DH Care Exam Flashcards

Oral hygiene
Terms Definitions
hematocrit
Hct
electrocardiogram
ECG
heart rate
HR
amorphous
- without shape
blood sugar
- BS
head of bed
HOB
last menstrual period
LMP
#22
Mandibular Left Canine
normal blood pressure (JAMA)
-
trapezius myalgia
- shoulder injury
complete blood count
- CBC
Front zone
- 8-9 o'clock
#30
Mandibular Right 1st Molar
8H
Primary Maxillary Left Canine
#18
Mandibular Left 2nd molar
#24
Mandibular Left Central Incisor
#20
Mandibular Left 2nd Premolar
#15
Maxillary Left 2nd molar
#3
Maxillary Right 1st Molar
#14
Maxillary Left 1st Molar
nonkeratinized
Alveolar mucosa is (keratinized/nonkeratinized).
brady --
- slower than normal
normal child respiration rate
14-30 breaths/minute
hard, mineralized dental deposit
- calculus
slight bleeding
- pinpoint upon probing
12L
Primary Mandibular Left 1st Molar
5E
Primary Maxillary Right Central Incisor
16P
Primary Mandibular Right Central incisor
20T
Primary Mandibular Right 2nd Molar
0.7-1.2ppm
___-___ppm is the optimal concentration of fluoride in water.
col
- connects facial and lingual papillae- depression between facial and lingual interdental gingiva- center is not keratinized- susceptible to disease
true
T/F: medical conditions that require antibiotic prophy prior to dental and dental hygiene care include: 1. prosthetic cardiac valve 2. previous endocarditis 3. certain congenital heart disease and 4. cardiac transplantation recipients with cardiac valvular disease
systolic
- highest number- pressure during ventricular contraction
normal child pulse
60 - 120 bpm
thin veneer
- smooth coating of calculus
biofilm
- microorganisms other than bacteria bay be found within- such as mycoplasms, yeasts, protozoas and viruses
Resource Conservation and Recovery Act, cradle to grave
EPAs RCRA:
Assessment
The intial Medical History, Dental Charting, Periodontal Charting, Extra/Intraoral Examination, and Vital Signs are part of which component of the Dental Hygiene Process of Care?
Remineralization
(Demin/Remin) occurs when acid is neutralized and the concentration of calcium phosphate ions reverse directions and diffuse back into the tooth.
hematoma
___ are larger than eccymosis localized collection of blood, usually clotted
tumor
___ is a nonblisterform lesion >2cm
calculus
- mineralized dental biofilm- can be supra or sub gingival- most frequently found lingual of mand ant and facials of max molars
Neutral Hand
- little-finger side lightly lower- wrist aligned with forearm
Periodontal ligament
The fibrous connective tissue that surrounds and attaches the roots of the teeth to alveolar bone is:
1-2 days
- aerobic, g(+) cocci- epithelial cells- collected mass begins forming gooey matrix
ring
- ridge of calculus running parallel to gingival margin
contaminated waste
- gloves, masks, disposable gowns, bibs, used gauze with saliva and blood, used barriers and covers
Pronator Syndrome
- painful disorder of wrist/hand caused by compression of median nerve btwn two heads of pronator teres muscle- caused by holding lower arm away from body- numbness, pain, tingling in thumb/index/middle finger
junctional epithelium
- continuous with sulcular epithelium- completely encircles tooth (cuff-like band)- near CEJ in health- epithelial attachment to tooth- nonkeratinized- triangular in cross section/narrows to a few cells at apical end- attachment to tooth is epithelial attachment
intraoffice officials
Medical waste regulations for dental offices include all of the following except what:- local authorities- state government- intraoffice officials- federal government
Operator Position
- feet flat- thighs parallel/slightly sloped down- chair back at 90-100 degrees- forearms at waist/heart level- body weight evenly distributed- beutral position of wrist/fingers
acquired pellicle
- protective barrier to tooth- libricant- nidus (breeding ground) for bacteria- attachment for calculus
false
T/F: all patients with total joint replacement must have antibiotic prophylaxis due to a possible bacteremia.
moderate bleeding
- bleeding begins to fill sulcus/pocket
2.0% NaF
On composite or porcelain restorations you should use (NaF/APF) because a lower pH may etch these materials.
moderate = 6monthhigh = 3 month
A child
True!
