Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

DH Theory 1 > test 7 > Flashcards

test 7 Flashcards

1
Q

what four things should you keep in mind while treatment planning for gingivitis AND periodontitis

A
  1. ADA CDT Codes
  2. Linking the care plan to the dental hygiene diagnoses
  3. Selecting intervention strategies
  4. Establishing an appointment schedule
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the basic features of an ADA CDT code

what does the first number represent

what are the most frequently used code categories in hygiene and what do they mean

A
  • starts with a D, followed by 4 numbers
  • first number represents the category for each procedure
  • 0 = diagnostic; 1 = preventive; 4 = periodontics; 9 = adjunctive/general services (occasionally used)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

D0 -
D1 -
D2 -
D3 -
D4 -
D5000-D5899 -
D5900-D5999 -
D6 -
D7 -
D8 -
D9 -

A

D0 - Diagnostic
D1 - preventive
D2 - restorative
D3 - endodontics
D4 - periodontics
D5000-D5899 - prosthodontics, removable
D5900-D5999 - maxillofacial prosthetics
D6 - implants
D7 - oral surgery
D8 - orthodontics
D9 - adjunctive general services

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what ASSESSMENT codes do we use that start with D0***; what do they mean? (5)

which (3) do we most commonly use at ODU

A
  • D0120: periodic oral evaluation with an established patient
  • D0140: limited oral evaluation that is problem focused
  1. D0150: comprehensive oral evaluation (new or established patient)
  2. D0170: re-assessment
  3. D0171: evaluation of dental hygiene treatment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ADA EVALUATION OF “D0150” - COMPREHENSIVE ORAL EVALUATION (NEW/ESTABLISHED PATIENT)

It is a thorough evaluation and recording of the ______ and _______ hard and soft tissues. It may require the _______ of information acquired through additional __________.

Additional diagnostic procedures should be reported _________. This includes an evaluation for _________ where indicated, the evaluation and recording of the patient’s ______ and _______ history, and a ______ health assessment.

It may include the evaluation and recording of _______, ________ or __________ teeth, restorations, existing prostheses, occlusal relationships, periodontal conditions (including periodontal _______ and/or ______), hard and soft tissue anomalies, etc.

A

It is a thorough evaluation and recording of the EXTRAORAL and INTRAORAL hard and soft tissues. It may require the INTERPRETATION of information acquired through additional DIAGNOSTIC PROCEDURES.

Additional diagnostic procedures should be reported SEPARATELY. This includes an evaluation for ORAL CANCER where indicated, the evaluation and recording of the patient’s DENTAL and MEDICAL history, and a GENERAL health assessment.

It may include the evaluation and recording of DENTAL CARIES, MISSING or UNERUPTED teeth, restorations, existing prostheses, occlusal relationships, periodontal conditions (including periodontal SCREENING and/or CHARTING), hard and soft tissue anomalies, etc.

*ORAL EXAM, DENTAL CHARTING, PERIOASSESSMENT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

D0170 - RE-ASSESSMENT

Assessing the status of a __________

Done at each visit after _________ is completed.

Evaluate for changes in: (5)

A

Assessing the status of a PREVIOUSLY EXISTING CONDITION

Done at each visit after INITIAL ASSESSMENT is completed.

Evaluate for changes in:
- health history
- oral exam
- dental chart
- perio assessment
- GOALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

D0171 - EVALUATION OF DENTAL HYGIENE TREATMENT

“__” of ADPIED

A very thorough evaluation of the patient’s ____

Ideally ___ weeks after completion of ____ therapy (national board)

SODH allows ___ weeks due to ___________

Following the _______ phase of ______ therapy on new patients with moderate-severe _____ or any stage of _________

A

“E” of ADPIED

A very thorough evaluation of the patient’s ORAL HEALTH

Ideally 4-6 weeks after completion of INITIAL therapy

SODH allows 2-8 weeks due to SCHEDULING DIFFICULTY

Following the ACTIVE phase of INITIAL therapy on new patients with moderate-severe GINGIVITIS or any stage of PERIODONTITIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what RADIOGRAPHIC codes do we have that start with D0*** (we use all of these) what do they mean

A

D0210- intraoral- complete series of radiographic images (FMS)

D0220- intraoral- periapical first radiographic image

D0230-intraoral- periapical each additional radiographic image

D0272-bitewings- two radiographic images (horizontal or vertical)

