Intro to clinic Flashcards
Define process of dental hygiene care
ADPIED
Assess, Diagnose, Plan, Implement, Evaluate, Document
What determines the dental hygiene diagnosis
Stage and grade
Why do some people develop infections while other do not
Immune response, Nutritional Status, general health
Which organisms are considered airborne?
TB, influenza, posteridua, chicken pox, staphylococcus aureus
Standard precautions
Treating all patients as if they are infectious
What is the purpose of wiping the op twice?
1st wipe is to remove the bio burden 2nd wipe is to disinfect
Cross contamination
Spread of microorganisms from one object to another
What type of gloves are worn for instrument cleaning procedures?
Heavy duty nitrile utility gloves
Infectious waste
Waste that has contacted blood or other bodily fluids
Disinfection
Eliminates all microorganisms except for spores
What part of the clinicians body should be even with the patients mouth?
Elbow
Trendelenburg seating position
Patients head is below the heart, tipped down 30-40 degrees, used for maxilla
Adaptation
1-2 mm of the tip is always in contact with the tooth
Describe the characteristics of a universal curet
Rounded back and a toe, 2 cutting edges, semicircular
How should you begin an instrumentation stroke?
Have pinched force, pressure, and fulcrum
Describe calculus removal stroke
Short, overlapping strokes, controlled movements, firm lateral pressure, remove in zones
Cutting edge of a sickle meets in a
Sharp tip/point
Objectives of sharpening
Restore a fine cutting edge while maintaining a manufacturing design
The angulation of the stone to the face of the instrument should be
110
Why use selective polishing
For areas of demineralization or compromised enamel, repeated polishing can remove dentin/enamel/cementum/ remove fluoride rich layer
What type of pressure should be used with a rubber cup or brush when polishing the tooth surface
Enough pressure to make the cup flare, light -moderate intermittent pressure
What is the function of etch when placing sealants
Produces micro pores in the enamel witch allows the mechanical bond to take place
Sealant is placed on the permanent molars to help prevent
Class 1 Caries
What is the SJVC policy regarding fingernails
Shouldn’t extend the finger tip, no polish, gel, or artificial nails
Which artery should the blood pressure cuff be placed above
Brachial
Bidigital palpitation
Use 2 fingers from the same hand
Where do you measure from when your probing
Base of sulcus (junctional epithelium) to the gingival margin (free gingiva)
Properly adapted periodontal probe
Parallel to the long axis of the tooth, side of the probe (terminal third) always in contact with the tooth
What type of grasp and lateral pressure is applied when exploring?
Light feather light stroke, with light lateral pressure, relaxed hand
G.V Blacks Caries classification Class I
Pits and fissures
G.V Blacks Caries classification
Class II
Proximal surfaces of premolars and molars
G.V Blacks caries classification
Class III
Proximal surfaces of anteriors that do not involve incisal edge
G.V Blacks Carie’s classification
Class IV
Proximal surfaces of anterior that does involve the incisal edge
G.V Blacks caries classification
Class V
Cervical 3rd of facial or lingual surfaces of any tooth
G.V Blacks caries classification
Class VI
Incisal edges of anterior teeth, cusps/tips of posterior teeth
What Classifications or Carie’s require an X-ray
Class 2 and 3
angels Bite Class 1
Ne
Angels bite class 2 division 1
Angels bite class 2 division 2
Angels bite class 3
When can students bring the patients into the clinic floor?
When an instructor is present at the time the appt starts
What type of patients must have screening appointments
SJVC walk-in/ recruits 18 years or older
What must a student do before dismissing a patient?
Obtain permission from the instructor
Lab gown characteristics
Should be past the knees, closed at the neck, disposable or bleach washable, long sleeved, cuffed ends, no pockets
How often should a face mask be changed?
Between every patient, or sooner if moist or soiled, every hour
What is the last thing to do before you leave the clinic?
Wash your hands
When should the treatment plan be completed?
