Brainscape's Knowledge GenomeTM

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


See full index

Dental Hygiene III > Mod 7 Test 2 > Flashcards

Mod 7 Test 2 Flashcards

1
Q

What are 3 types of fulcrums

A

intraoral, extraoral, advanced

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

Describe a standard intraoral fulcrum

A

ring finger on stable tooth
same arch
control and support
decreases stress to the hand

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

what are elements of a extraoral fulcrum

A

-broad surface area of contact
extended grasp of instrument
appropriate pressure onto skin of pts face

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

what are the advantages of extraoral fulcrums

A

-access to deep pockets
access to max molars
improves parallelism of lower shank
neutral wrist position

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

what are the disadvantages of extraoral fulcrums

A

operator may feel unstable or feel like strength is decreased

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

do extraoral fulcrums decrease control

A

no

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

control is not dependent on what

A

closeness of grasp to area of instrumentation

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

what creates a controlled stroke

A

fulcrum pressure

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

what is an advanced fulcrum

A

variations of extra and intra fulcrums to gain access to deep pockets

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

what kind of intraoral advanced fulcrums are there

A

modified, cross arch, finger on finger, stabilized or finger assist

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

what kind of extraoral advanced fulcrums are there

A

palm up or folded knuckle, palm down or chin cup

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

what are advantages of advanced fulcrums

A

-access to deep pockets
access to max molars
improves parallelism of lower shank
neutral wrist position

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

what are disadvantages of advanced fulcrums

A
  • requires greater amt of muscle coordination and instrumentation skills
  • greater chance of instrument stick
  • decreased tactile
  • not tolerated by pt
  • may require direct vision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are qualities of a split fulcrum

A

weak, results in finger action adn doesnt allow for deep access into pockets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Periodontal disease is the leading cause for

A

tooth loss and malpractice

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

what are the inflammatory cells of perio disease*

A

lymphocytes, PMN, macrophages and auxillary cells

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

what is chemotaxis*

A

the process which attracts inflammatory cells to areas of the body by stimuli such as trauma and microbial presence

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

what are substances produced by stimulated immune cells*

A

cytokines

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

what do cytokines stimulate the release of*

A

inflammatory cells

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

what do inflammatory cells intiate*

A

collegen destruction (bacterial and connective tissue, perio fibers)

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

what is mechanical treatment is

A

root debridement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

how much bacteria remains after mechanical tx

A

10-20%

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

what are the highly specific uses of systemic antibiotic therapy

A

-aggresstive perio, perio that doesnt respond to tx, perio abcess

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

what are the types of systemic antibiotics

A

penicillin, tetracycline, erythromycin, metronidazol, clindamycin

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

what is the drug of choice for perio tx and why

A

tetracycline, bc it stays highly concentrated in crevicular fluid

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

what are examples of adjunctive chemical therapy (systemic)

A

tablets, capsues

27
Q

what are kinds of topical adjunctive chemical therapies

A

rinse (CHX, listerine)
dentifrice (prevident, colgate total)
sub ging. irrigation
control release devices

28
Q

what are the disadvantages of systemic therapy

A

allergic rxn, bacterial resistance, side effects GI

29
Q

what are the contraindications of systemic therapy

A

pregnancy, nursing, children, allergy

30
Q

What is a product that utilizes enzyme suppression therapy

A

periostat

31
Q

how does periostat work

A

inhibits collegenase from beginning the inflammatory response

32
Q

how is perio stat delivered

A

low dose systemically delivered tx

33
Q

what is periostat

A

doxycyline 20 mg 2x day

34
Q

what does a submicrobial dose of periostat produce

A

enzyme inhibition

35
Q

what happens if you go over 20 mg 2x day for periostat

A

starts to work like an antibiotic which we sont want

36
Q

what is local antimicrobial therapy

A

placement of antibioitic or antimicrobial agent at a periodontal site (of infection)

37
Q

what are qualities of local antimicrobial therapys

A

highly concentrated
time released over several days
no worries for pt complianc

38
Q

what are local antimicrobial agent produx

A

atridox, perio chip, arestin

39
Q

what is atridox

A

doxycycline

40
Q

what is periochip

A

no an antibioits, is CHX which is antimicrobial

41
Q

what is arestin

A

minocycline

42
Q

what is substantivity of a microbial agent

A

ability of an agent to be:
bound to the pellicle and tooth surface
relased over a period of time
retention of potentcy

43
Q

when could you use the perio chip

A

if a person has a tetracycline allergy

44
Q

what product is in perio chip

A

2.5 mg of CHX in a biodegradable gelatin mix that doesnt require refridgeration

45
Q

how is the periochip released

A

40% of the drug is released in 24 hrs

46
Q

how is perio chip placed

A

with cotton pliers

47
Q

what is the tx time of perio chip

A

7-10 days

48
Q

what are the contraindications for perio chip

A

pregnancy, nursing, allergy, children

49
Q

what is atridox

A

10% doxycycline hylcate

50
Q

how is atridox dispensed

A

2 syringes- syringe A has liquid polymer Syringe B has doxycyline powder

51
Q

how is atridox delivered into pocket

A

insert syringe into pocket, can pack with instrument

52
Q

why should you bring a pt back in to check atridox

A

it can leave behind a fiber

53
Q

what is the tx time of atridox

A

7-10 days

54
Q

what are the disadvantages of atridox

A

perio dressing may be required, learning curve, not for perio abcessses, chx sensitivity

55
Q

what are the contraindications of atridox

A

pregnancy, tetracycline sensitivity

56
Q

what are the advantages of atridox

A

no potential for developing bacterial resistance, ease of application

57
Q

what is arestin

A

minocyline hydrochloride 1mg, polymer microspheres in powder form

58
Q

what does arestin attach to

A

tooth and sulcus wall

59
Q

what kind of effect does arestin have

A

antimicrobial

60
Q

what is the tx time for arestin

A

14 days

61
Q

what are the advantages of arestin

A

no dressing or mixing, ease of application, 2 year shelf life

62
Q

what are the advantages of local antimicrobial therapy

A

-concentration up to 100x higher than systemic
delievered where needed
release over time
no systemic involvement

63
Q

when do you utilize local perio medicaments

A

intial Non surg therapy, at the re evaluation appt, at the re tx appt, at the maintentance appt

Dental Hygiene III (11 decks)

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