Dental Hygiene Iii: Rubber Dam; Ortho; Dressings; Sutures

Front 1

What are the indications for rubber dam placement?

Back 1

Moisture Control

Visibility

Patient Protection

Patient Treatment

Front 2

When is rubber dam placement conraindicated?

Back 2

Patients who are claustrophobic

Suffer from severe asthma

Have trouble breathing through their nose

Front 3

The color of a rubber dam is used to _____ the tooth, making the treatment field more visible.

Back 3

contrast

Front 4

What are the most common sizes used for rubber dams?

Back 4

6 x 6 inch for posterior teeth in permanent dentition

5 x 5 inch for primary dentition or anterior applications

Front 5

What material is the rubber dam made out of?

Back 5

latex and non-latex for persons with allergies

Front 6

Which thickness is preferred for rubber dams?

Back 6

medium (easy to handle and resist tearing)

Front 7

What are the steps in preparing the rubber dam material?

Back 7

1. Stamp the Material (Average Dentition)
2. Punch the Holes (Corresponding Teeth to be Isolated)
3. Prepare the Clamp/Retainer (Floss through the facial hole and tie a knot)

Front 8

What are the two types of clamps?

Back 8

Winged and Wingless

Front 9

The most common size of rubber dam material is?

a. 5 x 5 inch square

b. 6 x 6 inch square

c. 4 x 4.5 inch square

d. None of the above

Back 9

b. 6 x 6 inch square

Front 10

The armamentarium for removing the rubber dam is/are:

a. Scissors

b. Rubber dam forceps

c. Floss

d. Explorer

e. All of the above

Back 10

e. All of the above

Front 11

What is the position of the tooth receiving treatment in relationship to he anchor tooth?

a. The treatment tooth is distal to the anchor tooth

b. The anchor tooth is the same as the treatment tooth

c. The treatment tooth is mesial to the anchor tooth

d. The anchor tooth is in the opposite quadrant of the treatment tooth

Back 11

c. The treatment tooth is mesial to the anchor tooth

Front 12

Indications for rubber dam placement include all of the following except one. Which on is the EXCEPTION?

a. Visibility

b. Patient Protection

c. Patient with severe asthma

d. Moisture control

Back 12

c. Patient with severe asthma

Front 13

Which clamp is used for isolation of the facial surfaces of anterior and some posterior teeth?

a. winged clamps

b. wingless clamps

c. butterfly-shaped clamps

Back 13

c. butterfly-shaped clamps

Front 14

Placement of Rubber Dam

Back 14

1. Select appropriate rubber dam material
2. Prepare the rubber dam appropriately
3. Carefully seat the clamp
4. Floss the rubber dam between contact areas where appropriate
5. Invert the rubber dam around the necks of the teeth
6. Ligate the last tooth in the exposed sequence

Front 15

Removal of Rubber Dam

Back 15

1. Remove the clamp from the anchor tooth
2. Cut the rubber dam septa with scissors
3. Remove the rubber dam material and the frame as one unit
4. Inspect he interproximals for rubber dam material
5. Inspect the removed rubber dam
6. Rinse and evacuate the oral cavity
7. Massage the gingiva

Front 16

Debonding Orthodontic Resins

Back 16

1. Use air, an explorer, disclosing solution, and patient feedback to identify the resin.
2. Use a tapered, tungsten carbide finishing bur in a low-speed handpiece
3. Move the bur from the cervical to the incisal surface of the resin in a light, brush-like stroke
4. Evaluate resin reduction frequently by rinsing and drying, exploring, disclosing, and asking the patient to evaluate smoothness with his or her tongue
5. After the resin is removed, polish the enamel with aluminum oxide polishing points
6. Follow step 5 with aluminum oxide polishing cups
7. Polish each surface with a fine pumice slurry, using a rubber cup and a slow-speed handpiece
8. Use intermittent strokes to avoid heat generation
9. Provide the patient with appropriate self-care instructions

Front 17

Which of the following should be used to correctly debond?

a. tapered plain-cut finishing bur and a high speed handpiece

b. tapered plain-cut finishing bur and a low speed handpiece

c. tapered cross-cut finishing bur and a low speed handpiece

d. straight fissure, plain cut bur, and a high speed handpiece

e. straight fissure, crosscut bur, and a low speed handpiece

Back 17

b. tapered plain-cut finishing bur and a low speed handpiece

Front 18

All debonding methods remove some enamel. It is the responsibility of the hygienist to select the least traumatic method for resin removal.

Back 18

Both statements are true

Front 19

The direction of the stroke of the bur during debonding should be toward the:

a. gingival margin

b. proximal surface

c. embrasure spaces

d. incisal or occlusal

Back 19

d. incisal or occlusal

Front 20

It is important to remove all composite resin material during debonding to avoid all of the following except one. Which on is the EXCEPTION?

a. changes in occlusion

b. gingival inflammation

c. stain

d. plaqu accumulation

Back 20

a. changes in occlusion

Front 21

During the debonding procedure, which of the following should be done to avoid unnecessary use of the bur?

