Week 2 Flashcards

1
Q

Yellow cap 27 ha

A

Long needle used for anesthetic injections on lower teeth

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2
Q

Blue cap 30 ga

A

Short needle used for anesthetic injections on upper teeth

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3
Q

Isolation techniques

A

Cotton rolls, dental dam

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4
Q

Dental dam clamps

A

14a upper molars
8a or W7 lower molars
2a all bicuspids
Double bow (212) anterior teeth

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5
Q

Static zone

A

12-2 (right hand)
10-12 (left hand)

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6
Q

Assistant zone

A

2-4 (right handed)
8-10 (left handed)

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7
Q

Transfer zone

A

4-7 (right handed dentist)
5-8 left handed

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8
Q

Doctor zone (operators zone)

A

7-12 (right handed)
12-5 (left hand)

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9
Q

Aspirate

A

To draw back or to draw within

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10
Q

Bow

A

Rounded part of clamp that extends through the dental dam

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11
Q

Beveled

A

Characterized by an angle of a surface that meets another angle

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12
Q

Exposed

A

Pertaining to selected teeth visible through the dam; isolated

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13
Q

Invert

A

To reverse the position, order, or condition. To turn inside out or upside down

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14
Q

Isolated

A

Pertaining to selected teeth visible through the dam; exposed

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15
Q

Jaws

A

Part of a clamp that is shaped into four prongs to help stabilize the clamp on the tooth

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16
Q

Malaligned

A

Displaced out of line, especially teeth displaced from normal relation to the line of the dental arch; also called malposed

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17
Q

Septum

A

Dental dam material located between the holes of the punched dam

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18
Q

Stylus

A

Sharp, pointed tool used for cutting

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19
Q

Universal

A

Pertaining to the same clamp that can be placed on the same type of tooth on the opposite quadrant

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20
Q

Winged clamp

A

Type of dental dam clamp that has extensions to help retain the dental dam

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21
Q

Bur

A

Rotary instrument used in all aspects of dentistry

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22
Q

Console

A

Freestanding cabinet that holds contents or control devices, such as the laser handpiece

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23
Q

Dental handpiece

A

Electrical device that rotates a selection of rotary equipment for dental procedures

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24
Q

Flutes

A

Blades on the working end of a finishing rotary instrument that resembles pleats

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25
Q

Laser

A

Fiber optic cable that produces a laser light

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26
Q

Mandrel

A

Metal shaft on which a sandpaper disk or other abrasive materials are mounted

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27
Q

Rotary

A

Part or device that rotates around an axis

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28
Q

Shank

A

Part of an instrument in which the handle attaches to the working end

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29
Q

Torque

A

Twisting or turning force

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30
Q

Ultrasonic

A

Referring to mechanical radiant energy of water and sound vibrations used to break down material or tissue

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31
Q

Delegate

A

To authorize or entrust another person to perform a specific skill or procedure

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32
Q

Direct supervision

A

Level of supervision in which the dentist is physically present when the auxiliary performs delegated functions

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33
Q

Expanded function

A

Specific intraoral function delegated to an auxiliary that requires advanced skill and training

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34
Q

Four handed dentistry

A

The operator and assistant work together to perform clinical procedures in an ergonomically structured environment

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35
Q

Fulcrum

A

Finger rest used when one holds an instrument or handpiece for a specific time

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36
Q

Grasp

A

The correct way for an instrument or handpiece to be held

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37
Q

Indirect supervision

A

Overseeing an assistants work by working in the immediate area

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38
Q

Indirect vision

A

Viewing an object with the use of a mirror

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39
Q

Operating zones

A

Concept by which the face of a clock is used to position the dental team, equipment and supplies

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40
Q

Autoclave

A

Instrument for sterilization by means of moist heat under pressure

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41
Q

Biologic indicators

A

Vials or strips, also known as spore tests, that contain harmless bacterial spores. Used to determine whether sterilization has occurred

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42
Q

Biologic monitoring

A

Verifies sterilization by confirming that all spore forming microorganisms have been destroyed

