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jackiedh
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what are the 5 objectives of non-surgical instrumentation?
- removal of biofilm, endotoxins, bacterial products, calc
- rootplaning
- irrigation
- sustained release antibiotic or antimicrobial
- removal of iatrogenic biofilm retainers
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what is the instrument grasp?
modified pen grasp (light)
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what strokes are used during instrumentation?
- assessment strokes
- root debridement strokes to remove biofilm
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t/f instrument grasp should be firm and secure
true
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t/f apply a light grasp with light lateral pressure after calc removal
true
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what are the three parts of an instrument?
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what has a double ended handle
correct cutting edge for scaling
70 degree angulation needed
universal instrument
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what are the microorganisms like before treatment?
- flora is anaerobic
- gram -
- motile
- spirochetes
- motile rods
- pathogenic
- very high total count of all types
- higher leukocyte count
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what are the effects of microorganisms after treatment?
- flora is aerobic
- gram +
- nonmotile
- coccoid forms
- nonpathogenic
- lower counts of microorganisms
- lower leukocytes
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post tx, what should be done with the explorer?
examine all areas for complete removal of calc
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scaling to remove calc and all soft deposits
root planning to eliminate subgingival calc
smooth tooth surface
root debridement to eliminate subgingival biofilm and mineralized deposits = _________ ________
periodontal debridement
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the u/s mode of action is:
______ vibration,
cavitation: ______ bubbles are created to collapse and release ______,
irrigation: oscillation of the u/s tip causes _________ waves,
variable elements: ________ and __________.
- mechanical
- minute
- energy
- hydrodynamic
- amplitude and frequency
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what is a legal concept that can exist without a written document. Informing all pt's of tx options and they must consent to follow the recommendations in the agreed care plan called?
informed consent
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behavioral factors
tobacco use
systemic conditions
hormonal considerations
nutritional status
iatrogenic and genetic are all what factors?
RISK factor for perio
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what 4 things are included in assessment (of ADPIE)?
- medical history
- dental history
- clinical exam
- link to risk factors
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(which step of adpie)________ is to provide evidence based, individual pt care, eliminate or control etiologic/predisposing disease factors, eliminate signs and symptoms of disease, and promote oral health and prevent recurrence of a disease.
planning
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what are 4 factors affecting sequence of care?
- urgency
- existing etiologic factors
- severity and extent of condition
- individual pt requirements
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what part of adpie is the actual tx for pt needs?
IMPLEMENTATION
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which part of adpie is immediately following initial therapy. Determine maintenance intervals, post op?
evaluation
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assess outcomes providing feedback for the hygienist. tissue changes, determines maintenance intervals. see if goals have been met, need for further tx decided is the purpose of _______
evaluation
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continuing care
need to control the disease or prevent
monitor educational and behavioral change
monitor clinical signs of health
provide instruction
encouragement
are all part of ________
maintenance
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what are four common sharpening errors?
- alteration of working end
- unnecessary metal removal
- altered shape
- flattened cutting edge
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which type of shank design is desirable for instruments to locate calc with an explorer?
flexible
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when would a rigid shank be desired?
for the removal of heavy calc more quickly and with less effort
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what is the cross section of an area specific curet?
semi-circular cross section
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the working end of an area specific curet looks like what?
- rounded back and toe
- one working cutting edge per working end
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t/f the self angulated working edge of an area specific instrument is at correct angulation when the lower shank is parallel to the tooth surface being instrumented
true
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what has a rounded toe enhance adaptation to the rounded root surface and root concavities?
the cutting edge of an area specific instrumetn
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what are standard curets used for?
remove light calc deposits and deplaqueing
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which gracey curet can remove medium sized deposits?
rigid
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which shank is bend in one plane, primarily for ant teeth?
simple
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a complex shank is bent in ___ planes, used to reach the _____ and onto the ___ surface
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