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Dental hygiene > Intro to clinic > Flashcards

Intro to clinic Flashcards

1
Q

Define process of dental hygiene care

A

ADPIED
Assess, Diagnose, Plan, Implement, Evaluate, Document

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2
Q

What determines the dental hygiene diagnosis

A

Stage and grade

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3
Q

Why do some people develop infections while other do not

A

Immune response, Nutritional Status, general health

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4
Q

Which organisms are considered airborne?

A

TB, influenza, posteridua, chicken pox, staphylococcus aureus

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5
Q

Standard precautions

A

Treating all patients as if they are infectious

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6
Q

What is the purpose of wiping the op twice?

A

1st wipe is to remove the bio burden 2nd wipe is to disinfect

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7
Q

Cross contamination

A

Spread of microorganisms from one object to another

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8
Q

What type of gloves are worn for instrument cleaning procedures?

A

Heavy duty nitrile utility gloves

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9
Q

Infectious waste

A

Waste that has contacted blood or other bodily fluids

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10
Q

Disinfection

A

Eliminates all microorganisms except for spores

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11
Q

What part of the clinicians body should be even with the patients mouth?

A

Elbow

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12
Q

Trendelenburg seating position

A

Patients head is below the heart, tipped down 30-40 degrees, used for maxilla

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13
Q

Adaptation

A

1-2 mm of the tip is always in contact with the tooth

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14
Q

Describe the characteristics of a universal curet

A

Rounded back and a toe, 2 cutting edges, semicircular

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15
Q

How should you begin an instrumentation stroke?

A

Have pinched force, pressure, and fulcrum

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16
Q

Describe calculus removal stroke

A

Short, overlapping strokes, controlled movements, firm lateral pressure, remove in zones

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17
Q

Cutting edge of a sickle meets in a

A

Sharp tip/point

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18
Q

Objectives of sharpening

A

Restore a fine cutting edge while maintaining a manufacturing design

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19
Q

The angulation of the stone to the face of the instrument should be

A

110

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20
Q

Why use selective polishing

A

For areas of demineralization or compromised enamel, repeated polishing can remove dentin/enamel/cementum/ remove fluoride rich layer

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21
Q

What type of pressure should be used with a rubber cup or brush when polishing the tooth surface

A

Enough pressure to make the cup flare, light -moderate intermittent pressure

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22
Q

What is the function of etch when placing sealants

A

Produces micro pores in the enamel witch allows the mechanical bond to take place

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23
Q

Sealant is placed on the permanent molars to help prevent

A

Class 1 Caries

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24
Q

What is the SJVC policy regarding fingernails

A

Shouldn’t extend the finger tip, no polish, gel, or artificial nails

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25
Q

Which artery should the blood pressure cuff be placed above

A

Brachial

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26
Q

Bidigital palpitation

A

Use 2 fingers from the same hand

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27
Q

Where do you measure from when your probing

A

Base of sulcus (junctional epithelium) to the gingival margin (free gingiva)

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28
Q

Properly adapted periodontal probe

A

Parallel to the long axis of the tooth, side of the probe (terminal third) always in contact with the tooth

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29
Q

What type of grasp and lateral pressure is applied when exploring?

A

Light feather light stroke, with light lateral pressure, relaxed hand

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30
Q

G.V Blacks Caries classification Class I

A

Pits and fissures

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31
Q

G.V Blacks Caries classification
Class II

A

Proximal surfaces of premolars and molars

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32
Q

G.V Blacks caries classification
Class III

A

Proximal surfaces of anteriors that do not involve incisal edge

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33
Q

G.V Blacks Carie’s classification
Class IV

A

Proximal surfaces of anterior that does involve the incisal edge

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34
Q

G.V Blacks caries classification
Class V

A

Cervical 3rd of facial or lingual surfaces of any tooth

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35
Q

G.V Blacks caries classification
Class VI

A

Incisal edges of anterior teeth, cusps/tips of posterior teeth

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36
Q

What Classifications or Carie’s require an X-ray

A

Class 2 and 3

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37
Q

angels Bite Class 1

A

Ne

38
Q

Angels bite class 2 division 1

A
39
Q

Angels bite class 2 division 2

A
40
Q

Angels bite class 3

A
41
Q

When can students bring the patients into the clinic floor?

A

When an instructor is present at the time the appt starts

42
Q

What type of patients must have screening appointments

A

SJVC walk-in/ recruits 18 years or older

43
Q

What must a student do before dismissing a patient?

A

Obtain permission from the instructor

44
Q

Lab gown characteristics

A

Should be past the knees, closed at the neck, disposable or bleach washable, long sleeved, cuffed ends, no pockets

45
Q

How often should a face mask be changed?

A

Between every patient, or sooner if moist or soiled, every hour

46
Q

What is the last thing to do before you leave the clinic?

A

Wash your hands

47
Q

When should the treatment plan be completed?

