patient positioning / ergo/asepsis

Question 1

dental extraction surgery

Answer 1

1) open approach
2) flapping tissue exposes the relationship of tooth to bone
3) teeth can be sectioned, bone removed, or tooth removed with forceps
4) if only removed with elevator and forceps, it is routine

Question 2

flap tissue

Answer 2

1) #15 scalpel
2) #9 mole periosteal elevator
3) minnesota retractor
4) weider retractor

Question 3

grasping soft tissue

Answer 3

1) adson rissue forceps
2) allis forceps

Question 4

controlling hemorrage

Answer 4

1) kelly hemostat
2) needle holder is for driving needles
3) hemostat is for stopping bleeding

Question 5

aspirating fluid

Answer 5

1) fraser tip suction
2) stylet

Question 6

removing bone

Answer 6

1) rongeur
- bone scissor
2) bur and handpiece
3) mallet and chisel
4) bone file

Question 7

suturing soft tissue

Answer 7

1) needle holder
2) suture needles and materials
- cutting surface on bottom side
- 3/8th
- resorbable and nonresorbable

Question 8

scissors

Answer 8

1) dean and kelly scissors
2) soft tissue dissecting scissors

Question 9

holding mouth open

Answer 9

1) bite blocks
2) molt (side action) mouth prop

Question 10

dental elevators

Answer 10

1) straight
2) angled
-
work by elevation (scooping), luxation (wiggle), displacement

Question 11

extraction forceps

Answer 11

1) universal upper and lower
2) palm to side (or up) - max #150
3) palm to side (or down) - mand #151
4) maxillary #1 (A) and #150A, 150 (B)
- for upper cuspids and incisors

Question 12

special forceps for maxillary

Answer 12

1) 53 R and L
- prong for buccal and concave area for palatal
- holds it tighter than 150
2) 88 R and L
- holds tightest
- prong for buccal furca and twin prong holds palatal

Question 13

special forcepts mandibular

Answer 13

1) 23 cowhorn
- prongs grasp furca and deployed by pumping action
- displaces by pulling upper
- only use on 1st and 2nd molar or else you may rip lingual nerve
2) 17
- for 3rd molars

Question 14

english style forceps

Answer 14

1) ash
- premolar to premolar
- good got lower teeth
2) smaller ash
- lower incisors

Question 15

chair position for maxillary

Answer 15

1) 60 degrees to the floor
2) maxillary pinch grasp
3) #1 or 99 forceps is used here
4) #150 forceps is acceptable

Question 16

chair position for mandibular

Answer 16

1) chair near 90 degrees
1) mandible grasped for stability
3) mandibular pinch grasp
4) mandibular sting grasp

Question 17

mechanical principles

Answer 17

1) rotation
2) traction
-pulling

Question 18

surgical field maintenance

Answer 18

1 clean tray
2) placing disposables and addition instruments on tray in aseptic manner
3) red bag
4) do not throw items away in trash receptable, do that at the end

Question 19

threatening organisms

Answer 19

`1) hep B
- any secretions
2) hep C
- fecal or blood
3) HIV
- blood, rare in saliva
4) TB
- aerosol and droplets
- resistant to most chemical disinfectrants

Question 20

clean technique

Answer 20

1) pass disposables

Question 21

sost surgical asepsis

Answer 21

1) solution to pollution is dilution
2) sharps in nearest container
3) disposables at end of procedure
4) do not leave operatory with PPE