D0274-bitewings- four radiographic images (horizontal or vertical)

D0277- vertical bitewings- 7-8 radiographic images

D0330- panoramic radiographic image

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

radiographic needs are based on :

A

selection criteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what PREVENTIVE codes do we use (D1***)
what do they mean

A

*D1110- prophylaxis- adult (ages 13+)

*D1120- prophylaxis- child

*D1130- recare

*D1206- topical application of fluoride varnish

D1208- topical application of fluoride- excluding varnish

*D1330- oral hygiene instructions (always used)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

D1110 - PROPHYLAXIS (ADULT 13+)

Removal of ____, ______ and _____ from the tooth structures in the ______ and ______ dentition. It is intended to control local _______ factors.

______ in nature

for patient with ________ or _______

A

Removal of PLAQUE, CALCULUS, and STAIN from the tooth structures in the PERMANENT and MIXED dentition. It is intended to control local IRRITATIONAL factors.

PREVENTIVE in nature

for patients with HEALTHY PERIODONTIUM or SLIGHT GINGIVITIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

D1120 - PROPHYLAXIS - CHILD

Removal of ______, _______and ______ from the tooth structures in the ________and ________dentition. It is intended to control local _________ factors.

In SODH: for what kind of patients

A

Removal of PLAQUE, CALCULUS, and STAIN from the tooth structures in the PRIMARY and MIXED dentitions. It is intended to control local IRRITATIONAL factors.

In SODH: for children 12 and under REGARDLESS of oral health status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

D1330 - ORAL HYGIENE INSTRUCTIONS

This may include instructions for ____ care. Examples include tooth brushing technique, ____, and use of special oral hygiene ____.

OHI is given at ______ appointment following the ______ of the assessment

It is ___ entered in the treatment plan ________ for patients who require _______ appointments

Only treatment plan OHI _______

A

This may include instructions for HOME care. Examples include tooth brushing technique, FLOSSING, and use of special oral hygiene AIDS.

OHI is given at EVERY appointment following the COMPLETION of the assessment

It is NOT entered in the treatment plan REPEATEDLY for patients who require MULTIPLE appointments

Only treatment plan OHI ONCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

D1206 - TOPICAL APPLICATION OF FLUORIDE VARNISH

recommended for patients with: (4)

A
  • moderate caries risk
  • high caries risk
  • extreme caries risk
  • low caries risk with dentinal sensitivity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

D1130 - RECARE

Entering your patient’s ____ interval

Recare interval depends upon ________

Common recare intervals:

A

Entering your patient’s RECARE interval

Recare interval depends upon PATIENTS NEEDS

Common recare intervals:
- 3 MONTHS
- 4 MONTHS
- 6 MONTHS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is code D4346 for

A

scaling in the presence of generalized moderate or severe gingival inflammation - full mouth, after oral evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

D4346 - SCALING IN THE PRESENCE OF GENERALIZED MODERATE OR SEVERE GINGIVAL INFLAMMATION - FULL MOUTH, AFTER ORAL EVALUATION

the removal of ____, ________, ____ from ______ and_________ tooth surfaces when there is generalized moderate or severe ______ in the absence of _______.

Indicated for patients who have _____, _______ gingiva, generalized ______ pockets, and moderate to severe ______ on probing.

Should not be reported in conjunction with _______, _____ and ________ planning, or ________ procedures.

Plan for patients with _______

A

the removal of PLAQUE, CALCULUS, and STAIN from SUPRA and SUBGINGIVAL tooth surfaces when there is generalized moderate or severe GINGVAL INFLAMMATION in the absence of PERIODONTITIS.

Indicated for patients who have SWOLLEN, INFLAMED gingiva, generalized SUPRABONY pockets, and moderate to severe BLEEDING on probing.

Should not be reported in conjunction with PROPHYLAXIS, SCALING and ROOT planning, or DEBRIDEMENT procedures.

Plan for patients with MODERATE OR SEVERE GINGIVITIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

CALCULUS CLASSES

how are dental hygiene therapy fees calculated in the SODH clinic?

why do we add a calculus stage?

is this how fees are collected at most private practices?

