Prophylasis

Question 1

What is included in a dental plan?

Answer 1

Determine stage of disease

how to go about treating the disease

Question 2

What does prophylaxis mean?

Answer 2

Prevention of disease
(only done on a healthy mouth)
(removal of plaque and calculus)

Question 3

Periodontal disease (Periodontistis) has what

Answer 3

Gum recession, bone loss

Question 4

Periodontal therapy consists of what?

Answer 4

Develop a plan to return mouth to it’s healthy state

DVM / Tech discuss options and procedure with owner (length of procedure, extractions, cost, homecare)

Question 5

What should be done above the gum line

Answer 5

Removal of gross calculus

Removal of calculus and plaque

Question 6

What does the ultrasonic scaler do?

Answer 6

Removes the majority of calculus and plaque
High speed (12-45,000)
Hold and place to the long axis of the tooth
Constant motion
Subgingival - special tip

Question 7

What does hand scaling do?

Answer 7

Removes any tartar left after ultrasonic

above gum line only

Question 8

What tool is used below the gum line to remove calculus and plaque

Answer 8

Curette
Hold using a modified pen grasp
Overlapping strokes for complete cleaning
Universal vs Gracey (styles)

Question 9

What are is started first when polishing?

Answer 9

Caudal tooth and move toward center midline incisors.

Question 10

How do you irrigate

Answer 10

Lavage sulcus
Syringe - 6-12cc; 22-28G blunt needle w/0.12% chlorhexadine rinse
Dental unit - water & air source

Question 11

Fluoride foam

Answer 11

Decreases sensitivity
Anti-plaque, and Anti-bacterial.
Interferes w/some restorative, bonding and or sealing agents.

Question 12

What steps must be performed with fluoride foam

Answer 12

Clean and dry teeth
Must remain on teeth for 3-5 minutes
Wipe off

Question 13

What properties does the sealant Sanos provide?

Answer 13

Subgingivally

Barrier to prevent gingival inflammation

Question 14

What properties does the sealant Oravet provide?

Answer 14

Subgingivally
Follow up with Home Care Kit
Prevents plaque buildup

Question 15

What is recorded on final charting?

Answer 15

Review of procedure

Record any additional treatments performed

Question 16

What are non-routine procedures during a prophy

Answer 16

Radiographs, extractions, growth removal. These should be referred to a specialty practice.

Question 17

What do we need to know about extractions?

Answer 17

Know your state laws
What are you comfortable with
Potential to do more damage

Question 18

What tools are needed for exodontia

Answer 18

Elevators & forceps
Drill & burs
Suture
Packing material
Patience and time

Question 19

What is exodontia?

Answer 19

Branch of dentistry that deals with the extraction of teeth

Question 20

Steps of exodontia

Answer 20

Breaking of the periodontal ligament
Multi-root (slice tooth between the roots, remove each section as a single root)
Irrigate socket
Pack w/synthetic material, Consil
Suture w/dissolvable suture material (Maxon, Vicryl, or Dexon)

Question 21

What are some complications to exodontia?

Answer 21

Roots or root tips not wanting to come out
Flip Sx
Pulverization