NOTES Flashcards
ADPIED
Assesment
Diagnosis
Planning
Implementation
Evaluation
Documentation
ASA CLASSIFICATION
ASA I: healthy
ASA II: controlled systemic-smoker, pregnant, dental anxiety
ASA III: uncontrolled systemic - controlled AIDS, angina, CVA, COPD (heart and lungs)
ASA IV: uncontrolled heart and lungs (no elective care)
ASA V: wont live past 24hrs
ASA VI: brain dead
ULCERS ON MUCOSA
HERPETIC: keratinized
APTHOUS: non-keratinized
MOST COMMON CYST IN ORAL CAVITY
RADICULAR CYST (periapical)
MOST COMMON SALIVARY LESION
mucocele
ARESTIN
mynocycline (tetracycline)
spheres
ATRIDOX
doxycycline (tetracycline)
PERIOCHIP
chlorehexidine
also peridex (rinse)
MOUTHRINSE SUBSTANTIVITY LEVEL
lowest to highest
oxygenating, sanguinaire, quarternary, essential oils & chlorehexidine
ABUSED PATIENT- BRUISES
purple (new) > green (1wk) > yellow (2wks) > brown (2-4wks)
SPHENOID BONE
superior orbital fissure (V1)
foramen rotundum (V2)
foramen ovale (V3)

ETHMOID BONE
connects to the brain
behind nose

MUSCLES OF MASTICATION
“Mom Makes Tasty Lasagna”
MASSETER: elevates
MEDIAL PTERYGOID: elevates
TEMPORALIS: elevates and retract
LATERAL PTERYGOID: depresses and protudes

ARTERIES OF THE HEAD AND NECK
theres 8 arteries
“Some Angry Ladies Fight Off PMS”
Superior thyroid
Ascending pharyngeal
Lingual
Facial
Occipital
Posterior auricular
Maxillary
Superficial temporal
NUMBER OF CRANIAL BONES
8
frontal. parietal (2), occipital, temporal (2), spheoid and ethmoid
NERVOUS SYSTEM

HOW MANY BONES ARE THERE IN THE SKULL?
NUMBER OF FACIAL BONES
14

TOOTH COMPOSITION
enamel: 97% inorganic
dentin: 70% inorganic
cementum: 50 % inorganic
TOOTH FUNCTIONS
incisors: cut
canines: pierce
premolars: assist molars
molars: grind
WHERE DO YO CHECK PTS PULSE IN AN EMERGENCY
common carotid artery
TMJ MOVEMENTS
SENOVIAL CAVITY: between the condyle and glenoid fossa
TRANSLATORY (glide) : upper cavity
HINGE (depress) : lower cavity
cocoon: connective tissue
LIGAMENTS OF TMJ
JOINT CAPSULE (secretes senovyal fluid)
LATERAL
STYLO MANDIBULAR > (keep mandible from
SPHENOMANDIBULAR > transluxing (too forward)

MUSCLES OF THE TMJ
TMJ

WHAT MUSCLE INSERTS IN THE LATERAL OF MANDIBLE?
MASSETER
WHAT MUSCLE INSERTS IN THE MEDIAL ANGLE OF MANDIBLE?
MEDIAL PTERYGOID
CRISTA GALLI OF ETHMOID BONE
attaches to the brain through the meninges
pain impulses from PDL carried by which cranial nerve?
TRIGEMINAL
ATTACHMENT OF STERNOMASTOID MUSCLE
to the CLAVICLE on one end and MASTOID process on the other end
WHERE IS THE MASTOID PROCESS?
TEMPORAL BONE (behind ear)

BONE THAT FORMS THE POSTERIOR OF NASAL CAVITY
VOMER
HELIX
superior border of the ears
BIPOLAR DISORDER
lithium
ORIGIN OF THE MENTALIS MUSCLE
MAJOR DEPRESSION
FLUOXETINE
(Prozac)
INDICES THAT MEASURE ORAL HYGIENE STATUS
Plaque index (PI)
Plaque control record
Plaque-fee score
Patient hygiene performance (PHP)S
implified oral hygiene index,OHI-S)
PLAQUE INDEX (PI)
4 surfaces
score of 0-3
0-none, 1-free gingival margin, 2-moderate accumulation, 3-abundance of soft material
METHODS OF STERILIZATION
Steam autoclave
Dry heat
Chemical vapor
Ethylene oxide
Cold sterile
STEAM AUTOCLAVE
20 minutes
121-134 degrees C (250-273 degrees F)
15-31 psi
DRY HEAT
60-120 minutes
160 degrees C (320 degrees F)
CHEMICAL VAPOR
60-120 minutes
160 degrees C
HEALING
PRIMARY INTENTION: minimal scarring
SECONDARY INTENTION: keloid (scar)
TERTIARY INTENTION: infection
ETHYLENE OXIDE
10-16 hours
61C (141.8 degrees F)
COLD STERILE
2% gluteraldehyde immersion
10 hours
ALL TEETH DEVELOP FROM 4 LOBES, EXCEPT:
PERMANENT MAND 2ND PREMOLAR
5 lobes
HERPES REMAINS DORMANT IN ..
Sensory ganglion
PEDICLE GRAFT
from neighbor tooth
BONE GRAFT FOR IMPLANT COMES FROM..
chin or ramus
TOOTH DEVELOPMENT
6-9 wks
initiation
bud
cap
bell
apposition
maturation

STEPS OF GINGIVITIS
0-2 days: colonized by gram pos cocci
2-4 days: increase of gram pos cocci and rods
4-7 days: gram-neg spirochetes & vibrios
7-14 days: gram neg/anaerobic- inflammation
14-21: gram neg/anaerobic- gingivitis
MAX OCCUPATIONAL RADIATION EXPOSURE
5,000 Millirems (5 rems)
or
50 mSv
INVERSE SQUARE LAW
as distance increases energy decreases
First: how many times shorter/longer?
(ex: from 8 PID to 16 PID: increased twice the amount, its 2)
Second: square the number
(ex: 22= 4)
Third: If new distance is shorter, 4 is the answer
If new distance is longer, invert the number (ex: 1/4)
ETCH
BIOFILM
PELLICLE: protects teeth
SLIME LAYER: protects bacteria
FIMBRIA: hairs help bacteria attachment
AMPERAGE
of electrons moving per second
VOLTAGE
XRAY TUBE
CATHODE(-) >>>> e- e- e- e- >>>> ANODE(+)
mollybdenum cup copper filament
tungsten fillament tungsten target
TYPES OF RADIATION
PRIMARY RADIATION: what comes out of the tube
SECONDARY RADIATION: what the patient gets
TERTIARY RADIATION: scatter (comptom)
THE NEURON
SALTATORY CONDUCTION: at unmyelinated nodes of ranvier
SYNAPSE: communication btw two neurons

CHI-SQUARE
observed vs expected
P-value
ocurred by chance
TORT
wrongful conduct
** unintentional tort: failure to provide standard of care

CORRELATIONS
PERFECT: +1 or -1
STRONG: close to 0 (+ or -)
NONE: 0
RAD : Gray - absorbed dose
REM: Sievert - equivalent dose
ROETGEN: Columb- exposure