A
  • fees for dental hygiene therapy are based on the patient’s calculus classification (calc 1-5)
  • must add a calculus classification into ALL patients 13 and up so a fee will be generated (kids are calculated differently)
  • NO
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the dental hygiene diagnosis for all patients with gingivitis

A

Unmet human need for SKIN AND MUCOUS MEMBRANE INTEGRITY due to GINGIVITIS evidenced by BLEEDING ON PROBING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Steps to developing a treatment plan in axium (6)

A
  1. Tx history, + tab
  2. dental Txs on the left
  3. quick list (incomplete); full list (broken into categories); search (search by code or description)
  4. select treatment; (highlight, click plan, modify to phase and sequence); (double click, phase and sequence, click plan)
  5. each treatment should have a phase and sequence. phase = appointment number. sequence = order of steps in the appointment
  6. repeat until all recommended treatments are entered with phase and sequence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

DEVELOPING A CARE PLAN IN AXIUM

___________ is always planned first (1:1)

___________ is only planned once (the first time it is completed)

____ class is planned after adult _______

Reassessment is only planned after a full ________ is completed

______ is always the last item of the last appointment (NOT a ______ appointment).

Recare does not plan the patient’s ________; it allows you to enter the patient’s ________ (3,4, or 6 months) when swiped complete

A

COMPREHENSIVE ORAL EVALUATION is always planned first (1:1)

ORAL HYGIENE INSTRUCTION is only planned once (the first time it is completed)

CALCULUS class is planned after adult PROPHYLAXIS

Reassessment is only planned after a full ASSESSMENT CHECK is completed

RECARE is always the last item of the last appointment (NOT a SEPARATE appointment).

Recare does not plan the patient’s NEXT APPOINTMENT; it allows you to enter the patient’s RECARE INTERVAL (3,4, or 6 months) when swiped complete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

UPDATING A CARE PLAN IN AXIUM

what happens if we start a treatment but do not finish it

what happens if we plan a treatment but don’t start it

A

if you start a treatment but don’t finish it, it stays in the appointment you started it in

if you plan a treatment but don’t start it, update your plan by moving it to the next appointment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is the basic sequence of care for patients with gingivitis (9)

A
  1. health history
  2. AB rinse
  3. assessment (EOE/IOE, dental charting, perio assessment, radiographs if needed, humans needs, treatment/care planning, informed consent)
  4. assessment check
  5. oral hygiene instruction
  6. scaling
  7. extrinsic stain removal
  8. fluoride if applicable
  9. referral if applicable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what periodontic codes do we need to know; what do they mean

A

D4341 - periodontal scaling and root planning (4 or more teeth per quadrant)

D4342 - periodontal scaling and root planning (1-3 teeth per quadrant)

