DENT 1010 Final Notes Flashcards Preview

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Flashcards in DENT 1010 Final Notes Deck (36):
1

Proper amount of fluoride, where stored

Concentration of 1ppm or, more recent, 0.7ppm EPA
Stored primarily in bones and teeth and the fluoride Ion is stored as an integral part of fluoroapatite.

2

APF, Acidulated phosphate fluoride

Acid softens enamel so fluoride is uptaken better. 1.23% concentration, pH is between 3.0-3.5 (greater than 4 compromises enamel uptake)

3

Community Water Fluoridation

drinking water supply, most convenient, effective, and economical method of caries prevention; 50% reduction of caries in 1930s/40s; 1ppm and 0.7ppm

4

Dosage recommendations, child's age and amount of fluoride

most effective from birth to age 14,
birth-6 months: 0
6 months- 3 years: 0.25mg of 0.3ppm
3-6 y: 0.5mg of 0.3ppm or 0.25mg of 0.3-0.6ppm
6-15 y: 1mg of 0.3ppm or 0.5mg of 0.3-0.6ppm

5

Neutral for crowns/composites

recommended for patient with majority of composites and crowns - only 1 minute

6

Selective polishing (15?s)- ingredients, best way to polish to avoid damage, grit, what types

Extrinisic stains can be removed;
Intrinsic stains cannot be removed;
not therapeutic, but cosmetic;
can cause bacteremia; med hx must be reviewed;
Purpose: smoothest surface possible;
presence of plaque doesn't alter fluoride uptake;

7

Porte polisher

wooden tips

8

ODU explorer, Universal curette, and posterior sickle all used the same way

yep

9

Pockets (infrabony, suprabony, etc.)

gingiva below or above

10

Universal precautions

order: mask, glasses, gloves;
Treat everyone as if they have communicable disease

11

Occlusion I, II, and III

I: flush (mesiognathic)
II: mand. back (retrognathic)
III: mand. forward (prognathic)

12

Overbite/jet

measured over 3mm, use probe; difference: vertical vs horizontal

13

Instrument for dental charting

shepherds hook

14

Nonvital

not sensitive to cold

15

AIDS

HIV virus

16

Medication for TB

3: Isoniazid, rifampin, and ethambutol

17

Medication for Angina

Nitroglycerin

18

Meds for TB and Angina should be:

on tray

19

Which has substantivity?

Chlorohexidine

20

Premedication dosages: Child, Adult, allergic? Amoxycillin and Clindamycin

Child: ____ amoxycillin and 20mg/kg clindamycin
Adult: 2.0g amoxycillin and ___ clindamycin

21

Vesicles and ulcers

Raised vs dimpled

22

Attrition vs recession

tooth wear vs gum line receding... abrasion from instruments, then there's that chipping at the CEJ that can happen.

23

Autoclave/Sterilization

Steam and pressure, fastest, and most common

24

OSHA requirements - hair, nails, earrings

Clean lab coat;
Hair off collar and away from face;
Fingernails short and no polish;
No jewelry worn;
Gloves in clinic area only;
Face masks worn when ready to work on patient

25

Tray set up - what is on it?

patient bib and napkin holder, cassette and instruments, cup of rinse, saliva ejector, a/w syringe tip,

26

Dental chart

red, blue or black. black only for chipped. Blue is present. Red for what needs to be done. Circles, Xs, lines, dots, horizontal lines, vertical lines, Ss for sealants

27

Sealants

not over decay, clean tooth real well and dry,

28

Stannous fluoride

can cause brown stain, good on dentin, fills tubules

29

Mottled enamel

fluorosis, rare cavities, not decayed

30

Selective polishing (15?s)- ingredients

Abrasives, water, binders, humectants, flavoring agents, sweeteners and Fluoride

31

Selective polishing (15?s)- types

Rate of abrasion determined by number, shape, size of particles.
Finer achieve glossier finish;
mild for light stain, coarse for heavier;
fracture into smaller: more abrasive;
effective do not dull: attrition resistance

32

Selective polishing (15?s)- avoid damage

postpone if no home care; no hygiene education; gingival tissue extremely spongy and bleeds readily; immediately following deep sub-gingival scaling

33

Selective polishing (15?s)- avoid damage

Light pressure, slow-motion and plenty of moisture. Low abrasive paste and rubber cup 90% to tooth surface with intermittent light applications.

34

Air power polishing

NOT at soft tissues and rerinse before using; used after scaling and root planing; warm water and sodium bicarbonate under pressure, for extrinsic stains

34

Unit setup

Gloves, mask and glasses at chair side, tray setup, x- rays on view box, chair lowered w/ lower right chair arm

35

Leave dental unit as follows:

Light facing toward chair;
All switches in off position;
Back of chair is up completely raised;
Stool close to chair or behind it