Intro to clinic Flashcards

1
Q

Define process of dental hygiene care

A

ADPIED
Assess, Diagnose, Plan, Implement, Evaluate, Document

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2
Q

What determines the dental hygiene diagnosis

A

Stage and grade

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3
Q

Why do some people develop infections while other do not

A

Immune response, Nutritional Status, general health

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4
Q

Which organisms are considered airborne?

A

TB, influenza, posteridua, chicken pox, staphylococcus aureus

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5
Q

Standard precautions

A

Treating all patients as if they are infectious

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6
Q

What is the purpose of wiping the op twice?

A

1st wipe is to remove the bio burden 2nd wipe is to disinfect

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7
Q

Cross contamination

A

Spread of microorganisms from one object to another

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8
Q

What type of gloves are worn for instrument cleaning procedures?

A

Heavy duty nitrile utility gloves

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9
Q

Infectious waste

A

Waste that has contacted blood or other bodily fluids

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10
Q

Disinfection

A

Eliminates all microorganisms except for spores

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11
Q

What part of the clinicians body should be even with the patients mouth?

A

Elbow

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12
Q

Trendelenburg seating position

A

Patients head is below the heart, tipped down 30-40 degrees, used for maxilla

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13
Q

Adaptation

A

1-2 mm of the tip is always in contact with the tooth

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14
Q

Describe the characteristics of a universal curet

A

Rounded back and a toe, 2 cutting edges, semicircular

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15
Q

How should you begin an instrumentation stroke?

A

Have pinched force, pressure, and fulcrum

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16
Q

Describe calculus removal stroke

A

Short, overlapping strokes, controlled movements, firm lateral pressure, remove in zones

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17
Q

Cutting edge of a sickle meets in a

A

Sharp tip/point

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18
Q

Objectives of sharpening

A

Restore a fine cutting edge while maintaining a manufacturing design

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19
Q

The angulation of the stone to the face of the instrument should be

A

110

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20
Q

Why use selective polishing

A

For areas of demineralization or compromised enamel, repeated polishing can remove dentin/enamel/cementum/ remove fluoride rich layer

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21
Q

What type of pressure should be used with a rubber cup or brush when polishing the tooth surface

A

Enough pressure to make the cup flare, light -moderate intermittent pressure

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22
Q

What is the function of etch when placing sealants

A

Produces micro pores in the enamel witch allows the mechanical bond to take place