D4910 - periodontal maintenance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
D4341 - PERIODONTAL SCALING AND ROOT PLANNING (4 OR MORE TEETH PER QUADRANT) This procedure involves instrumentation of the ____ and _____ surfaces of the teeth to remove plaque and calculus from these surfaces. It is indicated for patients with ________ disease and is _______, not _________, in nature. ___________ is the definitive procedure designed for the removal of ______ and ______ that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some _____ tissue removal occurs. This procedure may be used as a ______ treatment in some stages of ________ disease and/or as a part of pre-surgical procedures in others
This procedure involves instrumentation of the CROWN and ROOT surfaces (supra and subging) of the teeth to remove plaque and calculus from these surfaces. It is indicated for patients with PERIODONTAL disease and is THERAPEUTIC, not PROPHYLACTIC, in nature. ROOT PLANNING is the definitive procedure designed for the removal of CEMENTUM and DENTIN that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some SOFT tissue removal occurs. This procedure may be used as a DEFINITIVE treatment in some stages of PERIODONTAL disease and/or as a part of pre-surgical procedures in others
26
D4342 - PERIODONTAL SCALING AND ROOT PLANNING (1-3 TEETH PER QUADRANT) This procedure involves instrumentation of the ____ and _____ surfaces of the teeth to remove plaque and calculus from these surfaces. It is indicated for patients with ________ disease and is _______, not _________, in nature. ___________ is the definitive procedure designed for the removal of ______ and ______ that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some _____ tissue removal occurs. This procedure may be used as a ______ treatment in some stages of ________ disease and/or as a part of pre-surgical procedures in others
This procedure involves instrumentation of the CROWN and ROOT surfaces (supra and subging) of the teeth to remove plaque and calculus from these surfaces. It is indicated for patients with PERIODONTAL disease and is THERAPEUTIC, not PROPHYLACTIC, in nature. ROOT PLANNING is the definitive procedure designed for the removal of CEMENTUM and DENTIN that is rough, and/or permeated by calculus or contaminated with toxins or microorganisms. Some SOFT tissue removal occurs. This procedure may be used as a DEFINITIVE treatment in some stages of PERIODONTAL disease and/or as a part of pre-surgical procedures in others
27
HOW TO DIFFERENTIATE BETWEEN D4341 AND D4342 Both codes are used for ______ periodontitis Count the teeth in each ______ that are ________ involved Look at: __,___,____,_____,___,___, don't count _____! If there are 1-3 teeth, treatment plan ______ If there are 4 or more teeth, plan _______ You may need to treatment plan:
Both codes are used for ACTIVE periodontitis Count the teeth in each QUADRANT that are PERIODONTALLY involved Look at: POCKET DEPTHS, CAL, RBL, BLEEDING, FURCATIONS, MOBILITY. Don't count PSEUDOPOCKETS! If there are 1-3 teeth, treatment plan D4342 If there are 4 or more teeth, plan D4341 You may need to treatment plan: D4341 in all quadrants, D4342 in all quadrants, or a combination in each quadrant
28
D4910 - PERIODONTAL MAINTENANCE what is the recare interval? This procedure is instituted following __________ and continues at varying intervals, determined by the ________ evaluation of the ______, for the life of the dentition or any implant replacements. It includes removal of the bacterial plaque and calculus from ______ and ________ regions, ________ scaling and root planning where indicated, and ______ the teeth. If new or recurring periodontal disease appears, additional _______ and _______ procedures must be considered.
3-4 month recare interval This procedure is instituted following PERIODONTAL THERAPY and continues at varying intervals, determined by the CLINICAL evaluation of the DENTIST, for the life of the dentition or any implant replacements. It includes removal of the bacterial plaque and calculus from SUPRAGINGIVAL and SUBGINGIVAL regions, SITE-SPECIFIC scaling and root planning where indicated, and POLISHING the teeth. If new or recurring periodontal disease appears, additional DIAGNOSTIC and TREATMENT procedures must be considered.
29
PERIODONTAL MAINTENANCE planned after a patient receives __________ Periodontal disease is _____, no further loss of ______ typically _____month recare intervals
periodontal maintenance is planned after a patient receives PERIODONTAL THERAPY Periodontal disease is STABLE, no further loss of ATTACHMENT periodontal maintenance is typically 3-4 MONTH recare intervals
30
ALL patients with periodontitis have a human needs deficit in:
An unmet human need for SKIN AND MUCOUS MEMBRANE INTEGRITY due to PERIODONTITIS, as evidenced by GENERALIZED BLEEDING on probing, MAX PROBING DEPTH of 6 mm, and CAL of 7 mm.
