Week 1 Prophylaxis Flashcards
be able to classify the causes of tooth staining
Classification
- Extrinsic
- Intrinsic
identify the causes of tooth staining
Green - Chromogenic bacteria
Black - Iron in saliva, soy products
Orange - chromogenic bacteria
Brown - Smoking, betal nut chewing, tobacco chewing, food and beverage pigment, medicaments
Intrinsic examples and colours
- White - enamel hypoplasia, fluorosis, amelogenesis imperfecta both types, enamel opacities, demineralisation, enamel caries
- Black brown - Enamel caries
- Translucent/Orange - Dentinogenesis imperfecta
- Brown - Extrinsic staining diffused into irregularities on tooth structure .
- Black - pulp necrosis, RBSs lysis
- Green, yellowish brown, pearl grey, to yellow, to dark green/brown - Pigaments incorporated in developmnt, bile pigments, tetracycline
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What are the contraindications to polishing?
- Xerostamnia
- Active demineralisation
- Exposed root surface
What are the precautions when polishing?
- Mobile teeth
- Painful teeth
- Painful inflammed gingiva
- hypersensitivity
What is selective polishing?
Polishing of team on an as-needed basis when stain is present that is not removed during instrumentation.
What are the adverse effect of Polishing?
- Tooth surface abrasion
- Damage to restoration, gold, composites
- Aerosol production
- Heat production
- Gingival tissue trauma
Describe the products used in prophylaxis
Prophylaxis paste comes in a paste form, comes in fine, medium, coarse.
It may contain :
- Fluoride
- ACPCPP (tooth moose)
- ACP (recaladent)
- Hydrogen peroxide
- Arginine bicarbonate, calcium bicarbonate or carbonate (sensistat)
- Sodium calcium phosphosilicate
What are the steps undertaken during prophylaxis?
- Begin posteriorly ( quadrant and tooth surface)
- Buccal first, then palatal-occlusal aspects last
- Gentle pressure, adapt to tooth shape, stroking action, 2-3 second contact with each tooth surface
- Stable fulcrum
- Rinse frequently for patient comfort
What are some good tips for prophylaxis?
- Hold mirror in non-dominate hand for retraction
- ask patient to close up half way to help you gain access to difficult areas
- stroke stratergies
What do you do before clinical procedure
- Evaluate client health, and pharmacy history
- Identify tooth surfaces indicated and contraindicated for polishing.
Rule of thumb polish aesthetic restoration first
- Educate pt regarding prophy
- Select correct polish paste
- Your PPE and Pt PPE
- Preprocedure antimicrobial rinse if needed
What are the indiciations of polishing paste?
- Pleases patient
- aesthetically please
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