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43
Q

Chemical vapor sterilization

A

Means or hot formaldehyde vapors under pressure

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44
Q

Clean area

A

Place where sterilized instruments, fresh disposable supplies and prepared trays are stored

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45
Q

Contaminated area

A

Place where contaminated items are brought for pre cleaning

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46
Q

Critical instrument

A

Used to penetrate soft tissue or bone

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47
Q

Dry heat sterilization

A

Heated air

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48
Q

Endospore

A

Resistant dormant structure formed inside of some bacteria that can withstand adverse conditions

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49
Q

Event related packaging

A

Instruments in packages should remain sterile indefinitely unless an event causes them to become contaminated (torn, wet packaging)

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50
Q

Multi parameter indicators

A

Strips placed in packages that change color when exposed to a combination of heat, temp, and time. Known as integrator

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51
Q

Non critical instrument

A

Item that comes in contact with intact skin only

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52
Q

Process indicators

A

Tapes, strips, or tabs with heat sensitive chemicals that change color when exposed to a certain temperature

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53
Q

Process integrators

A

Strips placed in packages that change color when exposed to a combination of heat, temperature and time

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54
Q

Semi critical instrument

A

Item that comes in contact with oral tissues but does not penetrate soft tissue or bone

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55
Q

Single parameter indicator

A

Tapes, strips, or tabs with beat sensitive chemicals that change color when exposed to a particular temperature. Known as process indicators

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56
Q

Sterilization

A

Process that kills all microorganisms

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57
Q

Ultrasonic cleaner

A

Instrument that loosens and removes debris by sound waves traveling through a liquid

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58
Q

Use life

A

Period of time during which a germicidal solution is effective after it has been prepared for use

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59
Q

Antiseptic

A

Substance for killing microorganisms on the skin

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60
Q

Bio burden

A

Blood, saliva, and other bodily fluids

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61
Q

Broad spectrum activity

A

Capable of killing a wide range of microbes

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62
Q

Chlorine dioxide

A

Effective, rapid acting environmental surface disinfectant or chemical sterilant

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63
Q

Clinical contact surface

A

Surface touched by contaminated hands, instruments, or spatter during dental treatment

64
Q

Disinfectant

A

Chemical used to reduce or lower the number of microorganisms on inanimate objects

65
Q

Environmental surface

A

Surface within healthcare facility that is not directly involved in patient care but that may become contaminated during the course of treatment ( countertop, floor, walls)

66
Q

Fungicidal

A

Product that is capable of killing fungi

67
Q

Glutaraldehyde

A

Environmental protection agency registered high level disinfectant

68
Q

High level disinfectant

A

Hospital disinfectant with tuberculocidal activity

69
Q

Hospital disinfectant

A

With the ability to kill straphylococcus aureus, salmonella choleraesuis, pseudomonas aeruginosa

70
Q

Housekeeping surface

A

Surface that is not contaminated during dental treatment (floors, walls)

71
Q

Immersion disinfectant

A

Disinfectant used for immersion of heat sensitive instruments

72
Q

Intermediate level disinfectant

A

Liquid disinfectant with EPA registration as a hospital disinfectant with tuberculocidal activity. Used to disinfect operatory surfaces

73
Q

Iodophor

A

EPA registered intermediate level hospital disinfectant

74
Q

Low level disinfectant

A

disinfectant that destroys certain viruses and fungi. Used for general house cleaning

75
Q

Pre cleaning

A

Removal of bio burden before disinfectant

76
Q

Residual activity

A

Action that continues long after initial application, as with disinfectants

77
Q

Reuse life

A

Time period that a disinfectant should remain effective during use and reuse

78
Q

Shelf life

A

How long a product may be stored before use

79
Q

Single use items

A

Items that are used on only one patient and then are thrown away

80
Q

Sodium hypochlorite

A

Surface disinfectant commonly known as household bleach

81
Q

Splash spatter and droplet surface

A

Surface that does not contact members of the dental team Or contaminated instruments or supplies