A

Before an instructor checks in and before treatment after all the assessments are complete

48
Q

Abrasion

A

Mechanical wearing away of tooth surfaces on tooth forces other than mastication excessive horizontal forces

49
Q

universal sickle was originally designed for use on

A

Posterior teeth

50
Q

Normal pulse range

A

Adult 60-100 child 80-120

51
Q

Thumb

A

Holds instrument

52
Q

Index

A

Holds the instrument

53
Q

Middle

A

Tactile sensitivity and guides the instrument

54
Q

Ring

A

Fulcrum finger, stabilizing the Hand in the mouth, support beam

55
Q

Ideal angulation for insertion of curette

A

0-45 for entering the sulcus
70-80 for a stroke

56
Q

How to determine the correct working end of an instrument on the distal of a posterior tooth?

A

Functional shank is up and over , lower shank is parallel to the distal surface

57
Q

What does the clinician need to do to stay adapted around the. Line angles

A

Roll the instrument with the thumb and index finger

58
Q

What is the best way to identify supragingival calculus?

A

Compressed air and visually

59
Q

How does a clinician obtain an accurate probe depth on a proximal surface

A

Tiliting, going far into the contact as possible then tilting the instrument when you reach the contact to reach the col

60
Q

Overbite

A

Vertical distance of maxillary incisors over mandible

61
Q

Maximum amount of time that a rubber cup should stay in contact with the tooth

A

3-5 seconds

62
Q

Symptoms of hepatitis A

A

Tiredness, weakness, nausea,vomiting……. Flu like symptoms

63
Q

Tactile sensitivity

A

Ability to detect tooth irregularities such as calculus deposits with vibrations from your middle finger

64
Q

horizontal strokes are best used for

A

Midline of direct facial/buccal and direct. Lingual of anteriors
Distal line angles of posteriors

65
Q

SRP

A

Scaling and root planing is a deep cleaning subgingivally used to treat gum disease. The process of smoothing out the root surface of teeth by removing hard deposits from below the gums. Removing cementum that is contaminated

66
Q

How much should the clinician attempt to complete on a tenacious patient

A

Should use a segmental approach to clean as many teeth possible to completion

67
Q

What is the virus varicella zoster responsible for causing

A

Shingles in adults and chicken pox in children causing a painful rash lasting 2-4 weeks

68
Q

What does the color change on the sterilization bags indicate

A

Auto clave has reached the temperature needed

69
Q

Heretic whitlow

A

Herpes simplex infection of finger resulting from HSV-1 or HSV2 entering through skin abrasions around the fingernail

70
Q

Bruxisum

A

Habitual grinding of teeth

71
Q

Attrition

A

Wearing away of tooth as a result of tooth to tooth contact

72
Q

When using the universal curet the correct angulation for scaling is achieved

A

By tilting the lower shank slightly toward the tooth surface to be instrumented

73
Q

Ideal angulation for calculus removal with a curette

A

70-80

74
Q

Aphthous ulcer/canker sore

A

Most depressed lesion; a lesion that has a red halo with a white concave center

75
Q

Diastema

A

Space or gap between 2 teeth

76
Q

When can a student bring a pt into the SJVC clinic

A

Only when instructor is on the clinic floor

77
Q

What it the protocol for a medical emergency

A

Stop treatment, remain calm, assure patient, send by standard to notify instructor and or DDS, activate EMS by calling 911

78
Q

Where is the emergency oxygen tank located

A

Next to laundry room on the west wall

79
Q

Where is the emergency eyewash station located

A

Radiology lab sink on the south wall and sterilization lab sink east wall

80
Q

Where is the defibrillator located

A

Health since building north hall way south wall

81
Q

Where is the first aid kit on the clinic floor located

A

South wall cabinet

82
Q

Where are the fire extinguishers located

A

Operatory 25 south wall next to the laundry room Wes wall

83
Q

When is medical consultation/referral needed fore treating a patient

A

Acquired immune deficiency syndrome (AIDS), cancer receiving chemotherapy, diabetes pt, glycemic, dietary agents, heart disease, prosthetic joint replacement, hypertension,pregnancy, TB

84
Q

Describe the requirements for the lab gown

A

Full length, cover the arms, ….

85
Q

What does the clinician need to have ready when the instructor comes to check a patient

A

Clean mirror, sterilized gauze, and daily evaluation

86
Q

Describe the proper characteristics for mask efficiency

A

Cover nose and mouth, does not allow smell to come thru

87
Q

What do you do if you are going to be absent from clinic

A

Call or email the clinic manager and cancel your patient

88
Q

What is the protocol when a student has an empt chair in the DHC

A

You are expected to see a walk-in pt

89
Q

Three types of appointments

A

Prophy-
SRP-
Perio maintenance-

90
Q

What is the protocol if your patient cancels

A

I for the clinic manager personally or by using cancelation slip

91
Q

How are students notified when a pt cancels through the DH office

A

Phone messages will be placed in the students mailbox

92
Q

What is the procedure when changing rotation dates with another student

A

Required to make up the assigned duty by forfeiting clinic days

Dental hygiene (20 decks)

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