Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Dental Assisting Term 1 > Restorative Procedures 1 > Flashcards

Restorative Procedures 1 Flashcards

1
Q

What is restorative dentistry?

A

When teeth are restored to their ideal structure.

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

What are the roles of a dental assistant?

A
  1. Be familiar with the procedure and anticipate the needs of the Dentist
  2. Prepare the set up for the procedure
  3. Provide moisture control
  4. Transfer instruments
  5. Provide proper mix of materials
  6. Perform and legal expanded functions
  7. Maintain patient comfort
  8. Maintain IPC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How to handle materials safely

A

MSDS sheets
be aware of adverse reactions

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

Examples of patient education

A

Explain the procedures to assist with calming and/ or educating the patient

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

Procedures for diagnosing decay

A
  1. Dental Explorer
  2. Radiographs
  3. Visual Appearance
  4. Indicator Dyes
  5. Caries Detection Devices
  6. Laser Caries Detector
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Anxiety and Pain Control

A

The practice of various psychological, physical, and chemical
Examples:
1. Topical anesthesia
2. Local
3. Inhalation sedation
4. Antianxiety agents
5. Intravenous (IV) sedation
6. General anesthesia
7.

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

What is Anesthesia

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

types of topical/ local anesthetic

A
  1. gels
  2. wash
  3. spray
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the different needle gauges

A

30 Gauge

this is used to anaesthetize
maxillary arch
#30 is thin and short

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

What are the 4 steps

A

Always use a new needle
Point the needle away fro you
Never touch the

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

what do you call the area in thee mouth that the topical/ local anesthetic is placed

A

Mucobuccal fold

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

How long does topical anesthetic last?

A

15 mins

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

How long does Local anesthetic last

A

2-4 hours

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

What is topical anesthesia

A
  1. Ointments
  2. Liquids
  3. Sprays
  4. Patches

This provides a temporary numbing effect on nerve endings

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

What is local anesthetic

A
  • Local anesthesia temporarily blocks the normal
    generation and conduction action of the nerve
    impulses
  • Local anesthesia is obtained by injecting the
    anesthetic agent near the nerve in the area
    intended for dental treatment
  • Induction time is the length of time from the
    injection of the anesthetic solution to complete
    and effective conduction blockage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Chemical Composition of Local
Anesthetics

A
  1. Amides (local anesthetics)
  2. Esters (topical anesthetics)

Amide anesthetics are metabolized in the liver
Ester anesthetics are met

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

Time Span of Anesthetics

A

Induction – length of time between injection of the
anesthetic and complete conduction of blockage
Duration – length of time from induction until
reversal
Short acting – can last approximately 30 min
Intermediate acting – can last approximately 60 min
(most commonly used in general dentistry)
Long acting – can last approximately 90 min.
MDA 13th pg. 517

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

Complications and Precautions

Injecting into a blood vessel

A
  • Can alter function of vital organs, mainly the heart. The
    DDS will aspirate the syringe before injection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Infection

A
  • Anesthetic agents may be delayed or prevented if injected into infection. Inflammatory infection LOWERS the PH, which interferes with anesthetic penetration. It can also possibly diffuse the infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Toxic Reactions

A
  • Localized reactions – contact dermatitis
  • Systemic reactions – systemic toxicity can manifest in the central nervous system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Temporary Numbness

A
  • Patient feels that their lip/tongue/cheek feels “fat”, may bite tissue inadvertently
22
Q

Paresthesia

A
  • Condition where numbness lasts after the local anesthetic has worn off. This can be caused by the following:
  • Trauma to the nerve sheath during injection
  • Bleeding into or around the nerve sheath
  • Use of contaminated anesthetic solution
  • Paresthesia can be temporary or permanent. Most cases are resolved in about 8 weeks.
23
Q

Inhalation Sedation

A
  • Nitrous oxide/oxygen (N2O/O2)
  • Combination of gases inhaled to help eliminate fear and to aid relaxation
  • Effects
  • Non-addictive
  • Onset is easy, side effects are minimal, and recovery is rapid
  • Produces stage I anesthesia
  • Dulls the perception of pain
24
Q

Advantages of N2O/O2 Use

A
  • Administration is simple and easily managed
  • The services of an anesthetist or other special
    personnel are not required
  • Excellent safety record
  • Side effects are minimal
  • The patient is awake
  • Recovery is rapid
  • Can be used with patients of all ages
25
Q