31
what is the basic sequence of care for patients with periodontitis (9)
Health History AB rinse Assessment (EOE/IOE, dental charting, perio assessment, radiographs [if applicable], human needs, treatment/care planning, informed consent) Assessment check Oral Hygiene Instruction (OHI) Scaling-UR, LR, UL, LL Extrinsic stain removal Fluoride (if applicable) Referral (if applicable)
32
WOKRING END DESIGN what is the face to lower shank angulation of area-specific curets compared to sickles/universal curets
sickle scaler - 90 degree (tilt toward tooth to angle) universal curet - 90 degree (tilt toward tooth to angle area specific curet - 70 degree (self angulating!)
33
how many cutting edges do the graceys have
2 total, but only ONE WORKING CUTTING EDGE PER END the lower cutting edge is the working cutting edge
34
CUTTING EDGES Angulation of the face provides ideal angulation (___ degrees) when the terminal shank is ______ to tooth surface Results in less ______ of the tissues during instrumentation compared to ______ curets
Angulation of the face provides ideal angulation (70 degrees) when the terminal shank is PARALLEL to tooth surface Results in less DEFLECTION of the tissues during instrumentation compared to UNIVERSAL curets
35
AREA SPECIFIC CURETS cross section working end face cutting edges application primary functions
cross section: semicircle working end: rounded back and toe; ONE working cutting edge per working end face: self angulated when the terminal shank is parallel with the tooth due to the 70degree tilt cutting edges: curved cutting edges, enhance adaptation to rounded root surfaces application: limited to use on CERTAIN teeth and surfaces primary functions: supra/subgingival surfaces. Standard curets remove light calculus, rigid graceys remove medium/large deposits
36
who was Dr. Clayton Gracey (5)
- periodontist - first to identify periodontitis as the cause of tooth loss - developed a series of 14 instruments in the 1940s - worked with Hugo Friedman - Aimed to “give every dentist the possibility to treat the deepest periodontal pockets simply and without traumatic stretching of the gingiva.”
37
how many graceys have been developed
9
38
what are the gracey 1/2 and 3/4 used for
- simple shank - anterior teeth, all surfaces
39
what is the gracey 5/6 used for
- anterior teeth all surfaces - premolars: all surfaces - molars: facial, lingual, mesial
40
what are the gracey 7/8 and 9/10 used for
- anterior teeth: all surfaces - premolars: all surfaces - molars: facial and lingual
41
what is the gracey 11/12 and 15/16 used for
posterior teeth: facial, lingual, mesial
42
what is the gracey 13/14 and 17/18 used for
posterior teeth: distal surfaces
43
which graceys were NOT apart of the original Gracey series
15/16 and 17/18
44
how to determine the correct working end/cutting end of the gracey 1/2
- hold it in front of you and determine the LOWER cutting edge - put the toe third against the tooth: face should be partially hidden
45
in our cassettes: which instruments are rigid extended lower shank; which one is just a rigid shank
rigid extended lower shank: SPG11/12R and SPG13/14R rigid shank: SG1/2R
46
DESIGN FEATURES OF A STANDARD shank length shank diameter working end length working end width
shank length - standard shank diameter - standard working end length - standard working end width - standard
47
DESIGN FEATURES OF A RIGID (think SG1/2) shank length shank diameter working end length working end width
shank length - standard shank diameter - thicker working end length - standard working end width - standard
48
DESIGN FEATURES OF A EXTENDED LOWER SHANK (think SPG 11/12; 13/14) shank length shank diameter working end length working end width
shank length - lower shank 3 mm longer shank diameter - standard working end length - standard working end width - decreased by 10%
49
DESIGN FEATURE OF A RIGID EXTENDED LOWER SHANK shank length shank diameter working end length working end width
shank length - lower shank 3mm longer shank diameter - thicker working end length - standard working end width - decreased by 10%
50
DESIGN FEATURES OF EXTENDED LOWER SHANK AND MINIATURE WORKING END shank length shank diameter working end length working end width
shank length - lower shank 3mm longer shank diameter - standard working end length - decreased by 50% working end width - decreased by 10%
51
DESIGN FEATURES OF RIGID EXTENDED LOWER SHANK AND MINIATURE WORKING END shank length shank diameter working end length working end width
shank length - lower shank 3 mm longer shank diameter - thicker working end length - decrease by 50% working end width - decrease by 10%
52
DESIGN FEATURES OF EXTENDED LOWER SHANK AND MICRO MINIATURE WORKING END shank length shank diameter working end length working end width
shank length - lower shank 3mm longer shank diameter - thicker functional shank, tapered lower shank working end length - decrease by 50% working end width - decrease by 20% compared to mini