T/F: When using explorers on anterior teeth you use one end of the instrument for nears and switch ends for far surfaces.
stage 2 hypertension
- >160 s or >100 d
distal
when probing, start at ____ of most posterior tooth.
Mandibular Lighting
- patient chin down- occlusal plane parallel to floor- light from above, slightly in front of patient or slightly behind operator
primary/essential hypertension
- 90% of cases- causes is unknown
lower
The correct position for the hand is having the little finger-side of the palm slightly _____ than the thumb-side of the palm.
papillary
- refers to only the papillae or interdental gingiva
CH3 pigtail/cowhorn
- double ended, paired working ends- calculus detection- sulcus, shallow pockets- short, broadly curved terminal shank- universal
shank
The middle finger rests lightly on the _____ and guides the working end as well as feels vibrations which are transmitted from the working end.
Harold Loe, 1965
- demonstrated that gingivitis is reversible condition
alveolar bone
- bone of mandible and maxilla- surrounds roots of teeth for protection
Thoracic Outlet Syndrome
- disorder of fingers/hand/wrist as result of compression of brachial nerve plexus- caused by tilting head forward, hunching shoulders, reaching overhead
fingerlike formation
- long, narrow deposit of calculus running parallel or obliquely to long axis of tooth
recording vital signs
- patient in upright position- explanation of procedures- teach patient to refrain from eating, drinking or smoking 15 minutes before
macule
___ is a flat lesion of abnormal color
both varnish and gel
Anyone >6 can receive (varnish/gel/both) flueoride.
high caries risk
___ caries risk group contains children younger than 6 with any incipient/cavitated lesion during last 3 years, presence of multiple factors, low SES or suboptimal F exposure; or anyone >6yrs with 3+ incipient/cavitated lesions in last 3 years, multiple risk factors, suboptimal F exposure or xerostomia.
petechia
___ is a minute red spot resulting from escape of small amount of blood.
- periodontal diseases- dental caries
- 2 main oral diseases
Neutral Forearm Position
- parallel to floor- pivoting at elbow
categories of oral disease
- dental caries- periodontal diseases- acquired oral conditions- congenital/hereditary conditions- injuries/trauma
Rotator Cuff Tendinitis
- inflammation of muscle tendons in shoulder region
1. Sharps2. Pathological (extracted teeth)3. liquid (blood or saliva)4. microbiological5. animal research waste
5 categories of medical waste:
soft, nonmineralized dental deposits
- acquired pellicle- microbial dental biofilm- materia alba- food debris
Mand Ant Lingual
- Chin down straight- Near: front zone, indirect vision and tongue retraction- Far: back zone, indirect illumination and tongue retraction
file scaler
___ scaler has a rounded working end with multiple cutting edges. Each blade is 90 degrees with shank, used to crush or fracture very heavy calculus and smoothing restorations.
fluoride varnish
What type of fluoride is indicated for use on root caries, ortho, uncooperative patients, older adults, dentin hypersensitivity and children?
brachial nerve plexus and vessels.
