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42 Cards in this Set
- Front
- Back
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Tiffany Clay EDA030515 |
6-3-2015 |
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Assisting with a |
Class I Restoration |
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Equipment and |
Supplies
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Restorative tray for appropriate dental material to be used including |
basic setup, hand cutting instruments, amalgam carrier, condensers, burnishers, carvers, plastic instrument, and articulating paper holder |
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Local anesthetic setup |
(Some patients do not require anesthetic.)
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Dental Dam |
(Some dentists do not use the dental dam.)
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High-volume evacuator (HVE) |
and Saliva ejector
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high-speed and low-speed |
rotary handpieces
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Burs, often in a block |
(Each dentist has preferences.)
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Cotton products |
(pellets, rolls, 2x2 gauze squares, dry-angles.)
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Dental liner, base, |
Bonding agent, and caries indicator dye
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permanent restorative |
material of choice
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Articulating |
paper
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polishing |
items
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dental |
floss
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Procedure
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Steps
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1. |
Deliver mouth mirror and explorer to dentist. (dentist must examine tooth to be restored.)
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2. |
Assist dentist in the delivery of anesthetic, topical and local. |
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3. |
Place isolation items, cotton rolls, or dental dam (state permitting) |
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4. |
Deliver mouth mirror to dentist and inform dentist of the type of bur on the handpiece.
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5. |
Adjust the light, retract the patient's cheek or tongue, and use the HVE and air/water syringe to keep the working area clear for the dentist.
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6. |
Transfer the necessary instruments to the dentist during the preparation as needed.
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7. |
Rinse and dry prepared tooth for the dentist to evaluate.
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8. |
Deliver caries indicator dye to the preparation, wait, rinse, and dry. (Repeat until tooth is clear of caries.)
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9. |
If the preparation requires a base or liner, mix and deliver to the dentist. |
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10. |
Activate amalgam capsule and triturate.
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11.
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Fill the smaller end of the amalgam carrier and transfer to the dentist. The dentist may want both ends of the carrier filled. alternate the condenser with the carrier. Continue to supply the dentist with more amalgam until the preparation is slightly overfilled.
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12.
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Exchange the condenser for the burnisher so the dentist can burnish the excess mercury to the tooth surface.
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13.
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Deliver the carving instruments of dentist's choice until the restoration is complete.
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14.
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The dental assistant will continue to use the HVE to remove particles and for retraction during the continued carving and burnishing.
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15.
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The assistant must still use the HVE to remove any pieces of amalgam as well as continue to retract the cheek, lip, or tongue.
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16.
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Remove all cotton and the dental dam. Rinse and dry the area.
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17.
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Place articulating paper between the maxillary and mandibular teeth to check the occlusion. The patient should bite down carefully and gently so as to not fracture the new restoration. The dentist will continue to adjust the occlusion until the bite is correct. Heavy colored marks will appear on the restoration in areas needing adjustment.
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18.
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Inform the patient not to chew on that side of the mouth. The amalgam will continue to harden for several hours after placement.
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19.
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If the patient received anesthetic, inform him to avoid chewing until the anesthetic is gone so as to avoid biting his cheeks or tongue.
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20.
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Inform the patient to call the office if he finds his occlusion is incorrect. He will need to return to the office for an occlusal adjustment. |
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Postoperative Care
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Instructions:
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1.
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Do not chew any hard foods for 24 hours. The amalgam continues to harden for this period of time. |
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2.
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Do not chew gum for 24 hours.
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3.
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Wait to chew anything until the anesthetic is gone. If the patient chews before the numbness from the anesthetic is gone, he may bite his cheek and tongue, creating sore soft tissue.
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4. |
If the amalgam is two-surface restoration with a contact to another tooth, the patient should not floss that area for 24 hours.
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5. |
If the restoration feels high or the other teeth are not occluding, the patient should call the office for a check and adjustment of the occlusion. |
