Clinical DH, Fl and antimicrobials Flashcards

1
Q

name regulated waste

A

sharps, items soaked in blood/saliva, hard and soft tissues removed from puts mouth

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2
Q

invisible, airborne particles, remain in the air for awhile

A

aerosol

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3
Q

visible airborne particles of blood/saliva, drop quickly to floor

A

spatter

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4
Q

kill/inactivate most pathogenic microbes, not spores

A

disinfectants

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5
Q

type of disinfectant, corrosive to metals, strong odor

A

chlorine based compounds

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6
Q

type of disinfectant, not corrosive, have ow kill spectrum, limited efficacy

A

quaternary compounds

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7
Q

type of disinfectant, should not be used as surface disinfectant because of toxic effects, also corrosive

A

Gluteraldehydes

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8
Q

level of surface disinfectant used in dental setting, must kill TB organisms

A

Intermediate

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9
Q

chemical spore test

A

Geobacillus stearothermophilus

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10
Q

dry heat spore test

A

bacillus atrophaeus

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11
Q

steam spore test

A

geobacillus stearothermophilus

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12
Q

do external indicators garnet sterility?

A

no- just that they have been heat processed

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13
Q

pt has decayed #30, ask about whitening. what do I dress first?

A

whitening

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14
Q

nutrient source for supra ging calculus

A

saliva

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15
Q

nutrient source for sub ging calc?

A

crevicular fluid and inflammatory exudate

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16
Q

stain- gram positive bactera, typically located on cervical 1/3 of facials and linguals

A

black line

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17
Q

stain- associated with poor dental hygiene and/or drinking dark colored beverages

A

brown

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18
Q

stain- associated with tobacco product use

A

darn brown and black

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19
Q

stain- chromogenic bacteria in plaque; associated with poor OH, mostly on ant. teeth

A

orange

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20
Q

can be associated with chlorhexidine use of stannous Fl, stannous Fl reaction is from reaction of tin ion in the FL

A

yellow brown and brown

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21
Q

associated with poor OH, chromogenic bacteria, fungi and gingival hemorrhage

A

green

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22
Q

early evidence of bone loss, instrument can enter the depression leading to the furcation

A

Class I (empty triangle)

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23
Q

moderate bone loss, instrument can enter furcation, but cannot pass between the roots

A

Class II (empty triangle)

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24
Q

sever bone loss, instrument can pass between roots

A

Class III (shaded in triangle)

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25
Q

same as class III, but evidence of recession

A

Class IV (shaded in triangle)

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26
Q

what probe is best for assessing furcations?

A

Nabers

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27
Q

Mobility. normal

A

1 or I

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28
Q

mobility. slight horizontal mobility

A

2 or II

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29
Q

mobility, moderate horizontal mobility greater than 1 mm, no vertical displacement

A

3 or III

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30
Q

demin beings at what pH for enamel

A

4.5-5.5

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31
Q

demin begins at what pH for cementum

A

6.0-6.7

32
Q

fluoride interferes with ______

A

bacterial metabolism

33
Q

in high concentrations (professional application), Fl is ______?

A

bactericidal

34
Q

in low concentrations, Fl is _____?

A

bacteriostatic

35
Q

who monitors the concentration level in community water fluoridation

A

EPA

36
Q

who monitors Fl levels in bottled water

A

FDA

37
Q

dietary Fl supplements recommended for who?

A

children who live in areas with not enough Fl, NOT PREGNANT WOMEN

38
Q

Fl used in presence of tooth colored and porcelain restorations

A

Sodium Fl

39
Q

contraindicated in presence of tooth colored restorations and porcelain, etches glass components causing surface roughening over time

A

APF

40
Q

unstable solution, must be mixed fresh, bad taste, stains due to reaction of tin ion on FL (causes metallic taste), can cause ging sloughing

A

stannous Fl

41
Q

if

A

administer Fl binding agent

42
Q

if >5 mg/kg (toxic dose) of Fl is ingested you should

A

induce vomiting, administer Fl binding agent, seek medical tx

43
Q

if >15 mg/kg (lethal dose) of Fl is ingested you should

A

seek medical tx, induce vomiting, cardiac monitoring

44
Q

brush method. angle bristles 45 to apex at ging 1/3, bristles in sulcus

A

bass

45
Q

brush method, angle bristles 45 toward apex w/ 1/2 bristles on tooth and other half on ging

A

stillman

46
Q

use for open embrasures, exposed class IV furcation, ortho appliances, fixed prostheses, dental implant

A

interdental brush- inner wire must be plastic coated to avoid scratching cementum

47
Q

use for open proximals, hard to access areas (3rd molars, crowded teeth), fixed prostheses

A

tufted brush

48
Q

use for exposed class IV furcations, interdental cleaning (concave proximal areas), ging margins above ortho

A

tooth pick holder (perio aid)

49
Q

use for interdental areas with recession

A

wedge stimulator

50
Q

use for physically challenged, caregivers providing oral hygiene care

A

floss holder

51
Q

use for under pontics of bridges or ortho

A

tufted floss

52
Q

disrupts loosely adherent plaque and flushes debris/food particles around ortho

A

oral irrigator

53
Q

active dentifrices ingredient for caries

A

Fl

54
Q

active dentifrices ingredient for tartar control

A

pyrophosphates

55
Q

active dentifrices ingredient for antihypersensitivity

A

potassium nitrate, strontium chloride, sodium citrate

56
Q

active dentifrices ingredient for antibacterial

A

triclosan

57
Q

active dentifrices ingredient for whitening

A

carbamide peroxide, hydrogen peroxide

58
Q

where do you being stroke for scaling?

A

coronal to edge of junctional epithelium

59
Q

Gracey used for mesial of post only

A

15/16

60
Q

Gracey for distal of post teeth

A

13/14 or 17/18

61
Q

what can you use for implant scalers

A

plastic, nylon, graphite, or gold tipped

62
Q

what stroke does ultrasonic magnetostrictive produce

A

elliptical or orbital

63
Q

what stoke foes ultrasonic piezo produce

A

linear

64
Q

what stroke does sonic scaler produce

A

elliptical or orbital

65
Q

most to least active part of ultrasonic

A

tip, concave face, convex back, lateral sides

66
Q

how do ultrasonic scalers work?

A

cavitation

67
Q

contraindications for ultrasonics

A

demin, exposed dentin, titanium implants, restorations, children with primary/new erupted teeth, dentures or communicable disease, respiratory conditions, diff swallowing, susceptible to infection

68
Q

indications for rubber cup polishing

A

extrinsic stain

69
Q

contraindications for rubber cup polishing

A

xerostomia, demin/decay, sensitivity, newly erupted teeth, severe gingivitis, lack of plaque/stain, exposed root surfaces, respiratory conditions

70
Q

powder for air polishing

A

sodium bicarbonate, aluminum trihydroxide, glycine, calcium carbonate, calcium sodium phosphosilicate

71
Q

indications for air polishing

A

stain/biofilm removal, root detoxification, sealant prep, soft debris removal around ortho

72
Q

contraindications for air polishing

A

sodium restrcited diets, spongy ging, respiratory conditions, restorative materials, exposed root surfaces, immunocomprimised, puts taking potassium/anti diuretics/steroid

73
Q

do you use pressure on pulp vitality test

A

no

74
Q

bactericidal, high substantivity, .012%, stains teeth/tongue/tooth colored restorations, altered taste, irritates, increases supra calc formation

A

Chlorhexadine gluconate

75
Q

Listerine, burning, sigh extrinsic staining, don’t use for alcoholics

A

Essential oils