Disadvantages of N2O/O2 Use

A
  • Some patients may experience nausea or vertigo
  • Patients who have behavioral problems may react in a negative way and act out those behavior issues
26
Q

Nitrous Oxide Contraindications

A
  • Pulmonary disorders
  • Respiratory disorders
  • Pregnancy
  • Psychiatric
  • Immune compromised
  • Multiple Sclerosis
  • Frequent marijuana or drug use
  • Middle ear blockage
  • Alcoholic or recoverin alcoholic
  • Nasal Obstruction
  • Emphysema
  • Emotional Instability

remember 2-3

27
Q

Nitrous Oxide Administration

A
  • Ask patients to refrain from speaking or mouth breathing while nitrous is being administered
  • There is no set dosage regimen as patients can react differently to treatment from one appointment to the next
  • Assess the patient for dizziness, headache or lethargy once nitrous has been removed
28
Q

How often should physiologic measurements be taken on IV sedation.

A

15 mins

29
Q

What is general anesthesia?

A

A controlled state of unconsciousness with a loss of protective reflexes—including the ability to maintain an airway independently and to respond appropriately to physical stimulation or verbal command—that produces stage III general anesthesia

30
Q

Documentation of Anesthesia
and Pain Control

A

Always document the following measures and
observations:
* Review of the patient’s medical history
* Preoperative and postoperative vital signs
* Vitals are also documented every 15 min in the patient chart during IV, general and oral sedation
* Patient’s tidal volume if inhalation sedation is being used
* Times at which anesthesia began and ended
* Peak concentration administered
* Postoperative time (in minutes) required for patient recovery
* Adverse events and patient complaints

31
Q

Stage I

A
  • Patient is relaxed and fully conscious. The patient
    experiences a sense of euphoria and reduction in
    pain. Vital signs are normal.
32
Q

Stage II

A
  • Excitement stage. Patient is less aware. Patient
    may loose consciousness, vomit or become
    unmanageable. Undesirable stage.
33
Q

Stage III

A
  • General anesthesia. The patient feels no pain or
    sensation. Patient becomes unconscious. Can be
    achieved only under the guidance of an
    anesthesiologist in a controlled environment.
34
Q

Stage IV

A
  • Respiratory failure or cardiac arrest. If not quickly
    reversed it can result in death.
35
Q

Patient Preparation

A

Patient undergoes a preoperative physical exam and signed consent is completed.
Most appointments are scheduled in the early morning as the patient cannot eat or drink for 8 12 hours before the procedure
The patient must have someone to drive them home
Once the procedure is completed the patient is
monitored closely until normal reflexes return. The
patient should NOT be left alone while regaining
consciousness.

36
Q

Black’s Classification

A

The standard classification system for notating carious lesions is the Black’s Classification System
We have six classifications
* Cavities are classified by surfaces involved
* Example: MO, MOD, MODBL

37
Q

Class I Lesions

A

Occurs on pits and/or fissures, can also appear on the buccal or lingual

Easy small filling

38
Q

Class II Lesions

A

Occurs on the posterior teeth only, involves the inter-proximal surface

two or more surface restoration

39
Q

Class III Lesions

A

Anterior teeth only and involve a interproximal
surface only

40
Q

Class IV Lesions

A

Interproximal surface and Incisal edge of anterior teeth only

41
Q

Class V Lesions

A

Gingival third of lingual or buccal (facial) surface on any tooth

42
Q

Class VI Lesions

A

Physical or chemical wear on the incisal or occlusal edge, on any tooth

43
Q

Dental Caries

A

Can be called cavities or dental caries

44
Q

Primary caries

A
  • Occur on unrestored teeth
45
Q

Recurrent or Secondary caries

A
  • Occur around restorations: require
    replacement
46
Q

Rampant caries

A
  • Widespread areas of caries occurring
    simultaneously
47
Q

Simple Carious Lesions

A
  • involves only 1 tooth surface
48
Q

Compound Carious Lesions

A
  • involves 2 tooth surfaces
49
Q

Complex Carious Lesions

A
  • involves 3 or more tooth surfaces
50
Q
A

Dental Assisting Term 1 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions