SBA basics Flashcards

1
Q

What would you do in the event of a sharps injury?

A
  1. Encourage the wound to bleed.
  2. Clean the wound with soap (DON’T SCRUB)
  3. Apply a waterproof dressing.
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2
Q

Which waste bag is INFECTIOUS WASTE TO BE INCINERATED?

(clinical highly infectious)

A

Yellow

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3
Q

Which waste bag is for clinical waste?

(infectious waste treated to render safe proper to disposal)

A

Orange

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4
Q

Which waste bag is for cytotoxic waste?

A

Purple

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5
Q

Which bag indicates offensive waste that can be landfilled?

A

Yellow/Black

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6
Q

Which waste bag is used for domestic waste?

A

Black

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7
Q

Ayliffe Handwashing Technique

A
  1. Wet hands
  2. Apply soap
  3. Rub palms together
  4. Back of hand interlock fingers
  5. Rub palm to palm
  6. Rub fingers
  7. Rub thumbs
  8. Rub finger tips
  9. Rub wrists
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8
Q

Correct order of donning PPE

A
  1. Apron
  2. Mask
  3. Eye Protection
  4. Gloves
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9
Q

Correct order of doffing PPE

A
  1. Gloves
  2. Apron
  3. Eye protection
  4. Mask
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10
Q

Which document describes how decontamination, infection control, waste and hand hygiene should happen in the dental practice?

A

HTM 01-05

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11
Q

Cycle of Decontamination

A
  1. Storage
  2. Use
  3. Cleaning
  4. Disinfection
  5. Inspection
  6. Packaging
  7. Sterilisation
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12
Q

How long can sterile instruments be stored for?

A

12 months

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13
Q

What does ACC stand for in charting?

A

All Ceramic Crown

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14
Q

What does RBC/DBC stand for in charting?

A

Resin Bonded Crown / Dentine Bonded Crown

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15
Q

What does PI stand for in charting?

A

Porcelain Inlay

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16
Q

What does BR / BA stand for in charting?

A

Bridge Retainer / Bridge Abutment

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17
Q

What does BP stand for in charting?

A

Bridge Pontic

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18
Q

BPE Code 0

A

Pockets are < 3.5 mm

No calculus / overhangs or bleeding on probing.

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19
Q

BPE Code 1

A

Pockets of < 3.5 mm

No calculus / overhangs.
BLEEDING ON PROBING noted.

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20
Q

BPE Code 2

A

Pockets < 3.5 mm

Supra or subgingival calculus / overhangs present.

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21
Q

BPE Code 3

A

Probing depths of between 3.5-5.5 mm

(black band partially visible)

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22
Q

BPE Code 4

A

Probing depth greater than 5.5 mm

(black band NOT visible)

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23
Q

What does * mean on a BPE?

A

Furcation Involvement

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24
Q

How is periodontal grading calculated?

A

% bone loss / patient age

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25
Q

Grade A

A

Value of < 0.5

slow rate of progression

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26
Q

Grade B

A

Value of 0.5 - 1.0

moderate rate of progression

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27
Q

Grade C

A

Value of > 1.0

rapid rate of progression

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28
Q

What does periodontal staging represent?

A

Extent of interproximal bone loss.

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29
Q

Stage 1

A

< 15% bone loss

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30
Q

Stage 2

A

Bone loss extending to the coronal third of the root.

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31
Q

Stage 3

A

Bone loss extending to the mid 1/3 of the root.

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32
Q

Stage 4

A

Bone loss extending to the apical 1/3 of the root.

33
Q

What 3 factors indicate stable periodontitis?

A

BoP < 10%
All pocket depths ≤ 4mm
No BoP found at 4mm sites

34
Q

What 3 factors indicate periodontitis which is currently in remission?

A

BoP ≥ 10%
Pocket depths ≤ 4mm
No BoP found at 4mm sites

(only changing factor is a greater overall BoP)

35
Q

Which 2 situations would indicate periodontitis which is currently unstable?

A

Pocket depths of ≥ 5mm
or
Pocket depths ≥ 4mm with BoP

36
Q

What would indicate clinical gingival health?

A

< 10% BoP

37
Q

What would 10-30% BoP represent?

A

Localised Gingivitis

38
Q

What would BoP greater than 30% indicate?

A

Generalised Gingivitis

39
Q

Grade I Furcation

A

Horizontal bone loss of less than 3mm.

40
Q

Grade II Furcation

A

Horizontal bone loss greater than 3mm but not through the entire furcation.

41
Q

Grade III Furcation

A

Bone loss extending across the entire furcation area

42
Q

Grade 1 Mobility

A

Mobility of up to 1mm horizontally.

43
Q

Grade 2 Mobility

A

Mobility greater than 1mm horizontally.

44
Q

Grade 3 Mobility

A

Mobility greater than 1mm horizontally as well as vertically.

45
Q

Dose of fluoride varnish used on PRIMARY DENTITION

A

0.25 ml of 22,6000 ppm

46
Q

Dose of fluoride varnish used on MIXED DENTITION

A

0.4 ml of 22,6000 ppm

47
Q

Dose of fluoride varnish used on PERMANENT DENTITION

A

0.75 ml of 22,6000 ppm

48
Q

Where is the 1/2 Gracey Curette used?

A

Anterior Teeth

49
Q

Where is the 7/8 Gracey Curette used?

A

BUCCAL and LINGUAL surfaces of premolars and molars.

50
Q

Where is the 11/12 Gracey Curette used?

A

On the MESIAL aspects of posterior teeth.

51
Q

Where is the 13/14 Gracey Curette used?

A

On the DISTAL aspect of posterior teeth.

52
Q

Describe the Ayliffe Technique

A
  1. wet hands + soap
  2. palm to palm
  3. back of hands with palms interlocked
  4. fingers like a house
  5. backs of fingers/handshake
  6. thumbs
  7. wrists
53
Q

What is the instrument decontamination cycle and where would the guidance be found?

A

HTM 01-04 - DECONTAMINATION
HTM 01-07 - CLINICAL WASTE

  1. Clean (organic debris)
  2. Disinfect
  3. Inspect
  4. Package
  5. Sterilise
  6. Store
54
Q

ASA 1-6 Classification

A
  1. Healthy Pt
  2. mild systemic disease
  3. severe systemic disease which limits normal activity
  4. severe systemic disease which is a threat to life
  5. moribund - likely to die within the next 24 hours without surgery
  6. brain dead organ donor
55
Q

Describe abfraction.

A

Loss of tooth surface in the cervical area caused by tooth grinding and compression forces.

56
Q

What is the weight limit for a dental chair?

A

127 kg / 20 stone

57
Q

Things to be aware of with regards to scope of practice:

A

Dentist > Foundation Dentist > Therapist > Hygienist > Nurse > Dental Technician > Clinical Dental Technician

  • whitening can only be done under dentist prescription
  • LA requires prescription (PSD), topical depends on type
  • if you think another material is better when restoring, it is ok to do this
  • noticing another area requiring tx, this requires tx planning with a dentist first
58
Q

What is the difference between a dental technician and a clinical dental technician?

A

DT: makes dental appliances under a dentists prescription.

CDT: provide complete dentures and other dental appliances, can examine and treatment plan edentulous pts. Can also temporarily recement crowns, OHI, prescribe radiographs and tooth whitening under dentist prescription.

59
Q

Which type of waste goes in the yellow bag?

A

Infectious waste to be incinerated.

60
Q

Which type of waste goes in an orange bag?

A

Infectious waste that can be safe if treated before disposal - HOSPITAL WASTE

61
Q

Which type of waste is put in green bags?

A

recycling

62
Q

Which type of waste goes in the yellow bag with black stripes?

A

OFFENSIVE hygiene waste for landfills

63
Q

Which type of waste goes in the black bag?

A

General Waste (domestic waste for landfill or recycling)

64
Q

Which type of waste goes in the purple bag?

A

CYTOTOXIC / CYTOSTATIC waste to be incinerated

65
Q

Which type of waste goes in the grey bag?

(think, school grey bucket)

A

Broken glass, aerosol cans, food tins.

66
Q

What are the 4 ethical principles?

A
  1. Autonomy - pt has the right to choose for themselves.
  2. Beneficience - act within the pts best interest.
  3. Non-Maleficence - do not harm.
  4. Justice - fair treatment.
67
Q

Things to cover when gaining consent: INERSA

A

I - indication / purpose of tx
N - nature
E - effects
R - risks
S - success rate
A - alternative tx

68
Q

Describe Zsigmondy-Palmer Notation

A

4 quadrants with 1-8 for permanent teeth and A-E for primary.

(normal notation we use)

69
Q

Describe the FDI System

A

Permanent Dentition - 1=UR, 2=UL, 3=LL, 4=LR

Primary Dentition - 5=UR, 6=UL, 7=LL, 8=LR

70
Q

What is the vibrating line?

A

The junction between the hard and soft palate.

71
Q

What are the 3 types of papillae (taste buds)?

A
  1. Fungiform
  2. Filiform - small papillae on the anterior surface of the tongue, aren’t for taste?
  3. Circumvallate - inverted V shape, larger in the posterior 1/3 of tongue.
72
Q

DMFT vs dmft

A

DMFT - adults (big)

dmft - kids (small)

73
Q

What are 2 indications for fluoride varnish?

A
  1. Caries
  2. Dentine Hypersensitivity
74
Q

Fluoride Doses

A

primary - 0.25ml

mixed - 0.4ml

permanent - 0.75

(toxic fluoride dose is 5mg/kilo of body weight)

75
Q

How many ppm does Silver Diamine Fluoride Contain?

A

44,600 ppm

(arrests caries)

76
Q

Gracey Curette Usage

A

1/2 - anteriors

7/8 - buccal and lingual for posteriors

11/12 - everything apart from distal of posteriors

13/14 - distal of posteriors

77
Q

CALM mechanism for ultrasonic scaling

A

C - cavitation (think cavitron); removes calculus and biofilm.

A - acoustic microstreaming; water droplets for better effectiveness.

L - lavage/irrigation; washes away the debris and cools the tip.

M - mechanical application; fractures calculus.

78
Q

What is proxy consent?

A

Voluntary informed consent given on behalf of another who is responsible for someone else who lacks capacity.

79
Q

What is post hoc consent?

A

Consent for findings to be used in research for further use.