Selective Polishing, Fluoride Application, D-Sense, Oraqix

Question 1

5 variables to consider

Answer 1

abrasiveness
quantity
contact time
speed
pressure

Question 2

benefits

Answer 2

extrinsic stain management
supragingival plaque biofilm removal

Question 3

precautions needed

Answer 3

use a special polishing agent on restored tooth surfaces, such as composite, bonding, glass ionomer, porcelain, gold, or titanium

particle impaction risk immediately after deep scaling, periodontal debridement or root planing with gingival tissues may be irritated

Question 4

contraindications

Answer 4

absence of stain
newly erupted teeth
enamel hypocalcification or hypoplasia
enamel demineralization and active carious lesions
areas of recession where cementum or dentin is exposed
areas of dentinal hypersensitivity
acute gingival or periodontal inflammation
allergy to ingredients in paste

Question 5

indications for restorations

Answer 5

use least abrasive prophylaxis paste available
not recommended for implants

Question 6

components for polishing

Answer 6

wrapped handpiece cassette
floss
prophy paste

Question 7

what should you do after polishing

Answer 7

FLOSS

Question 8

fluoride varnish indications for use

Answer 8

increased caries risk (aids in remineralization process, can put on active caries), orthodontic patients, recession (aids in dental hypersensitivity), xerostomia, low fluoride exposure, children under 6

Question 9

after application instructions of fluoride varnish

Answer 9

instruct patient that teeth will feel like they have a coating or film
avoid hard foods, drinking host or alcoholic beverages, brushing, flossing the teeth until next day or at least 4-6 hr after application

Question 10

fluoride trays after application instructions

Answer 10

tilt head forward to remove tray
request patient to spit for several minutes
do not allow patient to swallow
use gauze to wipe excess gel or foam from teeth
use high-power suction to draw out saliva and gel
instruct patient that for 30 minutes they should not rinse, eat, drink, brush teeth

Question 11

fluoride trays application

Answer 11

2 ml product in trays
white top, blue bottom
ensure tooth surfaces are dry
blue inserted first, place saliva ejector in mouth, have them hold in place then insert top white tray
wait for 4 minutes

Question 12

what is in D-Sense

Answer 12

calcium oxalate and potassium nitrate ions

Question 13

what is D-Sense for

Answer 13

dentinal hypersensitivity

Question 14

indications for D-Sense use

Answer 14

noncarious cervical lesions
under crowns and bridges, when a standard cement is used
on any exposed dentin surface, such as the margins around temporary crowns
before and after tooth bleaching
under restorations gingival recession
before and after prophy

Question 15

D-Sense application

Answer 15

check syringe flow
proceed to apply for 20 seconds to desired surface
dry area with light airflow to ensure the product is properly set

Question 15

Oraqix what is in it

Answer 15

lidocaine and prilocaine periodontal gel 2.5%

Question 16

what is Oraqix for

Answer 16

soft tissue anesthesia

Question 17

how long does Oraqix last

Answer 17

30 second onset time
20-minute duration