Seminar Quiz #3 AAP, DHDx, & ultrasonics

Question 1

T/F: Piezo uses electrical energy to activate crystals that vibrate the tip?

Answer 1

True

Question 2

T/F: Metal stacks made of nickel iron alloy are in the Magneto?

Answer 2

True

Question 3

T/F: Magneto: transfer electrical energy to metal stacks or to a ferrous rod to vibrate the insert.

Answer 3

True

Question 4

Piezo vs. Magneto
frequency in kHz

Answer 4

P: 9-50 kHz
M: 20-42 kHz

Question 5

Piezo vs. Magneto transducers (converts energy to vibration)

Answer 5

P: ceramic
M: metal stacks

Question 6

Piezo stroke pattern?

Answer 6

Linear

Question 7

Magneto stroke pattern?

Answer 7

elliptical

Question 8

T/F: The useful/adaptation end of the tip on the Piezo is the lateral surfaces?

Answer 8

True

Question 9

T/F: The useful/adaptation end of the Magneto is all surfaces.

Answer 9

True

Question 10

Pros of powered instrumentation?

Answer 10

1. slim tops reach DEEPER into pockets than hand scaling.
2. slim top provides access to furcation
3. Water flushes debris and pockets
4. instrumentation time is reduced

Question 11

Cons of powered instrumentation?

Answer 11

1. skill level affects outcome.
2. technique sensitive
3. less tactile sensitivity than hand scale

Question 12

What does the actual vibration do to help?

Answer 12

Creates microfractures in the calculus.

Question 13

What does fluid lavage do?

Answer 13

1. water dissipates the heat generated
2. water flushes the bacteria

Question 14

T/F: Amplitude, & Frequency are the mechanisms of action with power instrumentation?

Answer 14

True.

Question 15

Describe what is the amplitude referring to?

Answer 15

measures how far the working end moves back and forth.

Question 16

What is the “frequency” referring to?

Answer 16

measures how many times the working end vibrates per second.

Question 17

T/F: lower amplitude=shorter, less powerful stroke?

Answer 17

True

Question 18

What level of frequency and amplitude is best for plaque/biofilm removal?

Answer 18

Low freq
low ampl

Question 19

Contraindications of power instruments with patients?

Answer 19

AEROLSOLS:
* resp probs
* communicable disease transmission.
*susceptibility to infections.
*pacemaker/cardiac devices
*sensitive/demin teeth
*difficulty swallowing
*titanium implants
* PFM crns, comp fills or veneers

Question 20

Skills you should have prior to using this on a patient?

Answer 20

1. adv. finger rest
2. feather light lateral pressure
3. assess removal w/explorer

Question 21

T/F: Place the tip of the power instrument subgingival and work to coronal surface?

Answer 21

False. Place tip at most coronal position of the deposit and work apically.

Question 22

What type of strokes should you use with power instruments?

Answer 22

oblique
overlapping
repetitive
Slow
vertical

Question 23

What part of the power instruments need to be cooled while using?

Answer 23

Piezo: only working end needs cooled.
Magneto: working end and handpiece.

Question 24

Are there any places or types of tissue that not not require power instruments?

Answer 24

Yes, Normal sulci, healthy no biofilm. They are colonized with good bacteria.

Question 25

Is the saliva ejector an effective way to control aersols?

Answer 25

No.

Question 26

What part of the tips are the the most effective?

Answer 26

2-4 mm

Question 27

Transverse tip orientation indication (uses)

Answer 27

*calc removal from coronal surface * slightly below gingival margin

Question 28

What tips can be used on all surfaces in the transverse position?

Answer 28

Universal tips

Question 29

What tips are needed for right and left interproximals?

Answer 29

curved tips

Question 30

T/F: vertical tip with power instrument orientation is similar to the universal hand scaler in a toe-down position?

Answer 30

True.

Question 31

Give an example of a diagnostic statement.