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23
Q

Sealant is placed on the permanent molars to help prevent

A

Class 1 Caries

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24
Q

What is the SJVC policy regarding fingernails

A

Shouldn’t extend the finger tip, no polish, gel, or artificial nails

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25
Which artery should the blood pressure cuff be placed above
Brachial
26
Bidigital palpitation
Use 2 fingers from the same hand
27
Where do you measure from when your probing
Base of sulcus (junctional epithelium) to the gingival margin (free gingiva)
28
Properly adapted periodontal probe
Parallel to the long axis of the tooth, side of the probe (terminal third) always in contact with the tooth
29
What type of grasp and lateral pressure is applied when exploring?
Light feather light stroke, with light lateral pressure, relaxed hand
30
G.V Blacks Caries classification Class I
Pits and fissures
31
G.V Blacks Caries classification Class II
Proximal surfaces of premolars and molars
32
G.V Blacks caries classification Class III
Proximal surfaces of anteriors that do not involve incisal edge
33
G.V Blacks Carie’s classification Class IV
Proximal surfaces of anterior that does involve the incisal edge
34
G.V Blacks caries classification Class V
Cervical 3rd of facial or lingual surfaces of any tooth
35
G.V Blacks caries classification Class VI
Incisal edges of anterior teeth, cusps/tips of posterior teeth
36
What Classifications or Carie’s require an X-ray
Class 2 and 3
37
angels Bite Class 1
Ne
38
Angels bite class 2 division 1
39
Angels bite class 2 division 2
40
Angels bite class 3
41
When can students bring the patients into the clinic floor?
When an instructor is present at the time the appt starts
42
What type of patients must have screening appointments
SJVC walk-in/ recruits 18 years or older
43
What must a student do before dismissing a patient?
Obtain permission from the instructor
44
Lab gown characteristics
Should be past the knees, closed at the neck, disposable or bleach washable, long sleeved, cuffed ends, no pockets
45
How often should a face mask be changed?
Between every patient, or sooner if moist or soiled, every hour
46
What is the last thing to do before you leave the clinic?
Wash your hands
47
When should the treatment plan be completed?
Before an instructor checks in and before treatment after all the assessments are complete
48
Abrasion
Mechanical wearing away of tooth surfaces on tooth forces other than mastication excessive horizontal forces
49
universal sickle was originally designed for use on
Posterior teeth
50
Normal pulse range
Adult 60-100 child 80-120
51
Thumb
Holds instrument
52
Index
Holds the instrument
53
Middle
Tactile sensitivity and guides the instrument
54
Ring
Fulcrum finger, stabilizing the Hand in the mouth, support beam
55
Ideal angulation for insertion of curette
0-45 for entering the sulcus 70-80 for a stroke
56
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
57
What does the clinician need to do to stay adapted around the. Line angles
Roll the instrument with the thumb and index finger
58
What is the best way to identify supragingival calculus?
Compressed air and visually
59
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
60
Overbite
Vertical distance of maxillary incisors over mandible
61
Maximum amount of time that a rubber cup should stay in contact with the tooth
3-5 seconds
62
Symptoms of hepatitis A
Tiredness, weakness, nausea,vomiting……. Flu like symptoms
63
Tactile sensitivity
Ability to detect tooth irregularities such as calculus deposits with vibrations from your middle finger
64
horizontal strokes are best used for
Midline of direct facial/buccal and direct. Lingual of anteriors Distal line angles of posteriors
65
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
66
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
67
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
68
What does the color change on the sterilization bags indicate
Auto clave has reached the temperature needed
69
Heretic whitlow
Herpes simplex infection of finger resulting from HSV-1 or HSV2 entering through skin abrasions around the fingernail
70
Bruxisum
Habitual grinding of teeth
71
Attrition
Wearing away of tooth as a result of tooth to tooth contact
72
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
73
Ideal angulation for calculus removal with a curette
70-80
74
Aphthous ulcer/canker sore
Most depressed lesion; a lesion that has a red halo with a white concave center
75
Diastema
Space or gap between 2 teeth
76
When can a student bring a pt into the SJVC clinic
Only when instructor is on the clinic floor
77
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
78
Where is the emergency oxygen tank located
Next to laundry room on the west wall
79
Where is the emergency eyewash station located
Radiology lab sink on the south wall and sterilization lab sink east wall
80
Where is the defibrillator located
Health since building north hall way south wall
81
Where is the first aid kit on the clinic floor located
South wall cabinet
82
Where are the fire extinguishers located
Operatory 25 south wall next to the laundry room Wes wall
83
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
84
Describe the requirements for the lab gown
Full length, cover the arms, ….
85
What does the clinician need to have ready when the instructor comes to check a patient
Clean mirror, sterilized gauze, and daily evaluation
86
Describe the proper characteristics for mask efficiency
Cover nose and mouth, does not allow smell to come thru
87
What do you do if you are going to be absent from clinic
Call or email the clinic manager and cancel your patient
88
What is the protocol when a student has an empt chair in the DHC
You are expected to see a walk-in pt
89
Three types of appointments
Prophy- SRP- Perio maintenance-
90
What is the protocol if your patient cancels
I for the clinic manager personally or by using cancelation slip
91
How are students notified when a pt cancels through the DH office
Phone messages will be placed in the students mailbox
92
What is the procedure when changing rotation dates with another student
Required to make up the assigned duty by forfeiting clinic days