Pre Clinic Exam 4

Question 1

What is an area specific curet?

Answer 1

A periodontal instrument used to remove light calculus deposits from the crowns and roots of the tooth

Question 2

What are the characteristics of an area specific curet?

Answer 2

rounded back, rounded toe, semicircular cross section (like a universal curet)

Question 3

What are the cutting edges like on an area specific curet?

Answer 3

curved, not parallel

Question 4

What are the characteristics of the face of an area specific curet?

Answer 4

Face is tilted in relation to the lower shank and one cutting edge is lower than the other on each working end, considered self angulated

Question 5

What degree is the toe from the shank?

Answer 5

70 degrees

Question 6

Which edge of the area specific curet is used for calculus removal?

Answer 6

the lower cutting edge

Question 7

What is the “cutting edge” that is not used called on an area specific curet?

Answer 7

nonworking cutting edge

Question 8

Which cutting edge is used on an area specific curet?

Answer 8

lower cutting edge/working cutting edge

Question 9

Which way is the nonworking cutting edge angled?

Answer 9

away from the soft tissue wall of the pocket

Question 10

The lower cutting edge is automatically at a ___degree angle to the tooth surface when the lower shank is parallel.

Answer 10

70

Question 11

In order to identify the lower cutting edge, how should the instrument be positioned?

Answer 11

Hold the instrument so that you are looking directly at the toe, raise or lower the instrument handle until the lower shank is perpendicular to the floor. Look closely at the working end, one end is lower/closer to the floor.

Question 12

When using an area specific curet on anterior teeth, which way should the face tilt?

Answer 12

towards the tooth surface/ face is partially hidden from view

Question 13

If the instrument face tilts slightly away from the tooth surface and the entire face is clearly visible, is this correct placement of an area specific curet on anterior teeth?

Answer 13

NO

Question 14

On which surfaces is the G11/12 used?

Answer 14

buccal and mesial, lingual and mesial

Question 15

On which surfaces is the G13/14 used?

Answer 15

distals only

Question 16

What is the first step in regards to adaptation when using an area specific curet on anterior teeth?

Answer 16

Place the working end in the get ready zone near the midline of the tooth

Question 17

Where is the shank of the area specific curet when looking for the working end?

Answer 17

perpendicular to the floor

Question 18

What great design feature helps protect the tissue when using an area specific curet?

Answer 18

The nonworking cutting edge is angled away from the soft tissue wall of the pocket.

Question 19

The shank is at a ____degree angle from the working end on a sickle scaler. The shank is at a ___ degree from the working end on a universal curet. The shank is at a ____ degree angle from the working end of an area specific curet.

Answer 19

90,90,70

Question 20

Universal curets have parallel cutting edges and area specific curets have________edges

Answer 20

curved

Question 21

What does CAMBRA stand for?

Answer 21

Caries management by risk assessment

Question 22

Risk assessment, radiographic exposure, salivary testing, varnish application, sealant application and patient education are all roles of the_____

Answer 22

dental hygienist

Question 23

True or False: New patients with previous restorations or visible caries and/or returning patients with one or more new carious lesions have a high caries risk

Answer 23

true

Question 24

ADPIE. What things need to be documented under the “A” in ADPIE?

Answer 24

patients expression, chief complaint (sensitive teeth, pain in gums), note if the patient is late or does not show and whether it is the first, second or third time. Vitals, health history concerns, pre-med info.

Question 25

ADPIE. What things need to be documented under the "D" in ADPIE?

Answer 25

Any two part statement joined by "related to" (ex. Class I light related to good home care. Class II moderate related to infrequent dental visits and abundance of calculus present; bone loss) Referral

Question 26

ADPIE. What things need to be documented under the "P" in ADPIE?

Answer 26

How to fix the problem. Procedure PLANNED to be performed THIS day. EX. fmx, plaque index, complete assessment, scale by quad. Complete debridement of max arch with local anesthesia.

