Dental Profession

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Author:
RolandoBijasa
ID:
305327
Filename:
Dental Profession
Updated:
2015-07-19 21:32:19
Tags:
Dental History Prelim
Folders:
Dental History
Description:
dental profession - infection control
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  1. Three-fold Values of a Dental Profession
    • 1. Service to mankind
    • 2. Social security
    • 3. Prestige for self
  2. Ideal Traits of a Dentist
    • 1. Dedication to service
    • 2. Honesty and sincerity
    • 3. Diligence and thoroughness
    • 4. Resourcefulness and sincerity
    • 5. Charity
  3. Dental students must be _____ and must act with _______ and _____ to instill confidence to their patients.
    competent;firmness and ease
  4. How do dental students be competent and act with firmness and ease?
    • 1. Study the theories.
    • 2. Study hard.
    • 3. Practice the craft.
  5. Two Important Factors to a Successful Dental Treatment
    • 1. Patient’s cooperation with the dentist regarding medication and operation.
    • 2. The need for the patient to have faith and confidence to himself in nature’s healing process and in building up positive thinking that he will get well.
  6. Interprofessional Referrals
    • 1. Physicians
    • 2. Other dentists (Intraprofessional Referrals)
    • 3. Medical Technologist
    • 4. Pharmacist
    • 5. Nurses
  7. Professional Boundary Lines
    • 1. Dentist must maintain a good image in the community. This will benefit the dental profession.
    • 2. Good public relation does not only make relations towards your staffs, patients and other dentists. It also includes relations towards technical people necessary to maintain your clinic, such as electricians, plumbers, painters, etc.
    • 3. Dentist must be knowledgeable in basic medical/biological science.
    • 4. To be able to understand pathologic conditions
  8. Main Clinical Dental Subjects
    • 1. Operative/Restorative Dentistry
    • 2. Prosthodontics
    • 3. Orthodontics
    • 4. Dental/Oral Surgery
    • 5. Pedodontics
    • 6. Periodontics
    • 7. Dental Radiology/Roentgenology
    • 8. Endodontics
  9. General Considerations in Setting-up a Dental Office
    • 1. Space
    • 2. Location
  10. Fundamental Compartments of an Ideal Dental Office
    • 1. Reception Room (waiting area)
    • 2. Operating Room (clinic)
    • 3. Laboratory Area (for prosthetic, radiographic processing, restorative preparations, etc.)
    • 4. Lavatory Facilities
  11. Optional Compartments
    • 1. Sterilizing Room
    • 2. Business and Secretarial Office
    • 3. Dark Room (X-ray room)
    • 4. Recovery Room
    • 5. Stock Room
  12. Features of a Reception Room
    • 1. Telephone, television, radio, Wi-Fi
    • 2. Magazine, newspaper rack
    • 3. Toilet facilities
    • 4. Basic living room furniture
    • 5. Proper interior decoration
    • 6. Pieces of art
  13. Features of the Operating Room
    • 1. Dental Chair
    • 2. Dental Unit
    • 3. Sterilizer
    • 4.Instruments
    • 5. Restorative/Surgical Equipment
    • 6. X-ray Apparatus
    • 7. Diagnostic Equipment
  14. Types of a Dental Chair
    • 1. Portable Dental Chair
    • 2. Stationary Dental Chair
  15. Parts of the Dental Unit
    • 1. Cuspidor/Spittoon
    • 2. Electric Engine for Rotary Control
    • 3. Saliva Ejector
    • 4. Tumbler Holder
    • 5. Tray
    • 6. Air Syringe
    • 7. Handpiece
    • 8. Mouth Lamps w/ Mouth Mirror
    • 9. X-ray Viewer (Negatoscope)
    • 10. Gas burner
    • 11. Water Syringe
    • 12. Cautery
    • 13. Pulp Tester
    • 14. Pilot Light
  16. X-ray Apparatus: diagnostic apparatus
    X-ray machine
  17. X-ray Apparatus: resistant to x-rays (bone, enamel)
    Radiopaque
  18. X-ray Apparatus: less resistance to x-rays, appears darker (soft tissues)
    Radioluscent
  19. Radiographic Films
    • 1. Intra-oral Films
    • 2. Extra-oral Films
  20. Films placed inside the mouth about 1 inch more or less in length and width
    Intra-oral Films
  21. Types of intra-oral Films
    • 1. Standard/Periapical films
    • 2. Child-sized films
  22. Intra-oral Films for routine radiography
    Standard/Periapical films
  23. Intra-oral Films for young patients
    Child-sized films
  24. Extra-oral Films
    • 1. Placed outside the mouth
    • 2. Useful for viewing large areas
    • 3. Used for patients who can’t open their mouths
    • 4. Used for pictures of the temporomandibular joint, the tissue of the face and the skull
  25. Types of Extra-oral X-rays
    • 1. Panoramic X-rays
    • 2. Cephalometric Projections
    • 3. Computed Tomography
  26. Covers 3D of the image
    Cone Beam Computer Tomography (CBCT)
  27. HYGIENE FOR THE CLINIC
    • 1.Comfortable clean attire when treating his patient
    • 2.Protect self, wear PPE (Personal Protective Equipment)
  28. Prevention of cross-contamination
    Infection control
  29. Attire of a Dental Clinician (Dental Assistant)
    • 1. Head cap
    • 2. Disposable mask
    • 3. Face-shield / eye protection
    • 4. Gown (closed neck, tight cuff, below the knee and wide in diameter)
    • 5. Flat comfortable shoes
    • 6. Clean gloves / sterile gloves
  30. Patient’s Attire
    • 1. Head cap
    • 2. Eye shield / dental protective glasses
    • 3. Disposable bib
    • 4. Gown
