Coronal Polishing

Question 0

A complete prophylaxis is completed by who?

Answer 0

Only by a licensed dentist or RDH

Question 1

What is the goal of coronal polishing?

Answer 1

Remove soft deposits, plaque, and extrinsic stains w/ minimum patient discomfort and trauma to the tissues

Question 2

What is a legal consideration to be taken when coronal polishing?

Answer 2

Coronal polishing includes only the removal of soft deposits and stains. Should any hard deposits be found, an RDH or dentist must be informed.

Question 3

What are the qualifications required in order to coronal polish?

Answer 3

1) must be an RDA
2) must complete a board approved polishing course
3) must have polishing certificate
4) must complete polishing course to maintain RDA licensure
5) must provide polishing course completion with RDA application

Question 4

The qualified RDA may perform coronal polishing when?

Answer 4

Under direct supervision of a licensed dentist

Question 5

What are some indications for coronal polish?

Answer 5

1) oral hygiene- plaque and stain removal
2) prior application of topical fluoride
4) prior to rubber dam placement
5) prior cementation of orthodontic bands
6) prior application of acid etching solutions
7) after removal of dressings and packs

Question 6

What are the constituents of plaque?

Answer 6

1) saliva
2) bacteria
3) cellular debris
4) materia alba

Question 7

Why remove plaque?

Answer 7

• Number one cause of dental disease (periodontal disease and decay)
• increase caries susceptibility

Question 8

What is disclosing and why do we do it?

Answer 8

Method of plaque detection by use of dye to stain the plaque and make it visible

Question 9

What is the main ingredient in disclosing tablets?

Answer 9

Erythrosine die

Question 10

What are some disclosing solutions?

Answer 10

1) plaque-chek
2) trace solution
3) iodine solutions
5) plaque-lite

Question 11

What is calculus?

Answer 11

Hard calcified mass “tartar” usually yellow or dark brown

Question 12

Where are the heaviest accumulations of calculus found?

Answer 12

Buccal surfaces of the upper posterior teeth and lingual surfaces of the lower anterior teeth

Question 13

Calculus can only be removed by who?

Answer 13

A licensed dentist or RDH

Question 14

Calculus is removed before or after coronal polishing?

Answer 14

Before

Question 15

When can an RDA use a scaler?

Answer 15

To remove cement and calculus on a denture

Question 16

What are the 4 classifications of stains?

Answer 16

1) extrinsic
2) intrinsic
3) exogenous
4) endogenous

Question 17

What is the most common type of extrinsic stain?

Answer 17

Yellow stains

Question 18

What is the second most common extrinsic stain?

Answer 18

Tobacco stains

Question 19

Where are green stains primarily found?

Answer 19

Children’s maxillary anterior teeth at the cervical line

Question 20

What stains are found more often in females and in children?

Answer 20

Black line stains

Question 21

What can be done for intrinsic stains?

Answer 21

Bleaching, veneers or a crown

Question 22

What is dental fluorosis and how do you get ?

Answer 22

Hypocalcification from ingestion of excessive fluoride

Question 23

When can tetracycline discoloration appear in children?

Answer 23

3rd month of pregnancy, infancy or early childhood

Question 24

Irregular alignment of tooth or teeth

Answer 24

Malocclusion

Question 25

What systemic conditions affect coronal polishing?

Answer 25

1) heart-kidney disease 2) hepatitis 3) diabetes 4) epilepsy

Question 26

What does pumice consist of?

Answer 26

Volcanic origin made of silicates of aluminum, potassium and sodium.

Question 27

What conditions may cause pain and discomfort during coronal polishing?

Answer 27

Exposed roots, herpes, or gingivitis

Question 28

What are some common agents?

Answer 28

1) pumice 2) tin oxide 3) commercial premixed preparations

Question 29

What types of abrasives are there?

Answer 29

Silex, chaulk, and aluminum oxide

Question 30

What is the purpose of a prophy brush?

Answer 30

They are used on the occlusal surface to remove stains from pits and fissures on the enamel.

Question 31

What position are the rotary instruments held in?

Answer 31

Modified/pen grasp using a fulcrum

Question 32

Why fulcrum?

Answer 32

Stabilize the hand and prevent injury

Question 33

Where should you NOT fulcrum?

