Test 1

Question 1

Roughly how long has Coronal Polishing existed?

Answer 1

1900’s

Question 2

Why might clients have difficulty accepting that we only polish select teeth and not every tooth?

Answer 2

Client’s believe that polishing benefits the teeth, it only removes stain and some plaque.

Question 3

Is there therapeutic value to coronal polishing?

Answer 3

NO!

Question 4

What indicates need for stain removal?

Answer 4

When extrinsic stain not removed by OHC or SRP.
Prep for caries-preventive procedures.
Placement of pit/fissure sealants.
Professional application of fluoride agent.

Question 5

What causes tooth stain?

Answer 5

Bacteria
Tobacco 
Iron = supplements 
Food 
Beverages
Restorative biomaterials
Genetics
Medications
Fluoride

Question 6

Definition of extrinsic

Answer 6

on outside of tooth

Question 7

Definition of intrinsic

Answer 7

on inside of tooth

Question 8

Definition of exogenous

Answer 8

out side source

Question 9

Definition of endogenous

Answer 9

inside source

Question 10

Precautions of coronal polishing

Answer 10

Aerosol/Spatter
Eye injury
Infection risk
Chemicals in paste

Question 11

Coronal polishing technique:

Answer 11

Flare cup to adapt to proximals.

Polish gingival area of tooth first (flare slightly under gm to ensure complete biofilm removal)

Question 12

Why do we rarely used finishing strips?

Answer 12

They have a tendency to open up the interproximal spaces and remove contact point.

Question 13

If there is no stain on tooth but plaque removal only, what type of paste is used?

Answer 13

Tooth paste

Question 14

If there is light stain on tooth, what type of paste is used?

Answer 14

Fine paste

Question 15

If there is tobacco or tea/coffee stain on tooth, what type of paste is used?

Answer 15

Medium paste

Question 16

If there is heavy stain particularly tobacco tar on tooth, what type of paste is used?

Answer 16

Coarse paste

Question 17

What does the DH process of care begin with?

Answer 17

Assessment

Question 18

What is subjective data?

Answer 18

collected through observation

Question 19

What is objective data?

Answer 19

collected through oral or physical assessments

Question 20

The mandate of periodontal assessment is to determine what three things?

Answer 20

1. The historical evidence of periodontal disease.
2. The extent of damage to the periodontium.
3. The current status of periodontal disease activity.

Question 21

What is a dental hygiene diagnosis

Answer 21

Identifies the health behaviors of an individual patient as well as the actual or potential oral health problems that the dental hygienist are educated and licensed to treat.

Question 22

Can DH diagnose?

Answer 22

Within the scope of their practice are able to make a preliminary diagnosis but a dentist must make a definitive diagnosis.

Question 23

What is the DH care plan?

Answer 23

selection of interventions to be preformed by the patient.

Question 24

With each problem, what must here be?

Answer 24

A goal to help correct the problem.

Question 25

What does prognosis mean?

Answer 25

a look ahead to an anticipated outcome.

Question 26

What does the diagnostic statement do?

Answer 26

Provides the basis for planning interventions.
Reflect expected outcomes.
Linked to observed/potential problems.

Question 27

What is a diagnosis?

Answer 27

Identification of condition, problem or situation based on the analysis of its cause and defining characteristics.

Question 28

A client has what 8 rights?

Answer 28

1. Protection from health risk.
2. Free from fear and stress.
3. Wholesome facial image.
4. Biologically sound and functional dentiton.
5. Skin and mucous membrane integrity of head and neck.
6. Freedom from head and neck pain.
7. Conceptualization and problem solving.
8. Responsibility for oral health.

Question 29

What is a client-centered goal

Answer 29

Clients desired outcome achieved.

Question 30

What is a cognitive goal?

Answer 30

Target increases in the clients knowledge and understanding.

Question 31

What is a psychomotor goal?

Answer 31

focus on the clients skill development and skill mastery.

Question 32

What is a affective goal?

Answer 32

pinpoint desired changes in clients values, beliefs and attitudes.

Question 33

Each client-centered goal should have what?

Answer 33

subject, verb, criterion for measurement and a time dimension for evaluation.

Question 34

Dental Hygiene Diagnosis

Client presents with….

Answer 34

slight/mod/severe localized/generalized periodontitis/gingivitis.

Question 35

Why are probing depths not enough?

Answer 35

doesn’t account for gingival over growth or recession.

Question 36

What is a normal probing depth?

Answer 36

up to 3mm.

Question 37

What’s the deepest probing depth a dental hygienist can successfully clean?

Answer 37

6mm.

Question 38

What does C.A.L mean?

Answer 38

Clinical attachment level

Question 39

Focus of care is what ?

Answer 39

3D’s - Diseases, disorders, disfunctions.

Question 40

Types of calculus (6)

Answer 40

Spicules/spurs
Small scattered aggregations
Roughness
Ledges
Rings
Smooth burnished "speed bumps"

Question 41

What causes smooth burnished “speed bumps”?

Answer 41

caused by dull or closed angulation with instrument.

Question 42

What is calculus?

Answer 42

Mineralized plaque

Question 43

How do you locate calculus?

Answer 43

Visually (supra) with air.
Visually (sub) sometimes with air down sulcus or see through thin gingival tissues. grayish tint.
Tactile
Auditory

Question 44

How can we detect it?

Answer 44

Explorer
Periodontal probe
An exploratory stroke with any instrument (best with curet because hollow handle)

Question 45

Root planing consists of:

Answer 45

Removal of surface irregularities post-scaling.
Removal of altered cementum.
Removal of residual calculus.

Question 46

Scaling consists of:

Answer 46

Removal of calculus.

Reduce bacterial load.