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Clinical and profesional skills > Paper 1 > Flashcards

Paper 1 Flashcards

1
Q

What are the 9 GDC standards

A

Put patients interests first

Communicate effectively with patients

Obtain valid consent

Maintain and protect patients information

Have a clear an effective complaints procedure

Work with colleagues in a way that is in patients best interests

Maintain, develop and work within your knowledge and professional skills

Raise concerns if patient is at risk

Make sure your personal behaviour maintains patients confidence in you and the dental profession

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2
Q

What are the 7 pillars of clinical governance

A

Clinical effectiveness and research
Audit
Risk management
Patient and public involvement
Education and training
Information and IT
Staff management

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3
Q

What is the REACH response to a compliant

A

Recognition
Empathy
Action
Compensation
Honesty

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4
Q

What are the 3 things that must be proved in civil negligence claims

A

The professional owned a duty of care to the claimant
That the duty of care was breached
The claimant suffered loss and or harm as a result of that breach

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5
Q

3 things needed for valid consent

A

Have capacity
Be sufficiently informed
Not be subject to coercion or undue influence

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6
Q

4 reasons for patient attendance

A

New patient examination
Treatment appointments
Recall examination
Unscheduled examination

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7
Q

5 R’s of action on concern

A

Recognise
Respond
Report
Record
Refer

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8
Q

5 LA techniques in the mandible

A

Inferior dental alveolar block
Lingual block
Long buccal block
Mental block
Infiltration

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9
Q

3 LA techniques in the maxilla

A

Infiltrations
Greater palatine block
Nasopalatine block

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10
Q

6 local complications of LA

A

Failure to work
Sensory nerve damage
Motor nerve anaesthesia
Muscle injection
Intra-vascular injection
Needle fracture

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11
Q

3 systemic complications of LA

A

Faint
Allergy
Toxicity

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12
Q

How is a cavity prepared to retain amalgam

A

Cutting the cavity with a box where the base of the cavity is wider than the opening

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13
Q

How is a cavity prepared to resist removal of amalgam

A

Cutting a cavity and creating an occlusal key

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14
Q

4 functions of a liner

A

Acts as a barrier to irritating chemicals
Provides a therapeutic benefit to the pulp
Thermal protection
Mechanical benefits

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15
Q

2 issues relating to the setting reaction of composite

A

Polymerasation shrinkage
Depth of cure

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16
Q

4 tools for examining occlusal contacts

A

Miller’s forceps
Black and red GHM articulating paper
Artery clips
Shinstock foil

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17
Q

2 types of ultrasonic scalers

A

Magnetostrictive scalers
Piezo–electric scalers

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18
Q

2 issues decided relating to breach of duty

A

What standard of care is applicable

Whether or not the defendant (dentist) met that standard

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19
Q

4 components of GDC duty of candour

A

Tell the patient when something has gone wrong

Apologise, the guidance underlines that this is not an admission of liability

Offer an appropriate remedy to put things right

Explain the long and short term effects of what has happened

20
Q

2 types of hand scaling instruments

A

Gracey curettes

Periodontal hoe

21
Q

Describe Blacks class I cavities

A

Occlusal
Pits and fissures

22
Q

Describe Blacks class II cavities

A

Proximal
Proximal surface of posterior tooth

23
Q

Describe Blacks class III cavities

A

Proximal
Proximal surface of anterior tooth

24
Q

Describe Blacks class IV cavities

A

Incisal
Anterior incisal edge

25
Q

Describe Blacks class V cavities

A

Cervical
Cervical 1/3 of buccal or lingal surface of any tooth

26
Q

4 things required for amalgam restorations

A

A depth of at least 2mm

Smooth internal angles

A cavo-surface angle/amalgam-surface angle of 90 degrees

No unsupported enamel or amalgam

27
Q

What happens when:
Cavo-surface angle >90* = amalgam-surface angle < 90*

A

Thin, weak edge of amalgam at box edge

28
Q

What happens when:
Amalgam-surface angle >90* = cavo-surface angle < 90*

A

Thin, weak edge of enamel at box edge

29
Q

4 properties of size and shape of occlusal key

A

Be 1mm wide bucco-palatally

Be 2mm deep to clear the contact point

Have parallel sides

Extend along the main occlusal fissure and finish in either a dumbbell shape (premolar) or in the buccal or palatal groove (molar)

30
Q

What 2 classes of cavities are amalgam fillings indicated for

A

Class I
Class II

31
Q

Pressure required to pack amalgam

A

4/5kg with an amalgam plugger

32
Q

6 components of composite

A

Polymer matrix

Filler particles

A silane coupling agent

An initiator

An inhibitor

Tint

33
Q

4 clinical stages of placing composite

A

Acid etch: for 15 seconds, wash for 10 seconds, air dry 2-3 seconds

Bond: apply thin layer using micro-brush of prime and bond, air dry for 5 seconds, light cure 20 second

Placement: choose appropriate shade, increments no greater than 2mm, light cure each increment 20 seconds, sloping incremental packing technique

Occlusal adjustment/finish: immediate finishing using tungsten carbide burs

34
Q

5 components of resin modified glass ionomer

A

Fluoro-aluminosilicate glasses (powder)

Photo initiators

Water

Hydroxyethyl methacrylate (HEMA)

Polyacrylic acid

35
Q

What 4 things is is FUJI II light cured used for

A

Class III or V cavities

Root surface lesions

Paediatric restorations

Lining material

36
Q

What is Fuji Cem2 used for

A

Used for cementing metal and ceramic crowns and bridges

37
Q

What 4 things is FUJI IX used for

A

Class I or II that are not stress bearing

Core build ups

Paediatric restorations

Long term temporisation

38
Q

2 parts of the tooth involved in intercuspal position

A

Cusp
Fossa

39
Q

What is intercuspal position

A

The relationships of the mandible at which teeth interdigitate maximally

40
Q

What is articulation

A

Dynamic gliding contacts between opposing teeth during forwards / backwards (protrusion / retrusion) and right / left lateral mandibular movements

41
Q

Size range for filler particles

A

0.02 - 4.0 um

42
Q

3 examples of filler particles in composite

A

Quartz filler particle
Silica filler particle
Aluminosilicates filler particle

43
Q

4 elements when testing for capacity

A

The ability to understand information about the decision

The ability to retain the information long enough to make the decision

The ability to use, or ‘weigh up’ the information as part of the decision making process

The ability to communicate their decision through any means

44
Q

4 lining material options

A

Calcium hydroxide (Calcimol)

Resin modified glass ionomer RMGI

Calcium silicate materials- eg MTA, Biodentine

Zinc oxide eugenol (ZOE)

45
Q

5 types of composite

A

Conventional/traditional/macro-filled composite

Hybrid composites e.g. Ceram-X, Spectrum

Micro filled composites e.g. Flowable composite

Posterior composites

Packable composites

Clinical and profesional skills (3 decks)

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