Answer 33

On the patient's face (lips, chin, or cheeks)

Question 34

Abrasive

Answer 34

Agent capable of scratching a surface

Question 35

Plaque

Answer 35

Sticky substance of saliva, bacteria and food debris that adheres to teeth

Question 36

Extrinsic stain

Answer 36

Stains on external surface of teeth that may be removed by polishing techniques

Question 37

Pellicle

Answer 37

Clear thin matrix of insoluble mucoproteins from saliva which sticks to teeth

Question 38

Materia Alba

Answer 38

Mass of food debris and bacteria that sticks to teeth and provide the source of plaque build up

Question 39

Intrinsic stain

Answer 39

Stains on the side of the tooth structure that are not removable by polishing

Question 40

Prophylactic antibiotic therapy

Answer 40

Antibiotic therapy prescribed to prevent transient bacteria, given pre and post treatment

Question 41

Prophylaxis

Answer 41

Complete professional removal of calculus, debris, stains and plaque from the teeth

Question 42

Subgingival

Answer 42

Below the gingival tissue- gumline

Question 43

Supragingival

Answer 43

Above the gingival tissues- gumline

Question 44

Cellular debri

Answer 44

Second stage of plaque formation occurring when bacterial colonies merge to cover large surfaces of the teeth

Question 45

Exogenous stain

Answer 45

Develops from external sources and may be extrinsic or intrinsic

Question 46

Endogenous stain

Answer 46

Develops from within teeth and are always intrinsic

Question 47

What is plaque composed of?

Answer 47

Microcolonies embodied in the pellicle

Question 48

What does the pellicle come from?

Answer 48

Bacteria and saliva

Question 49

Where does bacteria accumulate in the oral cavity?

Answer 49

Around the surface of teeth, interproximally and sulcular.

Question 50

What is the second stage of plaque formation?

Answer 50

Cellular debri

Question 51

Which disclosing solution would you NOT use on a patient with diabetes?

Answer 51

Iodine solutions

Question 52

Which two disclosing solutions both have erythrosine dye as their main ingredient?

Answer 52

Plaque – chek and Trace solution

Question 53

What does Plaque–Lite use that can only be seen with a special light?

Answer 53

Fluorescein sodium

Question 54

What precautions should be taken for all disclosing methods?

Answer 54

Staining of clothes, face, lips and hands

Question 55

What are the two classifications of calculus?

Answer 55

Supragingival (above gumline) and Subgingival (below gumline)

Question 56

What is calculus composed of?

Answer 56

- 80% in organic- 2/3 hydroxyapatite matrix, salts and minerals - 20% organic- matrix, bacteria, carbohydrates, proteins, cellular debris

Question 57

What type of stain would be in example of an exogenous stain?

Answer 57

Tobacco stains

Question 58

What establishes the degree of staining?

Answer 58

State of oral hygiene, surface texture of the tooth, contour of the tooth

Question 59

What are some extrinsic stains?

Answer 59

Yellow, tobacco, green, black line, orange or red and metallic stains

Question 60

What are some intrinsic stains?

Answer 60

Stains in pulpless teeth, drugs and metals, dental fluorosis, tetracycline, dentinogenesis and amelogenesis

Question 61

Which Heart–Kidney diseases may require pre-and post anabiotic therapy?

Answer 61

Rheumatic heart disease, congenital heart disease and nephritis

Question 62

What condition requires strict adherence to universal precautions and infection control?

Answer 62

Hepatitis

Question 63

Why should you avoid tissue trauma on a patient with diabetes?

Answer 63

Their tissue healing is impaired

Question 64

What can Dilantin due to a patient with epilepsy?

Answer 64

The anticonvulsant drug may produce hyperplastic gingival (overgrowth)

Question 65

What agent can accomplish both cleaning and polishing?

Answer 65

Zirconium silicate

Question 66

What is the least abrasive pumice used to remove stains from enamel in the form of wet paste?

Answer 66

Pumice flour or superfine pumice

Question 67

Which polishing agent is used for teeth and metallic restorations?

Answer 67

Tin oxide mixed with water or glycerin

Question 68

What is a superfine abrasive agent used for heavy stain removal?

Answer 68

Silex (silicone dioxide)

Question 69

Chaulk

Answer 69

A.k.a. whitening, precipitated calcium carbonate used as polishing agent and whitener

Question 70

Type of abrasive available in strips for interproximal surface usage

Answer 70

Aluminum oxide