

A

5mm

107
Q

If the measurment for the gingival margin is (+), then:

A

recession is present

108
Q

If the measurement for the gingival margin is (-), the gingival margin is:

A

Coronal to the CEJ (no recession)

109
Q

PD=5mm
GM= -3mm
CAL= ____

A

2mm

110
Q

PD= 5mm
GM=0mm
CAL= ____

A

5mm

111
Q

PD=2mm
GM=3mm
CAL= _____

A

5mm

112
Q

A CAL of 0=

A

no peridontitis

113
Q

A CAL of 2=

A

early periodontitis

114
Q

A CAL of

A

progression of periodontitis

115
Q

A CAL of 7=

A

Continued progress of periodontitis

116
Q
A

Patient Care III (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions