Stain Manangement

Question 1

List contraindications to rubber cup polishing (10)

Answer 1

absence of extrinsic stain
newly erupted teeth, especially primary
decal, hypocal, hypoplasia, demin, rampant caries
areas of recession where cementum or dentin is exposed
areas of dentinal hypersensitivity
acute or periodontal inflammation
immediately after deep scaling, root planing or curettage
restored tooth surfaces; composte, bonding, glass ionomer, porcelain, gold, titanium (UNLESS specialized polishing agent for these materials is used)
allergy to ingrediensts in parts
in clients who are:
- highly susceptible to infection
- have communicable diseases that coule be spread via contaminated aerolsols
- have higest risk of adverse effects if not premedicated (premed may be required for polishing)

Question 2

list MEDICAL contraindications and precautions to air polishing?

Answer 2

low sodium diet or hx of hypertension (for sodium contianing pastes only)
respiratory illness that limits swallowing or breathing
communicable disease that can be transmitted via contaminated aerosols
renal insufficiency or end stage renal disease
addison’s disease
cushing’s disease
metabolic alkalosis
medications such as mineralocorticoid steroids, antidiuretics or potassium supps.
high risk cts needsing antibiotic premed may need to be premedicated
cts wearing contact lenses should remove them and wear safety glasses

Question 3

list contraindications to tooth bleaching

Answer 3

pregnant and breastfeeding women
allergy to any of ingredients
medications that cause photosensitivity or hyperpigmentation (if lights are used)
large, defective restos (should be replaced before bleaching)
gingival, periodontal, or mucosal conditions that could be irritated
recession
cervical erosion
enamel cracks
tooth sensitivity
denal caries

Question 4

what is scaling?

Answer 4

instrumentation of crown and root to remove oral biofilm, calculus, stains- used for cts with healthy gingiva or gingivitis

Question 5

what is oral prophylaxis?

Answer 5

combines both supragingival and subgingival scaling with stain and biofilm removal

preventive in nature and not therapeutic like NSPT
performed when periodontal health or biofilm-induced gingivitis is diagnosed

Question 6

what is root planing?

Answer 6

procedure to remove cementum or suface dentin that is rough, impregnated with calculus, or contaminated with toxins or microorganisms

purpose is to remove as little root structure as possible while returning adjacent tissues to health

Question 7

what is non surgical periodontal therapy?

Answer 7

plaque removal, plaque control, supragingival and subgingival scaling, root planing and the adjunctive use of chemical agents for the trmt of inflammation, periodontal pockets and other indications of periodontal disease

Question 8

what is periodontal debridement?

Answer 8

removal of all subgingival plaque (oral biofilm) and its by prducts (as evidenced by clinical signs of inflammation), clinically detectable biofilm retentive factors (calcuus, cement and overhangs), and detectable calculus embedded cementum to finish the root surface during periodontal instrumentation while preserving as much tooth surface as possible

focuses on the removal of all plaque retentive factors while preserving tooth structure and using judgement with regard to root roughness; evaluation of 4-6 week healing is critical

strive to achieve tissue healing with minimal iatrogenic damage (from professional trmt) to soft tissue and cementum

chemotherapeutic agents used to suppress infectious mo’s and inflammation

Question 9

what is full mouth disinfection (FMD)?

Answer 9

involves scaling and root planing of all pockets within a 24hr time period

potentially includes application of 0.12% chlorhexidine gluconate to all periodontal pockets followed by 2x daily 30 sec rinsing for 2 MONTHS