Thoracic outlet is caused by compression of the:
ankle BP measurement
- up to 30 mmHg greater than brachial
hazardous waste
- waste posing a risk or peril to humans or environment- does not have to be infectious- extracted teeth with amalgam
Mand Post R Lingual
- chin down and toward- middle zone-retraction of tongue, indirect vision
posterior 204S
The ____ sickle scaler is not used on buccal or lingual.
infectious waste
___ waste is a subset of medical waste capable of causing an infectious disease. Blood and blood soaked materials, pathological waste such as tissue and extracted teeth, and sharps are examples.
trapexius myalgia
___ ___ is a painful disorder of the trapezius muscle.
common dental office materials considered hazardous waste
- amalgam, used fixer, used developer, glutaraldehyde, phenolic disinfectants, chemical vapor sterilizer solution, lead foil, ehtanol, formaldehyde
antibiotic regimens for children
- Amox 50 mg/kg 30-60 minutes before procedure- or clindamycin 20 mg/kg- or cephalexin 50 mg/kg- or arithromycin/biaxin 15 mg/kg
the root of the tooth
If the working-end of an instrument moves in an apical direction, the instrument is being moved toward _________.
Max. Post. L Buccal
- chin up and towards- middle zone- mirror used for retraction of cheek
low caries risk
A person in the ___ caries risk group has no incipient or cavitated lesions during the last 3 years and no factors that may increase caries risk.
musculoskeletal disorder
A ____ ___ is an injury to the body that is caused by forceful or awkward movements, poor posture and fast-paced or repetitive movements.
orban type #17 explorer
- single ended- 2mm tip at right angle to terminal shank- deep narrow pockets- poor on line angles- better on direct facial/lingual
Plane or Flat Surface Mirror
- reflecting surface on back of glass- produces double image- not recommended
normal = pre = 120-139/80-89stage 1 = 140-159/90-99stage 2 = >160/>100
Normal blood pressure = ____.Pre-hypertension = ____.Stage 1 hypertension = ____.Stage 2 hypertension = ____.
1. General Safety Standards2. Hazard Communication Standards3. Bloodborne Pathogens Standards
OSHA has rules and regulations that fall into what 3 categories?
systolic = vent contraction (sister has contractions), diastolic = vent relaxation (you'll relax when you die)
___ is the highest pressure during ventricular contraction and ___ is the lowest pressure during ventricular relaxation.
back and forthup and down
A(n) ______ motion is used to get the floss between the teeth and past the contact area, but a(n) ____ motion is used for cleaning.
Front position vs. side position vs. back position
- 8-9 o'clock- 9-11 o'clock- 11-12 o'clock
1. facial2. lingual3. mesialfacial4. mesiallingual5. distalfacial6. distallingual
Name the 6 areas that you divide the tooth when periodontal probing.
1. max. post. R buccal2. Max. post. R lingual3. Max. post. L buccal4. Max. ant. labial5. Mand. post. L lingual6. Mand. post. R lingual7. Mand. post. L buccal
- middle zone (7 areas)
lips, labiomental sulcus, labiomarginal sulcus, nasolabial sulcus, wet line, vermillion zone
Make sure to take a look at all the extraoral structures...
False! You want to do the maxillary arch first
T/F: When applying topical fluoride you want to do the mandibular arch first.
(FGM --> MGJ measured on outside - probing depth = measurement of attached gingiva) 8mm - 5mm = 3 mm
the buccal surface of tooth #14 measures 5mm from the FGM to the epithelial attachment. The measurement from the FGM to the MGJ on the outer surface of the gingiva is 8mm. The FGM is positioned 2 mm coronally from the CEJ. what is the measurement of attached gingiva in mm?
Williams (thick, no 4/6), Michigan O (thin)
The ___ probe is thick with no markings at 4 or 6mm. The ___ probe is thin with markings at 3, 6, and 8mm.
7/8 and 9/10... we use 7/8
Graceys _/_ and _/_ are used on buccal and linguals of posterior teeth only. We use gracey _/_ in clinic.
helps to guide the working end and feels vibrations transmitted from the working-end to the shank
Using the modified pen grasp to hold an instrument, the middle finger serves to:
- hold the instrument at the handle- rests on oral tissues
The thumb and index finger are used to _____. The ring finger _____.
/ 112
Term:
Definition:
Definition:

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