part 1 Flashcards
define oral flora
microorganisms inhabiting the oral cavity and live together in a symbiotic relationship
what are non-mineralized deposits
acquire pellicle
materia alba
food debris
what is needed for plaque to adhere in the oral cavity
rough surface, crowded teeth and appliances
identify why calculus is a threat to the oral cavity
provides a rough surface where biofilm can stick
define calculus
mineralized plaque
define materia alba
soft mixture of bacteria and salivary proteins, food material and dead tissue
define plaque
sticky film of bacteria on the teeth
describe the evaluation process needed of the client prior to coronal polish
extrinsic stains
contraindications
what oral aid would you use to instruct a patient in keeping a furcation area free of plaque
interdental brush
define apexification
how the root develops
define apexogenesis
root development and treatment
what type of plaque thrives supragingivally
cariogenic plaque
list types of extrinsic stains
coffee
chlorhexidine
green stain
black stain
tobacco
what type of stain is enamel hypoplasia
endogenous intrinsic
list common factors of cariogenic bacteria
produces acids
what is the proper equation for dental caries to occur
sugar + bacteria = acid
-> acid + tooth = decay
describe the caries development rate
rate of demineralization has to be stronger than remineralization
what does the pH level of plaque affect
the lower the pH level, it affects your demineralization rate
how long does it take for gingivitis to evelop if plaque is left undisturbed
10 days
why are glycoproteins formed
it is the main component for acquire pellicle and is always in saliva
when is topical fluoride applications recommended
after polishing and for people that are high risk and people with no access
why do you ask a client to chew on a fluoride tray during the application of fluoride
to squeeze the fluoride over all tooth surfaces
what is the mechanical removal of calculus, debris, plaque and stain of coronal surfaces and gingival sulci called
prophylaxis
post op for fluoride treatment
instruct patient not to rinse, eat or drink or brush teeth for at least 30 minutes
why is systemic fluoride beneficial
strengthens the enamel of developing teeth and bones
what is the recommended concentration of fluoride in municipal water
1.0 ppm
what does topical fluoride provide to the teeth
helps control caries by slowing down demineralization and enhances remineralization
what does coronal polish remove
stains, plaque and debris
what do you do with the rubber cup after the polish
thrown out
why do you add a wetting agent to an abrasive
it reduces frictional heat during polishing which can cause pulpal damage
what is the grasp used for a handpiece
pen grasp
what areas of the tooth are most effectively cleaned with a prophy cup
buccal surfaces
what is the correct stroke used for a prophy cup
short overlapping intermittant strokes
how does tissue traumatized by a prophy cup look
red
irritated
bleeding
list the signs of periodontal disease
red, swollen gingiva
bleeding gingiva from brushing and flossing
loose or separating teeth
pain or pressure when chewing
pus
what is pregnancy gingivits is a result off
increased severity of gingivitis due to hormones fluctuation
describe juvenile periodontitis
bone loss that suggests more aggresive and rapod progession
what is a systemic factor that contributes to periodontal break down
genetic disorders
diabetes
obesity
osteoporosis
smoking
medications
cancer
list the signs and symptoms of gingivitis
redness
swelling
increased heat
pain
disturbance of function
what are the characteristics of healthy gingivitis
pink
round papilla
sulcus less than 3mm
no bleeding
stippled
what is the first type of bone lost in periodontal disease
compact bone
list the tissues of the periodontium
alveolar bone
cementum
periodontal ligament
dentogingival junction
gingiva
what motion is used in the bass technique to clean the occlusal surface
back and forth