Before an instructor checks in and before treatment after all the assessments are complete
Abrasion
Mechanical wearing away of tooth surfaces on tooth forces other than mastication excessive horizontal forces
universal sickle was originally designed for use on
Posterior teeth
Normal pulse range
Adult 60-100 child 80-120
Thumb
Holds instrument
Index
Holds the instrument
Middle
Tactile sensitivity and guides the instrument
Ring
Fulcrum finger, stabilizing the Hand in the mouth, support beam
Ideal angulation for insertion of curette
0-45 for entering the sulcus
70-80 for a stroke
How to determine the correct working end of an instrument on the distal of a posterior tooth?
Functional shank is up and over , lower shank is parallel to the distal surface
What does the clinician need to do to stay adapted around the. Line angles
Roll the instrument with the thumb and index finger
What is the best way to identify supragingival calculus?
Compressed air and visually
How does a clinician obtain an accurate probe depth on a proximal surface
Tiliting, going far into the contact as possible then tilting the instrument when you reach the contact to reach the col
Overbite
Vertical distance of maxillary incisors over mandible
Maximum amount of time that a rubber cup should stay in contact with the tooth
3-5 seconds
Symptoms of hepatitis A
Tiredness, weakness, nausea,vomiting……. Flu like symptoms
Tactile sensitivity
Ability to detect tooth irregularities such as calculus deposits with vibrations from your middle finger
horizontal strokes are best used for
Midline of direct facial/buccal and direct. Lingual of anteriors
Distal line angles of posteriors
SRP
Scaling and root planing is a deep cleaning subgingivally used to treat gum disease. The process of smoothing out the root surface of teeth by removing hard deposits from below the gums. Removing cementum that is contaminated
How much should the clinician attempt to complete on a tenacious patient
Should use a segmental approach to clean as many teeth possible to completion
What is the virus varicella zoster responsible for causing
Shingles in adults and chicken pox in children causing a painful rash lasting 2-4 weeks
What does the color change on the sterilization bags indicate
Auto clave has reached the temperature needed
Heretic whitlow
Herpes simplex infection of finger resulting from HSV-1 or HSV2 entering through skin abrasions around the fingernail
Bruxisum
Habitual grinding of teeth
Attrition
Wearing away of tooth as a result of tooth to tooth contact
When using the universal curet the correct angulation for scaling is achieved
By tilting the lower shank slightly toward the tooth surface to be instrumented
Ideal angulation for calculus removal with a curette
70-80
Aphthous ulcer/canker sore
Most depressed lesion; a lesion that has a red halo with a white concave center
Diastema
Space or gap between 2 teeth
When can a student bring a pt into the SJVC clinic
Only when instructor is on the clinic floor
What it the protocol for a medical emergency
Stop treatment, remain calm, assure patient, send by standard to notify instructor and or DDS, activate EMS by calling 911
Where is the emergency oxygen tank located
Next to laundry room on the west wall
Where is the emergency eyewash station located
Radiology lab sink on the south wall and sterilization lab sink east wall
Where is the defibrillator located
Health since building north hall way south wall
Where is the first aid kit on the clinic floor located
South wall cabinet
Where are the fire extinguishers located
Operatory 25 south wall next to the laundry room Wes wall
When is medical consultation/referral needed fore treating a patient
Acquired immune deficiency syndrome (AIDS), cancer receiving chemotherapy, diabetes pt, glycemic, dietary agents, heart disease, prosthetic joint replacement, hypertension,pregnancy, TB
Describe the requirements for the lab gown
Full length, cover the arms, ….
What does the clinician need to have ready when the instructor comes to check a patient
Clean mirror, sterilized gauze, and daily evaluation
Describe the proper characteristics for mask efficiency
Cover nose and mouth, does not allow smell to come thru
What do you do if you are going to be absent from clinic
Call or email the clinic manager and cancel your patient
What is the protocol when a student has an empt chair in the DHC
You are expected to see a walk-in pt
Three types of appointments
Prophy-
SRP-
Perio maintenance-
What is the protocol if your patient cancels
I for the clinic manager personally or by using cancelation slip
How are students notified when a pt cancels through the DH office
Phone messages will be placed in the students mailbox
What is the procedure when changing rotation dates with another student
Required to make up the assigned duty by forfeiting clinic days