82
Q

Sporocidal

A

Capable of killing bacterial spores

83
Q

Sterilant

A

Agent that kills all microorganisms

84
Q

Surface barrier

A

Fluid resistant material used to cover surfaces likely to become contaminated

85
Q

Synthetic phenol

A

EPA registered intermediate level hospital disinfectant with broad spectrum disinfecting action

86
Q

Touch surface

A

Surface directly touched and contaminated during procedures

87
Q

Transfer surface

A

Surface not directly touched but often contacted by contaminated instruments

88
Q

Tuberculocidal

A

Capable of inactivating tuberculosis causing microorganisms

89
Q

Virucidal

A

Capable of killing some viruses

90
Q

Why must surfaces in dental treatment rooms be disinfected or protected with barriers

A

Risk for disease transmission

91
Q

What are the two methods that deal with surface contamination

A

To prevent the surface from being contaminated with the use of a surface barrier
To preclean and disinfect the surface between patients

92
Q

Why is recommended to use single use items

A

Reduce contamination
Plastic less expensive
Save time. Doesn’t have to be cleaned

93
Q

What should you do if the barrier becomes torn

A

Replace barrier then clean

94
Q

Which regulation requires the use of surface disinfection

A

OSHA
Occupational safety and health administration

95
Q

Why must surfaces be precleaned

A

Precleaning reduces the number of microbes and removes blood, saliva, and other bodily fluids called bioburden

96
Q

For which type of surface must barriers be placed

A

Areas that are difficult to clean

97
Q

How are antiseptics different from disinfectants

A

Antiseptics are applied to living tissue
Disinfectant applied to inanimate objects

98
Q

Which agency regulates disinfectants

A

EPA
Environmental Protection Agency

99
Q

What is the ideal disinfectant

A

Would rapidly kill a broad spectrum of bacteria, would inhibit residual activity, minimal toxicity and would not damage surfaces to be treated
Does not exist

100
Q

What disinfectant can leave a reddish or yellowish stain

A

Iodophors

101
Q

What is a disadvantage of synthetic phenols

A

Leave a residual film

102
Q

What is a more common term for sodium hypochlorite

A

Household bleach

103
Q

Are alcohol disinfectants effective when blood or saliva is present

A

No. Rapid rate of evaporation limits the antimicrobial activity

104
Q

What are two uses of chlorine dioxide

A

Chemical sterilant
Effective, rapid acting, environmental surface disinfectant

105
Q

What are the three instrument classification that are used to determine the method of sterilization

A

Critical, semicritical, noncritical

106
Q

What PPE is necessary when one is processing instruments

A

Utility gloves, mask, eyewear and protective clothing

107
Q

What is the basic rule of the workflow pattern in an instrument processing area

A

From dirty to clean to sterile to storage. In a single loop

108
Q

If instruments cannot be processed immediately what should be done with them

A

Places in a holding solution to prevent the drying of blood and debris

109
Q

Name three methods of precleaning instruments

A

Hand cleaning
Ultrasonic cleaning
Instrument washing machine

110
Q

What method of precleaning instruments is the least desirable

A

Hand scrubbing

111
Q

How does an ultrasonic cleaner work

A

Sound waves

112
Q

What prevents kitchen dishwashers from being used to preclean instruments

A

Dishwashers do not get hot enough

113
Q

How can instrument rusting be prevented

A

Dry heat

114
Q

Why should instruments be packaged before sterilization

A

To prevent contamination after being sterilized

115
Q

Why should you never use pins staples or paper clips on instruments packages

A

They could penetrate the package

116
Q

What are the most common forms of heat sterilization

A

Steam sterilization
Chemical vapor
Dry heat (autoclave)

117
Q

What is a primary disadvantage of flash sterilization

A

Unwrapped instruments are no longer sterile once they are removed from the sterilizer