53
what rigid shank did we bag separately
- blue and orange graceys - SG15/16R - SG17/18R
54
what tools came in the rigid shank mini kit
- gracey 1/2 mini rigid (SAS1/2R) - gracey 11/12 mini rigid (SAS11/12R) - gracey 13/14 mini rigid (SAS13/14R)
55
what are horizontal strokes used for
- effective in removing deposits from the facial and linguals of anterior teeth - effective in removing deposits from the line angle region of posterior teeth
56
what are the posterior graceys (3)
11/12 - mesial, facial, lingual 13/14 - distals 15/16 - mesial, facial, lingual 17/18 - distal
57
sequence of instrumentation for posterior graceys
- do all the distals first - switch instruments and do the facial/mesial
58
gracey curets are area specific to allow for: (3)
- deep scaling - root planning - periodontal debridement
59
AFTER 5 GRACEY CURETTES designed for: terminal shank: blade: provides:
designed for instrumentation in deeper periodontal pockets elongated terminal shank, 3mm blade is thinned by 10% to ease gingival insertions and reduce tissue distention provides increased crown clearance
60
15/16 gracey - introduced in what year - designed for what - used where - describe the shank
introduced in 1993 designed for increased access to molars where its difficult to position the 11/12 posterior mesial use shank bends similar to 13/14 but the blade is offset to scale the mesial
61
17/18 designed to allows for multiple bends blade length
17/18 is designed to improve access to the distal surfaces of posterior teeth accentuated angle and long terminal shank allows for placement into deep periodontal pockets multiple bends improve the handle positioning so interference from the opposing arch is reduced, improve crown clearance reduced blade length enhances adaptation of the entire blade to the tooth
62
compare the 13/14 after 5 and the 17/18 gracey
- terminal shanks are the same - blade is 1mm shorter than the standard which enables adaptation
63
t/f the 17/18 comes in a after 5 and mini five
FALSE; only the 15/16 comes in After Five and Mini Five. however both the 17/18 and 15/16 come in standard and rigid
64
the gracey 15/16 has a shank bends similar to the _____ but with the blade offset
the gracey 15/16 has a shank bends similar to the 13/14 but with the blade offset
65
types of extrinsic stains (4)
- brown exogenous - black line - tobacco - stained biofilm (not as noticeable, removed via scaling)
66
types of extrinsic stain removal (2)
rubber cup polishing: coronal polishing (used with the handpiece we got) air polishing: supragingival (traditional); subgingival (new)
67
what is the purpose of extrinsic stain removal (4)
1. to remove extrinsic stain - esthetic purposes, NOT therapeutic (doesn't improve health) 2. to remove biofilm 3. to prepare teeth for sealants 4. to motivate the patient - the rationale for including polishing on dental hygiene treatment plan - patients expect polishing
68
ASSESSING FOR POLISHING After _________ (scaling), assess for remaining _____ and supragingival _____ Cleaning and polishing agents are selected based on ______ to be polished and patient needs: - _____ and _____ present - Whether or not ________ are present Identify dental materials - May need to be ______ or an alternate _______ Use the _____ abrasive grit that is effective - _____ stain is an indication for ______ - EX: ________
After COMPREHENSIVE INSTRUMENTATION (scaling), assess for remaining STAIN and supragingival BIOFILM Cleaning and polishing agents are selected based on SURFACES to be polished and patient needs: - TYPE and AMOUNT present - Whether or not RESTORATIONS are present Identify dental materials: - May need to be AVOIDED or an alternate POLISHING AGENT Use the LEAST abrasive grit that is effective - HEAVY stain is an indication for AIR POLISHING - EX: SMOKER
69
RUBBER CUP POLISHING Use a ____-speed dental handpiece, a prophylaxis angle with a _________ or ________, and prophylaxis paste Effective for removal of ________ tooth stains Good patient _______
Use a LOW-speed dental handpiece, a prophylaxis angle with a RUBBER CUP or BRISTLE BRUSH, and prophylaxis paste Effective for removal of EXTRINSIC tooth stains Good patient ACCEPTANCE
70
what is a rubber cup/bristle brush used for
rubber cup: smooth surfaces (direct facial/lingual) bristle brush: pits/fissures (occlusal)
71
what are the indications for extrinsic stain removal/polishing
- only indicated where visible stain/supragingival biofilm remains after scaling - selective polishing: only polish where needed, use disclosing solution, NOT EVERY SURFACE NEEDS TO BE POLISHED
72
what are the contraindications for polishing (5)
1. absence of extrinsic stain/biofilm 2. exposed dentin/cementum 3. demineralized areas 4. newly erupted teeth 5. restorations (use alternate polishing agent/ultra fine paste/waterpik soft shine)