Question 27

ADPIE. What things need to be documented under the "I" in ADPIE?

Answer 27

Actual procedures COMPLETED THIS DAY. EX. fmx, plaque index

Question 28

ADPIE. What things need to be documented under the "E" in ADPIE?

Answer 28

Did the plan work? How the appointment went, whether or not the patient is unhappy, next visit, recare tx

Question 29

What does ADPIE stand for?

Answer 29

assessment, diagnose, plan,interventions,evaluation, signmatures

Question 30

When should notes be entered and chart signed with your name?

Answer 30

Prior to cleaning your room. Must sign notes and obtain faculty signature before cleaning rooms or processing instruments.

Question 31

Why perform a periodontal risk assessment?

Answer 31

Heightens patients awareness of risks, gives clinician insight to patients level of knowledge, starting point for educating the patient, help determine recommendations for ohi

Question 32

Who should fill out a perio risk assessment, tally the score, and when should this be done?

Answer 32

the patient should fill it out, clinician should tally the score, and this is done after assessment is completed (I/O, E/O)

Question 33

Who should a perio risk assessment be done on?

Answer 33

Any new adult patients who show any indications of periodontal disease (gingivitis, recession, mobility)

Question 34

True or False: Chances of periodontal disease increase with age

Answer 34

True

Question 35

Who has the highest rates of period dz?

Answer 35

older people

Question 36

Are women or men more at risk or perio dz?

Answer 36

women

Question 37

What health issues do we ask about when conducting a perio risk assessment?

Answer 37

heart disease, osteoperosis, osteopenia, high stress, diabetes

Question 38

What does 0-7 indicate on a perio risk assessment?

Answer 38

low risk

Question 39

What does 8-12 indicate on a perio risk assessment?

Answer 39

moderate risk

Question 40

What does >12 indicate on a perio risk assessment?

Answer 40

high risk

Question 41

What is extrinsic stain?

Answer 41

superficial, outer

Question 42

What is instrinsic stain?

Answer 42

internal staining

Question 43

Where does exogenous stain originate?

Answer 43

Outside of the tooth, is a result of exposure to environmental agents. Reflected intrinsic or extrinsic

Question 44

What is endogenous stain?

Answer 44

Originates within the tooth

Question 45

wine, coffee, and tea stains are examples of what kind of stain?

Answer 45

exogenous

Question 46

Medications such as chlorhexidine and metallic sources can cause what kind of stain?

Answer 46

Exogenous extrinsic

Question 47

Orange/yellow stain adheres to teeth at the gingival margin and at the cervical 1/3 or anterior teeth. It is composed of chromogenic bacteria and is associated with poor oral hygiene. Is this exogenous extrinsic or intrinsic?

Answer 47

exogenous extrinsic

Question 48

Where is green stain commonly found in the mouth?

Answer 48

maxillary anteriors

Question 49

What is green stain associated with and where is it embedded?

Answer 49

demineralization, biofilm

Question 50

What color is the stain that contains chromogenic bacteria, fungi, ginigival hemorrhage?

Answer 50

green

Question 51

What is the exogenous extrinsic stain that contains ferric sulfide and follows the gingival margin on the posterior linguals and is normally found in the mouths of clean female patients called?

Answer 51

black line stain

Question 52

What type of stain is tobacco, extrinsic or intrinsic?

Answer 52

could penetrate enamel and become both types

Question 53

Where is tobacco stain usually found?

Answer 53

linguals

Question 54

Name 3 examples of endogenous stains

Answer 54

pulpless teeth tetracycline stain development imperfections

Question 55

Pulpless teeth are the result of decomposed hemoglobin in dentinal tubules and bleeding from truama. This stain can be a yellow hue, grey, brown, or black. Occasionally there can be a pink tooth due to internal resorption T or F

Answer 55

True

Question 56

Do all pulpless teeth discolor?

Answer 56

no

Question 57

In order for an infant to be affected, during what time in the pregnancy must tetracycline be taken?

Answer 57

3rd trimester

Question 58

Tetracycline staining color depends on

Answer 58

dosage and time the drug was taken

Question 59

Ameleogenisis imperfecta occurs when the ameleoblasts are disturbed. It is associated with yellow brown or gray brown stain. Is this endogenous or exogenous?

Answer 59

endogenous intrinsic

Question 60

What conditions is a result of irregular dentin/ disturbance of odontoblasts with translucent or opalescent or gray stain?

Answer 60

dentinogenisis imperfecta

Question 61

Ingestion of excessive fluoride ion causes an endogenous stain called_____

Answer 61

fluorosis

Question 62

To inquire about stain, what are some questions you may ask?

Answer 62

Medical and dental history diet oral hygiene habits

Question 63

What are the extrinsic stain removal procedures?

Answer 63

toothbrush prophy scaling polishing

Question 64

How many types of polishing types are there and what are they called?

Answer 64

two types: two body polishing- abrasive particles attached to a medium three body polishing-loose abrasive particles

Question 65

What are the reasons to polish natural teeth?

Answer 65

remove extrinsic stain | prepare teeth for sealants or fltx application

Question 66

What are reasons we should not polish natural teeth?

Answer 66

when there is no plaque or stain present if there is root sensitivity when gingivitis is present and we NEVER polish after doing a root debridement

Question 67

Using a pre procedural rinse before polishing helps reduce what?

Answer 67

aerosol spatter

Question 68

What should we always apply after polishing?

Answer 68

fluoride

Question 69

Should we polish areas of demineralization

Answer 69

no

Question 70

Abrasives may scratch or dull ____________

Answer 70

restoratives

Question 71

Due to heat production, polishing may damage____

Answer 71

pulp

Question 72

How much speed and pressure should be applied when polishing?

Answer 72

minimal

Question 73

What are the different polishing agents we have available at Concorde?

Answer 73

pumice CPR for composite or sensitive natural teeth nupro fine grit for all tooth surfaces and metal restorations

Question 74

What are the characteristics of polishing agents?

Answer 74

shape-irregular which produce deep grooves and abrade faster hardness-must be harder than the surface abraded to abrade faster strength-particles fracture into smaller pieces are more abrasive particle size (grit)-coarse (larger grit, more abrasive) fine (smaller grit, glossier finish)

Question 75

What is the reason for coronal polishing with a handpiece?

Answer 75

cosmetic reasons

Question 76

Is polishing therapeutic?

Answer 76

no

Question 77

Many articles discuss polishing as____

Answer 77

selective

Question 78

What things can be polished off teeth?

Answer 78

tobacco stain, coffee stain, wine, plaque

Question 79

There are 3 types of polishers:

Answer 79

cord, battery, and air

Question 80

What are the different types of prophy angles:

Answer 80

straight or contra angle reusable disposable

Question 81

Types of prophy cups:

Answer 81

flared without web (more flexible) Prophy angle with a brush for occlusals and ortho latex free angles

Question 82

What type grasp should we use for polishing?

Answer 82

modified pen grasp

Question 83

What motion should be used when polishing?

Answer 83

light steady speed, patting motion, flare edge of cup slightly subgingival and slide edge of cup interproximally

Question 84

What grit of paste does concorde recommend?

Answer 84

finest grit

Question 85

How much time should be spent on each tooth when polishing?

Answer 85

2-3 seconds

Question 86

how many teeth should be polished before refilling the cup with paste?

Answer 86

1-3

Question 87

What should we do to reduce heat production?

Answer 87

light pressure, watch pt. reaction, do not use dry polishing agent, use caution in anteriors, rinse frequently and use sound to determine speed

Question 88

What do we do after polishing?

Answer 88

floss

Question 89

What instructions are giving after fltx application?

Answer 89

do not brush for 4 hours, avoid brushing with fltx paste, do not eat crunchy foods, avoid hot drinks, and do not swish with alcohol rinsesthat day.