Explorers Flashcards

0
Q

How do you adapt an explorer to a tooth surface?

A
  1. Tip to Tooth
  2. Pivoting on the Fulcrum
  3. Rotating (fingers)
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1
Q

How do you select the correct end of a double ended explorer?

A

Place terminal shank parallel to the tooth, if the handle is going outside of the mouth it is correct.

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2
Q

What is the assessment stroke used with in an explorer?

A
  1. Wrist Motions (pecking or side to side)
  2. Overlapping strokes (vertical or oblique)
  3. Lead w/tip
  4. Smooth/Continuous Strokes remaining in the sulcus
  5. Explore the entire depth of the pocket
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3
Q

What is the adaption pattern for exploring teeth on both arches?

A

Posterior to Anterior

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4
Q

What is the adaptation pattern per maxillary tooth?

A

Midline to distal

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5
Q

What is he adaptation pattern per mandibular tooth?

A

Toward surfaces to Away surfaces

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6
Q

What is the adaptation pattern for posterior lingual and facial surfaces?

A

Distal line angle to distal

Distal line angle to mesial

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7
Q

How do you detect supracalculus?

A

Direct observation and AIRMIR

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8
Q

How much pressure do you use with an explorer?

A

Light and Firm

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9
Q

What part of the explorer is adapted to the tooth surface?

A

The working end; about 1-2mm of the tip of the instrument

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10
Q

How many strokes are needed to explore a root surface?

A

Depends on the pocket depth and area of tooth surface.

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11
Q

What is the purpose of exploring tooth surfaces?

A

To find calculus, caries, and in general irregularities.

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12
Q

What are the different CEJ relationships?

HINT: OMG

A

Overlap (60%)
Meet (30%)
Gap (10%)

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13
Q

What irregularities can we find with an explorer that is considered an elevation?

A

Deposits = (calculus and stain)

Enamel pearls = round excess enamel usually seen in furcation of maxillary molars.

Unusual CEJ = overhanging restorations

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14
Q

What irregularities can we find with an explorer that are considered to be depressions?

A
Decalcifications
Caries
Abrasion erosion pits
Root anomalies
Defective Margins of Restoration
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15
Q

True or False; it is ok to poke decalcifications (white spots)

A

False, you should never poke decalcification spots

16
Q

What typically causes abrasion erosion pits?

A

Tooth Brush

17
Q

What common types of calculus formations exist?

A
Spicules-class 1
Ledge-class 2
Ring-class 3
Veneer - smooth
18
Q

Why do we not want to insert an explorer into a suspicious carious lesion?

A

May result in the rupture of the surface layer covering early lesions causing more damage.

19
Q

What does tactile sensitivity mean?

A

Sense of Touch

20
Q

What is tactile sensitivity?

A

The ability to distinguish types of degrees of roughness and smoothness on the tooth surface.

21
Q

On what finger should you feel vibrations?

A

Middle finger

22
Q

Where is most calculus left behind?

A

The CEJ

23
Q

What are explorers used for?

A

Detection or assessment to find calculus, furcations and decay on tooth and root surfaces. Confirm direct observations.

24
Q

What is the extreme end of an explorer called?

A

Sharp point

25
Q

What is the working end of an explorer called?

A

The tip

26
Q

Which explorer do you use to detect calculus?

A

Shepard’s Hook

27
Q

Calculus has to have a high content of what to show up on an x-ray?

A

Calcium

28
Q

What is the col?

A

The depression above the contact area.

29
Q

What is iatrogenic dentistry?

A

Dentists sometimes create an overhang purposely when doing restorations.