a. change to a new bur after the resin is removed on two teeth

b. apply air frequently and examine surface

c. polish with the pumice slurry after 5 seconds of bur use

d. use a constant circular motion with the bur

Back 21

b. apply air frequently and examine surface

Front 22

Placement of the Periodontal Dressing

Back 22

1. Dispense equal lengths of base and accelerator onto a mixing pad
2. Mix for 30 to 45 seconds to achieve a uniform color
3. Gather the mixture into compact mass, and let it rest until the dressing is no longer tacky
4. Dry the surgical site and teeth in the area with sterile gauze
5. Roll the dressing into a rope about the diameter of a pencil and equal in length to the span of the surgical site
6. Starting at the anterior facial area of the surgical site, flatten the pack against the involved soft tissues and the cervical third of the teeth. Include at least four or five teeth in the dressing
7. Apply the dressing to the lingual surface of the surgical site, pressing the lingual and facial interproximal segments together
8. Adapt the interproximal areas with a smooth instrument surface to create retention
9. Trim any excess dressing away from muscle attachments and occlusal surfaces, and smooth the edges

Front 23

Which of the following would be a purpose for using the non-eugenol mineral oxide surgical dressing?

a. to decrease healing time

b. to stop post-surgical bleeding

c. to help hold the healing tissue in place

d. to keep bacteria away from the healing tissue

Back 23

c. to help hold the healing tissue in place

Front 24

The non-eugenol zinc oxide dressing is held in place by:

a. physical retention

b. adhesion to the tissue

c. sutures

Back 24

a. physical retention

Front 25

The finished non-eugenol zinc oxide dressing placed after flap surgery should be:

a. extended to the occlusal surface

b. extended to the depth of the vestibule

c. extended to fill interdental space

d. rigid with tapered edges

Back 25

d. rigid with tapered edges

Front 26

A patient is in the office to have a round 5 mm growth excised from the attached gingiva between the maxillary left lateral and central incisors. The patient is concerned about the subsequent esthetics. He is a consultant with many companies and will be out of town with work for the next 2 months. Which of the following would be the best choice of surgical site care for this patient?

a. recommending warm saltwater rinses three times a da

b. placement of a non-eugenol zinc oxide surgical dressing

c. placement of a visible light-activated surgical dressing

d. placement of a cyanoacrylate dressing

Back 26

d. placement of a cyanoacrylate dressing

Front 27

All of the following statements regarding the non-eugenol zinc oxide dressing would be included in postsurgical instructions following periodontal flap surgery except one. Which one is the EXCEPTION?

a. do not consume warm foodstuffs for 2 hours following surgey

b. if a piece of the dressing breaks off increasing postoperative discomfort, return to the office immediately for emergency care

c. if a small piece of dressing crumbles off, simply discard it

d. do not smoke for 2 hours following the surgery

Back 27

b. if a piece of the dressing breaks off increasing postoperative discomfort, return to the office immediately for emergency care

Front 28

Periodontal Dressing Removal

Back 28

1. A sturdy, blunt instrument is inserted under the edge of the dressing
2. Gentle, lateral pressure is carefully applied to loosen the pack
3. Check for and cut the sutures that have become incorporated into the dressing
4. Remove the dressing with forceps
5. Swab teeth and tissues with a disinfectant mouthwash and rinse
6. Evaluate and record the healing state of the tissue
7. Scale residual dressing material and residual calculus

Front 29

Suture Removal

Back 29

1. The suture knot is grasped with forceps and lifted with non-dominant hand
2. Insert one blade of the scissors into the opening of the suture loop, and cut the suture in the section that was previously submerged
3. Pull the suture out in a continuous, smooth action
4. Count the number of removed sutures, and record this in the patient's chart

Front 30

Which of the following methods is the best way to loosen and remove a periodontal dressing?

a. a rigid curette with slow, controlled movement

b. a sickle scaler with slow, controlled movement

c. a periodontal prove with quick lateral movement

d. a surgical hoe with quick lateral movement

Back 30

a. a rigid curette with slow, controlled movement

Front 31

Eight sutures were placed; however, only seven sutures were able to be found and were removed.

a. she is healing poorly due to her age

b. she is healing poorly due to her diabetes

c. there is a retained suture

d. there is a retained calculus in the area

Back 31

c. there is a retained suture

Front 32

All of the following are procedures that correctly follow removal of the periodontal dressing except one. Which one is the EXCEPTION?

a. the area is swabbed with disinfectant and rinsed to remove food and bacterial debris

b. the tissues are checked for the healing response and noted in the chart

c. residual pieces of dressing in and around the tissues are removed

d. areas of residual calculus are charted for removal at the next scale and polish appointment

Back 32

d. areas of residual calculus are charted for removal at the next scale and polish appointment

Front 33

To remove a single interrupted suture, the suture knot is grasped with forceps and gently lifted away from the tissues before being cut for all of the following reasons except one. Which one is the EXCEPTION?

a. to create an opening in which to insert the scissors blade

b. to keep the introduction of bacteria into the tissue to a minimum

c. to allow the clinician to cut the knot away from the rest of the suture material

d. to prevent passing the knot through the tissues

Back 33

c. to allow the clinician to cut the knot away from the rest of the suture material

Front 34

You are preparing a surgical tray for the dentist who has asked for four-ought or smaller size nonabsorbable suture material. You find the following suture materials in the supply cabinet. Which one do you choose?

a. 00000 chromic gut

b. 000 polylactic acid

c. 5-0 silk

d. 3-0 polytetrafluoroethylene

Back 34

c. 5-0 silk