Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

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
what is the drug of choice for perio tx and why
tetracycline, bc it stays highly concentrated in crevicular fluid
26
what are examples of adjunctive chemical therapy (systemic)
tablets, capsues
27
what are kinds of topical adjunctive chemical therapies
rinse (CHX, listerine) dentifrice (prevident, colgate total) sub ging. irrigation control release devices
28
what are the disadvantages of systemic therapy
allergic rxn, bacterial resistance, side effects GI
29
what are the contraindications of systemic therapy
pregnancy, nursing, children, allergy
30
What is a product that utilizes enzyme suppression therapy
periostat
31
how does periostat work
inhibits collegenase from beginning the inflammatory response
32
how is perio stat delivered
low dose systemically delivered tx
33
what is periostat
doxycyline 20 mg 2x day
34
what does a submicrobial dose of periostat produce
enzyme inhibition
35
what happens if you go over 20 mg 2x day for periostat
starts to work like an antibiotic which we sont want
36
what is local antimicrobial therapy
placement of antibioitic or antimicrobial agent at a periodontal site (of infection)
37
what are qualities of local antimicrobial therapys
highly concentrated time released over several days no worries for pt complianc
38
what are local antimicrobial agent produx
atridox, perio chip, arestin
39
what is atridox
doxycycline
40
what is periochip
no an antibioits, is CHX which is antimicrobial
41
what is arestin
minocycline
42
what is substantivity of a microbial agent
ability of an agent to be: bound to the pellicle and tooth surface relased over a period of time retention of potentcy
43
when could you use the perio chip
if a person has a tetracycline allergy
44
what product is in perio chip
2.5 mg of CHX in a biodegradable gelatin mix that doesnt require refridgeration
45
how is the periochip released
40% of the drug is released in 24 hrs
46
how is perio chip placed
with cotton pliers
47
what is the tx time of perio chip
7-10 days
48
what are the contraindications for perio chip
pregnancy, nursing, allergy, children
49
what is atridox
10% doxycycline hylcate
50
how is atridox dispensed
2 syringes- syringe A has liquid polymer Syringe B has doxycyline powder
51
how is atridox delivered into pocket
insert syringe into pocket, can pack with instrument
52
why should you bring a pt back in to check atridox
it can leave behind a fiber
53
what is the tx time of atridox
7-10 days
54
what are the disadvantages of atridox
perio dressing may be required, learning curve, not for perio abcessses, chx sensitivity
55
what are the contraindications of atridox
pregnancy, tetracycline sensitivity
56
what are the advantages of atridox
no potential for developing bacterial resistance, ease of application
57
what is arestin
minocyline hydrochloride 1mg, polymer microspheres in powder form
58
what does arestin attach to
tooth and sulcus wall
59
what kind of effect does arestin have
antimicrobial
60
what is the tx time for arestin
14 days
61
what are the advantages of arestin
no dressing or mixing, ease of application, 2 year shelf life
62
what are the advantages of local antimicrobial therapy
-concentration up to 100x higher than systemic delievered where needed release over time no systemic involvement
63
when do you utilize local perio medicaments
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.
© 2025 Bold Learning Solutions. Terms and Conditions