73
if indicated we may ask our instructor for prophy paste for restorations. what is the name of this polishing agent, describe it.
WATERPIK SOFT SHINE - ultra fine prophy paste - safe for restorations - can be used on natural teeth but will not remove stain, too fine grit
74
FACTORS TO CONSIDER DURING POLISHING Polishing methods produce _____ and ______ Variables impacting efficiency, effectiveness, and tooth structure loss during rubber cup polishing: 1. _________ of the prophylaxis paste - Higher on ____ Scale= _______ loss of tooth structure 2. ________ of abrasive agent - _______ abrasive particles= ______ loss of tooth structure 3. ______ time on the tooth surface - longer contact time= increased loss of tooth structure, increased ____ production 4. ______ of the rubber cup - _____ speed= increased loss of tooth structure, increased ____ production 5. Applied ______ on the tooth surface - Higher _____ = increased loss of tooth structure, increased _____ production
Polishing methods produce AEROSOLS and SPATTER Variables impacting efficiency, effectiveness, and tooth structure loss during rubber cup polishing: 1. ABRASIVENESS of the prophylaxis paste - Higher on MOH'S Scale= INCREASED loss of tooth structure 2. QUANTITY of abrasive agent - MORE abrasive particles= INCREASED loss of tooth structure 3. CONTACT time on the tooth surface - longer contact time= increased loss of tooth structure, increased HEAT production 4. SPEED of the rubber cup - FASTER speed= increased loss of tooth structure, increased HEAT production 5. Applied PRESSURE on the tooth surface - Higher PRESSURE = increased loss of tooth structure, increased HEAT production
75
during polishing, the clinician should always wear: the patient should always wear: the operatory will be exposed to _______. put away all _____ other than those being used.
during polishing, the clinician should always wear: MASK, EYEWEAR, FACESHIELD the patient should always where: NAPKIN, EYEWEAR the operatory will be exposed to AEROSOLS. put away all SUPPLIES other than those being used.
76
what procedures require a faceshield
- air polishing - ultrasonic scaler - coronal/rubber cup polishing
77
coarse grit can: (4)
- cause dentinal hypersensitivity - increase tooth roughness - increase biofilm retention - damage restorations
78
what type of prophy pastes are available in the clinic
- fine prophy paste - ultra fine (for restorations)
79
reducing friction = ________ use ____, ______ contact of rubber cup to tooth use ______ speed, less than ______ rpm use ____, _______ pressure only enough pressure to _____ the cup
reducing friction = REDUCING LOSS OF TOOTH use SHORT, INTERMITTENT contact of rubber cup to tooth use SLOW speed, less than 3000 rpm use LIGHT, INTERMITTENT pressure only enough pressure to FLARE the cup
80
What supplies are needed for polishing (9)
1. Appropriate polishing paste 2. Prophy Angles (Rubber Cup & Tapered Brush) 3. Handpiece 4. Floss (floss after your polish) 5. Mouth moisturizer & disclosing solution (disclose every time before polishing) 6. Mouth mirror 7. Water 8. Fluoride (if indicated) 9. Prophy paste holder (optional)
81
what is the procedure for polishing (7)
1. Educate the patient on the source of stain and prevention 2. Protect susceptible tissues and restorations (moisturizer), then disclose. 3. Apply prophy paste 4. Work systematically and selectively - Use modified pen grasp - Adapt rubber cup to D, F, M, Li surfaces (smooth) - Adapt tapered brush to occlusal and concave surfaces (rigid) - UR, LR, UL, LL 5. Rinse and C-Shape Floss 6. Use disclosing solution to check yourself & have teacher check 7. Apply Fluoride if indicated
82
HANDPIECE MAINTENANCE ALL handpieces must be ______ after each use! Follow the _______ instructions for maintenance Dentsply RDH Hygiene Handpiece: 1. Wear _____, _____, _______, _____ 2. After use, discard _______. 3. _____ from dental unit. 4. Scrub and rinse the ______ handpiece using _____ water 5. ___ handpiece with paper towel. 6. Place ___ drops of handpiece ______ into ____ drive air tube. 7. Place handpiece back onto ____. 8. Run handpiece for ____ seconds. 9. Remove, wipe any excess ___ off, bag for sterilization with ____,_____, and ______
ALL handpieces must be STERILIZED after each use! Follow the MANUFACTURERS instructions for maintenance Dentsply RDH Hygiene Handpiece: 1. Wear GOWN, MASK, HEAVY DUTY GLOVES, AND EYEWEAR 2. After use, discard DISPOSABLE PROPHY ANGLE 3. UNSCREW from dental unit. 4. Scrub and rinse the EXTERNAL handpiece using WARM water 5. DRY handpiece with paper towel. 6. Place THREE drops of handpiece LUBRICANT into GOLD drive air tube. 7. Place handpiece back onto HOSE 8. Run handpiece for 30 seconds. 9. Remove, wipe any excess OIL off, bag for sterilization with NAME, DATE, and BOX #

DH Theory 1 (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions