Quiz 7 Flashcards
removal by shearing it off
Cutting
What instrument attachments are used for cutting?
Burs
Disks
Strips
What abrasives are used with burs, disks, and strips?
Coarse-medium grip
producing final shape & contour
Finishing
What abrasives are used for finishing?
Medium-fine grit
abrasion of surface to produce smoothness and reduce size of scratches
Polishing
wearing away of surface
Abrasion
material that does the wearing away
Abrasive
Why do we polish?
o Makes restoration fit
o Maintain occlusion
o Minimize irritation
o Simulate natural tooth surface
o Reduce areas susceptible to trapping debris/food
o Reduce potential for corrosion
o Increase hygiene
Resistance of a material to indentation
Hardness
What are the shapes of abrasives?
Angular
Blocky
Semi round
Round/Spherical
What is the biggest abrasive size/grit?
Coarse
water, glycerin, alcohol mouth rinse, slurry/paste used to cool
Lubrication
All materials have potential to cause what?
Pulpal trauma
What are the four preventative measures of pulpal trauma?
Slowest handpiece device
Use light pressure
Use adequate lubricant
Use least abrasive agent possible
What are the attachments for abrasive devices?
Diamond burs
Rubber wheel/points
Stones
Disks or strips
Powders on brushes or in cups
What are the types of abrasives?
Diamond
Aluminum oxide
Sand
Pumice
Tin oxide
Rouge
Calcium carbonate
Sodium bicarbonate
Glycine
Most expensive
Hardest substance – Mohs scale = 10
Sterilizable
Varying degrees of coarseness, cutting shanks, disks
Diamond
Mohs scale = 9
White or tan powder
Impregnated wheels/points
Replaced emery
Smooths enamel
Aluminum oxide
Mohs scale = 7
Quartz or silica
Coated disks and handheld strips
Used in finishing process
Sand
Mohs scale = 6
Volcanic silica
Loose abrasive
Major component in prophy paste
Polishes enamel, amalgam, & denture bases
Pumice
Mohs scale = 6
Fine powder
Finish polish for enamel and restorations
Tin oxide
Mohs scale = 5-6
Iron oxide
Block form - Extraorally
Rouge
Mohs scale = 3
Found in prophy paste and dentifrice
Polish teeth, metal restorations, and plastic material
Calcium carbonate
(chalk, whiting)
Mohs scale = 2.5-3
Cleaning agent in toothpaste
Supragingival air polishing
Sodium bicarbonate
Mohs scale = 2
Cleaning agent in supra & subgingival air polishing
Glycine
Uses aluminum oxide or diamond
Composites
Uses slurry of pumice or tin oxide
Brownies (most coarse), greenies (fine coarse), or super greenies (ultrafine coarse)
Maintain wet field + use light pressure
Amalgam
Uses aluminum oxide or diamond paste
Porcelain/Ceramics
Uses rouge extraoral or tin oxide intraoral
Gold
Uses air polishing with glycine
Titanium implants
Additive to prophy paste
Increase grit
Prophy prep
Finer than prophy paste
Useful with pediatric patients or those with sensory concerns
Toothpaste
To avoid removing fluoride-rich enamel layer
Selective polishing
What are the common oral appliances?
o Night guards
o Obstructive sleep apnea
o Orthodontic appliances
o Custom fluoride trays
o Bleaching trays
o Athletic mouth guards
What are the signs of chronic bruxing?
o Wear facets
o Chipping and wearing of incisal edges
o Stress cracks in teeth
o Fractured cusps
o Cracked teeth
o Mobility of teeth
o Enlarged masseters
o Sore muscle of mastication
Life soft palate
Hold tongue in more forward position
Reposition mandible forward to bring tongue away from airway
Obstructive sleep apnea device
What are custom fluoride trays beneficial for?
High cavity risk
Tooth sensitivity
Orthodontic treatment
Restorative dental work
Children
Head and neck radiation patients
o Will burn gingiva
o Scallop gingival third of tray
Bleaching tray
Type of mouth guard?
Various sizes
Cheapest option
Stock
Type of mouth guard?
Mouth-formed
Interfere with speech and breathing during sports
Boil-and-Bite
Type of mouth guard?
Impression, model, vacu-formed
Ethylene vinyl acetate acrylic
Most compliant
Most expensive
Custom