118
Q

What is a major advantage of chemical vapor sterilization

A

It does not rust dull or corrode dry metal instruments

119
Q

What are two types of dry heat sterilization

A

Static air
Forced air

120
Q

What is the primary disadvantage of liquid chemical sterilization

A

Highly toxic
Requires 10 hours contact time

121
Q

How should instruments processed in a liquid chemical sterilant be rinsed

A

Rinsed with sterile water dry with sterile towel and placed in sterile container

122
Q

What cause’s sterilization failure

A

Improper instrument cleaning or packaging and sterilizer malfunction

123
Q

What are the three forms of sterilization monitoring

A

Physical
Chemical
Biologic

124
Q

What is a process indicator and where is it placed

A

Simply identify instruments packs that have been exposed to a certain temperature
Placed outside of instrument packaging before sterilization

125
Q

What is a process integrator and where is it placed

A

Respond to a combination of pressure temperature and time
Places inside instrument packages

126
Q

Do process I dictators and intergrators ensure that an item is sterile

A

No
Visual control of sterilizing conditions

127
Q

What is the best way to determine whether sterilization has occurred

A

Biologic monitoring

128
Q

How should high speed handpieces be processed before sterilization

A

Flushing
Oil and lubricant

129
Q

What types of heat sterilization are appropriate for high speed handpieces

A

Steam
Chemical vapor

130
Q

What does event related packaging mean

A

It is assumed the contents will remain sterile indefinitely unless some event (torn or wet packaged) occurs to contaminate the contents

131
Q

How should clean supplies and instruments be stored

A

In closed or covered cabinets

132
Q

State two goals of the dental team that would simplify dental treatment in the dental office

A

Use preset trays
Follow the principles of motion

133
Q

I’m relation to the operator should the assistant be positioned Lower or higher when seated properly

A

Higher (4-6 inches)

134
Q

How should the operator maintain the forearms when working on a patient

A

Parallel to the floor when bent at the elbow

135
Q

I’m terms of the clock concept where is the static zone located for a right handed operator

A

12 to 2
Left hand 10-12

136
Q

Where are instruments exchanged during a procedure

A

Transfer zone
4 to 7
Left 5 to 8

137
Q

Besides the assistant what may be located in the assistants zone

A

Mobile cabinet

138
Q

Should the assistant use one or both hands to transfer instruments

A

One hand

139
Q

Which hand is I’m used primarily to transfer to a right handed dentist

A

Left

140
Q

What is indirect vision

A

Viewing an object through the use of a mouth mirror

141
Q

What is another term for a finger rest

A

Fulcrum

142
Q

How did the first dental handpiece operate

A

By a long belt running over a series of pulleys then back to the motor, continuously moving the inserted rotary instrument

143
Q

What are the two most common types of dental hand piece

A

Low speed
High speed

144
Q

How fast does the low speed handpiece rotate

A

10,000 to 30,000 rpm

145
Q

Which attachment is used to hold a latch type bur

A

Contra angle attachment

146
Q

How fast does the high speed handpiece operate

A

Up to 450,000 rpm

147
Q

How is the tooth kept cool and clean during use of the high speed handpiece

A

Water coolant system
HVE

148
Q

What type of bur locking system is found on the high speed handpiece

A

Friction grip device

149
Q

On the high speed handpiece what helps to illuminate the working field

A

Fiber optic light

150
Q

What type of handpiece resembles a sandblaster

A

Air abrasion handpiece

151
Q

What two types of evacuators are used in operative dental procedures

A

Saliva ejector
HVE

152
Q

What is the main function of the saliva ejector

A

To remove liquids from the mouth

153
Q

What are the operative suction tips made from

A

Durable plastic

154
Q

What type of rinsing technique is performed throughout a procedure

A

Limited area rinsing

155
Q

Setting up for treatment

A

Set up mobile cabinet
Tubs and trays
Seat patient and place bib (unless there for a consultation)
Notify doctor

156
Q

Dental dam purpose and materials

A

Endodontic procedure
Keeps the field dry
Rubber dam, frame, clamps, rubber dam forceps, hole puncher

157
Q

Cleaning after treatment

A

Dispose of things properly
Disposables, sharps, instruments to sterilize
Put away tub and trays
Disinfect room