Quiz #2 Flashcards

(59 cards)

1
Q

What is periodontal debridement?

A

-Removal of plaque, bacteria, endotoxins, and hard calcus from teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the goal of periodontal debridement?

A

-Prevent/stop infection and restore oral soft tissue health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the purpose of the modified pen grip? Explain.

A

-provides good fingertip tactile sensitivity
-precise instrument control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What instrument do you use the modified pen grip?

A

-hand scalers (not morse)
-Probe and explorer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 3 parts of the handle? Describe each

A

-Handle: The part of the instrument held
-Shank: The area of the insturment between the working area and the handle, subdivided into working and terminal
-Working area: Subdivided into heel, tip, middle or toe. Has a flat face and 1 or 2 cutting edges on either side of the face

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the sickle scaler.

A

-Angle cutting edge of scaler to scrape plaque and tartar off teeth
-Curved or straight
-Has a triangular cross section and tapers into a sharp pointed tip with two cutting edges on either side of the face

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the uses for the sickle scaler? Towards or away from the gum line?

A

-Removing calcus from pits, fissures, developmental grooves, and interproximal spaces
-Aways pull away from the gumline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe the morse scaler.

A

-Smaller than the sickle scaler
-held in pencil grip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When would you use the morse scaler?

A

-used straight onto the tooth to clean ridges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe curettes.

A

-scalers that are used for subgingival calculus removal and root planning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When do you use a curette?

A

-removal of calculus from the sulcus or adhered to the tooth root

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How can you tell the difference between a curette and sickle scaler?

A

-Curettes will have a rounded edge that can go under the gingiva without causing harm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 2 types of curettes? Which is used most in vet med?

A

-Gracey
-Universal (used in vet med)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the periodontal probe.

A

-Has no sharp edges, used to measure the dept of the gingival sulcus, gingival recession or hyperplasia, diameter of oral masses and any other oral structures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do you use the periodontal probe?

A

-Inset the probe in between the gingiva and root surface, parallel to the long axes of the tooth. Walk the probe along the circumference of each tooth at least four times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are normal sulcus depths for dogs? Cats?

A

-Dogs:1-3mm
-Cats:0.5-1mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe the shepherd’s hook/explorer.

A

-Used to detect calculus, explore cavities, and exposed pulp chambers
-Has a sharp tip only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does the shepherd’s hook help you to feel?

A

-Abrasions
-Attrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is furcation?

A

-The area where the tooths roots leave/enter the bottom of the tooth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe the stages of furcation.

A

-stage 1: Furcation exposure with mild amount of alveolar crest loss
-Stage 2: ½ of furcation and alveolar crest loss
-Stage 3: Alveolar crest completely lost, Furcation fully exposed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the tooth mobility scoring index?

A

-Seeing how much the tooth is able to move

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Describe the stages of the mobility scoring index.

A

-Stage 0: Physiologic movement up to 0.2mm
-Stage 1: Mobility is increased in any direction other than axial over a distance of more than 0.2mm and up to 0.5mm
-Stage 2: Mobility is increased in any direction other than axial over a distance of more than 0.5mm and up to 1mm
-Stage 3: Mobility is increased in any direction other than axial over a distance of more than 1mm or any axial movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Describe elevators

A

-Serves as a wedge placed between the root and the bone to stretch and break the periodontal ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Describe periosteal elevators.

A

-Used to create a mucoperiosteal flap
- Cuts away the periosteum to release the gingiva and mucosa
-reveals alveolar bone underneath

25
When do you use extraction forceps?
-When you are doing dental extractions
26
How are calculus removing forceps different than extraction forceps?
-Calculus removing forceps have a hooked appearance to one of the jaws, better for removing calculus
27
What are the 3 types of power scalers?
- Sonic - ultrasonic - drill?
28
How does the ultrasonic scaler work?
-Piezoelectric mechanism
29
What does the ultrasonic scaler remove?
-Gross calculus
30
How long can the ultrasonic scaler stay on a tooth?
-10-15 seconds
31
What are the types of ultrasonic tips? Which can go under the gums?
-Universal tip: can go under the gums -Beaver tail tip (broad tip): cannot go under the gums -Periodontal tip: can go under the gums
32
What happens to the enamel if the tips are left on the tooth too long?
-pitting of the enamel with possible pulp damage
33
Describe air driven units.
-come with a low speed handpiece (polishing), high speed handpiece (drill), scaling unit (peizo or sconic) and a 3 way air/water syringe. Uses an air compressor
34
What are the 3 pieces of personal protection equipment used in radiography?
-Lead gowns -thyroid protector -Gloves
35
What is the legally required radiation reader that every individual needs to wear when taking radiographs?
-Dosometer
36
What are the parts of the radiograph equipment?
-X-Ray geneorator: machine that releases radiation to make a image -Image receptor: Catches the radiographic waves/ions and imprints/creates a image
37
What are the 4 patient positions for taking radiographs?
-Lateral -Sternal -dorsal -Angled
38
What are the 3 angles used for taking radiographs? Describe each.
-Bisecting angles: Film flat and as close to the tooth as possible, with tooth on the edge -Parallel: Line up the beam/generator, tooth and sensor/film -Extra-oral
39
What 2 things are involved in radiographic technique?
-Angles -Settings of the generator machine
40
How many radiographs are needed to take a full mouth series in dogs and cats?
-Dogs: about 9 -cats: 8 views
41
Why do we use dental nerve blocks?
-Decreases the amount of GA needed -Pre-emptive analgesia -Good for post-op pain control
42
What are the 3 types of nerve blocks?
-Splash -Local -regional
43
How are splash blocks used?
-Irrigating a wound or open incision with a product
44
How are infiltration blocks used?
-Injected along the planned incision line -injection into the periodontal ligament
45
What is an advantage of regional blocks? Disadvantage?
-Advantage: Ability to block an entire quadrant -Disadvantage: Transient loss of sensation and function
46
What is the most common technique for dental nerve blocks?
-Regional Blocks
47
What is the preferred drug for dental nerve blocks?
-Bupivacaine
48
How long does bupivacaine last? What is the max dose for dogs & cats?
-4-8 hours -Dogs: 2mg/kg -Cats: 1.5mg/kg
49
How long does lidocaine last? What is the max dose for dogs & cats?
-0.5-2 hours -Dogs: 2mg/kg -Cats: 1.5mg/kg
50
What supplies are needle for nerve blocks?
-medication, syringe and needles
51
What are 4 regional blocks we do in dogs & cats?
-infraorbital -maxillary -middle mental -inferior alveolar
52
What landmark are you palpating for with the infraorbital block?
-the maxillary 3rd PM
52
What area(s) does the infraorbital block?
-incisor, canines, and first 3 premolars
53
What area(s) does the maxillary nerve block?
-the entire maxillary quadrant
54
What added step is needed with the maxillary block that is not necessary for the others?
-bend the needle
55
What area(s) does the middle mental block? Is it reliable?
-canines and incisors -not reliable
56
What area(s) does the inferior alveolar block?
-teeth, soft tissue, amd the bone of the mandible of the side of injection
56
Explain the different approaches for alveolar block?
-Intraoral -Extraoral
57
What are you palpating for extraorally for alveolar block?
-The notch caudal of the mandible