  31. The process of eliminating all forms of microorganisms, both vegetative type and spores
    Clinical Sterilization
  32. Process that uses chemicals to destroy pathogenic microorganisms
    Disinfection
  33. Process that inhibits growth of bacteria
    Bacteriostasis
  34. Agent that can kill bacteria
    Bactericidal
  35. Substances that stop and prevent the growth of microorganisms
    Antiseptic
  36. Factors that determine whether or not infection would set in:
    • 1. Susceptibility of the host
    • 2. Virulence of the organism
    • 3. Number of concentration of the organisms entering the body
    • 4. The portal of entry
  37. Methods that can destroy bacterial sterilization:
    • 1.Physical
    • 2.Chemical
  38. Bacterial sterilization by temperature:
    • flame
    • hot air
    • steam under pressure
    • moist heat, boiling
  39. Also called cold sterilization
    Chemical
  40. Is a method of sterilization that requires the reusable semi critical items to be immersed in EPA-approved liquid chemicals
    Chemical
  41. Chemicals that can be include in cold sterilization:
    • glutaraldehydes
    • paracetic acid
    • hydrogen peroxide-based solution
    • Glutaraldehyde, Phenols, Hydrogen Peroxide
    • Alcohols i.e. 70% ethyl alcohol
    • Gas
  42. Physical Sterilants
    • Steam under pressure
    • Dry heat
    • Filtration
    • Ultraviolet Radiation
    • Ionizing Radiation
  43. Gas Vapor Sterilants
    • Ethylene oxide
    • Formaldehyde Vapor
    • Plasma Gas
    • Hydrogen Peroxide
    • Chlorine Dioxide
  44. Chemical Sterilants
    • Peracetic Acid - 0.2%
    • Glutaraldehyde (CIDEX) - 2%
  45. Apparatus for sterilizing superheated steam under pressure. It is the preferred method of sterilization for destroying resistant sporeformers and fungus. May use 2-3 sheets of cotton or a sheet of thick paper to wrap bundles of instruments; may also use disposable sterile pack.
    Autoclave
  46. Small packs for oral surgery
    30 min, 250’F under 20lbs pressure
  47. Dental Sterilizer (boiling)
    • Phenolic Compounds
    • Sporicidin
  48. Dry heat Sterilizer
    • Glass-bead Sterilizer (instruments)
    • Ethylene Oxide
  49. It means to kill most of microbial forms except some resistant organisms or bacterial spores
    Disinfection
  50. Categorization of disinfection:
    • High level sterilization
    • Intermediate level e.g. Amalgam Plugger
    • Low level
  51. A substance or method used to kill microbes on surfaces
    Disinfectants
  52. PROs and CONs of Steam (moist) and dry heat
    • PROs: the most common methods for most materials
    • CONS: no good for heat sensitive, toxic or volatile chemicals
  53. PROs and CONs when Filtration is removed
    • PRO: Remove bacteria and fungiform air solutions e.g. HEPA filters (high-efficiency particular air)
    • CONS: usable to remove viruses and some small bacteria microplasma
  54. the most common gas vapor sterilant
    Ethylene oxide
  55. PROs and CONs of Plasma gas
    • PROs: hydrogen peroxide, reactive free radicals
    • no toxic byproducts
    • may replace many applications for ethylene oxide
    • CONS: not good for materials absorbing or reacting with H202
  56. an oxidizing agent with good activity, end products nontoxic
    Peracetic acid
  57. not safe, can burn skin
    Glutaraldehyde
  58. Used for items involved in invasive procedures but not withstand sterilization e.g. Endoscopes, Surgical Equipments
    High Level Disinfectants
  59. High Level Disinfectants
    • Moist heat
    • Hydrogen peroxide
    • Formaldehyde
    • Chlorine Dioxide
    • Glutaraldehyde
    • Peracetic acid
    • Chlorine Compounds
  60. Used for cleaning surfaces or instruments without bacterial spores and highly resilient organisms. E.g. Laryngoscopes, Anesthesia breathing circuits, etc.
    Intermediate-Level Disinfectants
  61. Intermediate-Level Disinfectants
    • Alcohol (ethyl, isopropyl)
    • Phenolic compounds
    • Iodophor compounds
  62. Used to treat noncritical instruments and devices, not penetrating into mucosa surfaces or sterile tissues
    Low-level Disinfectant
  63. Low-level Disinfectant
    Quaternary ammonium
  64. Is the removal of dirt and debris; brushing and sweeping; (water, soap and detergent)
    Cleansers
  65. Cleansing agent, as water, soap or a soluble or liquid preparation (soapless) synthetic
    Detergent
  66. Made usually by action of alkaline fat or fatty acids (or the soap detergent emulsify)
    Soap
  67. Parts held by dentist during work in the patient’s mouth maybe sterilized w/ _____ every operation
    70% alcohol
  68. Handpieces and contra-angles should be _____ before sterilization of internal parts.
    disassembled
  69. Nontoxic antiseptics like triethylene glycol vapor can be used to disinfect the air. True or False.
    True
  70. Nontoxic antiseptics like triethylene glycol vapor cannot be used to disinfect the air. True or False.
    False
  71. Effectiveness of Disinfectants is influenced by:
    • 1. Nature of the item to be disinfected
    • 2. Number and resilience of the contaminants
    • 3. Amount of organic material present
    • 4. Type and concentration of disinfectant
    • 5. Duration and temperature of exposure

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