Answer 31

Pt reports hypersensitivity due to exposed root surfaces. OR DX: ging bleed, due to plaque accumulation

Question 32

What are some risk factors we look for while doing DHDx

Answer 32

oral cancer dental caries perio risk perio classifications

Question 33

What are some oral cancer risk factors we look for while doing DHDx?

Answer 33

1. tobacco of any kind 2. heavy alcohol 3. excessive sun 4. HPV exposure 5. genetics

Question 34

What are some dental caries risk factors we look for while doing DHDx?

Answer 34

1. poor HC 2. poor diet 3. low fluoride 4. tooth morph/position/pits fissures, 5. xerostomia 6. genetic 7. developmental (hypoplasia) 8. exposed roots

Question 35

What are some perio risk factors we look for while doing DHDx

Answer 35

1. tobacco 2. alcohol 3. nutrition 4.genetics 5. gender (males) 6. cultural 7. systemic conditions (diabetes, osteoporosis)

Question 36

What are constraints and give an example?

Answer 36

interferences with the outcome of treatment being met. Ex: compliance of pt not adapting oral hygiene instruction given. Ex: uncontrolled diabetes, something the patient is not able to change or doesn't make an effort into changing.

Question 37

What is the function of DHDX? (purpose)

Answer 37

1.To provide evidence based care that is individualized. 2. To eliminate or control disease factors 3. Eliminate signs/symptoms of disease 4. promote health and prevent disease occurence.

Question 38

Difference between healthy and gingivitis when AAP staging is in effect?

Answer 38

Healthy: PD <3 mm GINGIVITIS: PD <4 mm

Question 39

AAP I Slight Periodontitis characteristics

Answer 39

1.Inflamm/bleed present 2. <15% bone loss 3. < grade I furcation 4. PD <4 mm 5. 1-2 mm attach loss 6. NO mobility

Question 40

AAP II Moderate Periodontitis

Answer 40

1. inflamm/bleed present 2. <33% bone loss 3. < grade II furcation 4. PD <5mm 5. 3-4mm attach loss 6.

Question 41

AAP III Severe Periodontitis AAP III= < 4 teeth lost AAP IV= > 5 teeth lost

Answer 41

1. inflamm/bleed present 2. >33% bone loss 3. < grade III/IV furcation 4. PD >6mm 5. > 5mm attach loss 6. < grade III mobility

Question 42

How many "grades' are there when using the AAP grading system?

Answer 42

3. (A, B, C)

Question 43

AAP Grade A:

Answer 43

1. slow rate 2. no bone loss over 5 years 3. <0.25 (% bone loss/age) 4. heavy biofilm w/ low destruction 5. non-smoker 6. no diabetes

Question 44

AAP Grade B

Answer 44

1. Moderate rate 2. < 2mm bone loss over 5 years 3. 0.25-1.0 (% bone loss/age) 4. < 1 cigs/day 5. A1C <7.0%

Question 45

AAP Grade C

Answer 45

1. rapid rate 2. > 2mm bone loss of 5 years 3. >1.0 (% bone loss/age) 4. > 10 cigs/day 5.A1C > 7.0% 6. disease exceeds expectation of disease onset.

Question 46

Periodontal/gingival health is the __________ objective of a care plan?

Answer 46

PRIMARY objective

Question 47

What are the 3 main parts of the care plan? hint (p, d, p)

Answer 47

1. Perio/gingival health 2. dental caries control 3. prevention

Question 48

Components of a written care plan?

Answer 48

1. demographics 2. assessment findings & risk factors 3. perio dx & status 4.caries risk status 5. dx statements 6. planned interventions 7. expected outcomes 8. eval methods 9. appt plan 10. re-eval

Question 49

P A R Q

Answer 49

P- procedures/ fees A- alternatives R- risks of tx or not doing the tx Q- questions from pt?

Question 50

Why eval or re-eval patient?

Answer 50

1. eval assessment finds and compare to original assessment 2. any PTE (post therapy eval) needed? *antibiotic premed (prevent bacteremia) * systemic disease (could affect appt length) * physical diabilities (could affect appt length) * stress (reduction protocol)