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45 Cards in this Set
- Front
- Back
Wearing away of surface material by friction.
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Abrasion
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A material composed of particles of sufficient hardness and sharpness to cut or scratch a softer material when drawn across its surface.
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Abrasive
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Device using air and water pressure to deliver a controlled stream of specialty processed sodium bicarbonate slurry through the hand-piece nozzle.
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Air-powder polisher
Air polishing Air-powdered abrasive Airbrasive |
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Substance used to hold abrasive particles together.
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Binder
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Polishing of the anatomic crowns of the teeth to remove dental biofilm and extrinsic stains; does not involve calculus removal.
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Coronal polishing
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Clear, colorless, syrupy fluid used as a vesicle and sweetening agent for drugs and as a solvent and vehicle for abrasive agents.
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Glycerin
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With reference to abrasive agents; particle size.
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Grit
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The production, especially by friction, of a smooth, glossy, mirror-like surface that reflects light.
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Polishing
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p.s.i.
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Pounds per Square Inch
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r.p.m.
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Revolutions per minute
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Thin, semi-fluid suspension of a solid in a liquid.
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Slurry
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A dental procedure used to maintain the health or treat disease to restore health.
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Therapeutic procedure
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A nonissential procedure undertaken for esthetic reasons to improve appearance.
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Cosmetic procedure
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Is Coronal polishing a therapeutic or cosmetic procedure?
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Cosmetic
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Do dental stains contribute to dental caries, periodontal disease, or any other oral disease?
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No
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How does polishing affect teeth?
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It removes tooth structure over time.
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What are the adverse effects of polishing?
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Removes tooth surface over time
Causes aerosol production & splatter Creates bacteremia |
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Visible airborne particles dispersed into the environment by dental equipment such as dental handpieces and electronically powered instruments.
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Dental aerosols
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Consists of airborne particles that land on people and objects.
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Splatter
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Microorganisms in dental aerosols have been shown to survive for up to __________.
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24 hours.
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When should you not use power-driven equipment?
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Patient with a communicable disease
Patients that are susceptible to infection such as patients with respiratory/pulmonary disease, immunocomprised. |
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What precaution should you take when using prophylaxis pastes?
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Eyewear because these pastes contain various chemicals that can cause severe inflammation in the eye.
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The presence of bacteria in the bloodstream.
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Bacteremia
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Patients that are susceptible to bacteremia include ________________.
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Patients with abnormal or damaged heart valves
Prosthetic heart valves Prosthetic joint replacements Rheumatic heart disease Congenital heart disease Cardiac bypass surgery w/i 6 M Dialysis patients |
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Term used to describe a problem brought on by something that a clinician does.
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Iatrogenic
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What does stain removal with an abrasive agent do to enamel, cementum, dentin.
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It removes surface layer of enamel where fluoride content is most protective.
It easily abrades the thin cementum and dentin by the CEJ |
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Polishing generates heat. What care must be taken to ensure proper usage of polisher?
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Use wet polishing
Minimal pressure Low speed Incorrect polishing technique can injure the gingival margin. |
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What are the most common extrinsic stains?
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Chlorhexidine stain
Tobacco stain |
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What are the most common intrinsic stains?
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Tretracycline stains
Stains from silver amalgams and endodontic (root canal) treatment. |
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How much of the outer enamel may be removed when polishing for 30 seconds with a pumice paste?
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4 um
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What are the effects of stain removal on teeth?
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Removal of tooth surface
Areas of deminiralization Areas of thin enamel, cementum, or dentin Care of restorations and implants Heat production |
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What are the effects of stain removal on gingiva?
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Trauma to gingival tissue
Removal of epithelium Patient discomfort Pumice as irritation source Foreign body reaction to abrasive. |
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What are some preventative procedures for caries?
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Placement of pits/fissure sealants
Professional application of fluoride agent |
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What are the characteristics of abrasive particles?
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Shape - Irregularly shaped with sharp edges
Hardness - Harder than surface to be abraded; 10x harder than tooth structure Body strength - Particles that fracture into smaller sharp-edged particles are more abrasive. Attrition resistance- Effective abrasive particles do not dull; particles with greater attrition resistance abrade faster. Grit - The larger the particle the more abrasive; finer achieve a glossier finish. |
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This value is indicative of a material's resistance to scratching.
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Mohs hardness value
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What has the highest Mohs value after diamonds?
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Silicone Carbine - 9.5
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The most abrasive polishing agent available with a Mohs value of 9.5 is?
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Silicone Carbine
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Cleaning agents have a Mohl value less than that of enamel which is _____.
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5
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Name some abrasive agents.
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Silex
Pumice flour Calcium carbonate Tin oxide Emery Rouge Diamond particles Cleaning agents |
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Simple, hand-held device featuring a tapered orangewood point.
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Porte Polishers
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What are the two types of prophylaxis angle and what are the angle attachments?
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Disposable or sterilizable
Rubber cups Bristle brush |
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What do you use for polishing proximal surfaces?
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Floss
Tape Finishing strips |
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Describe the uses, techniques, and advantages of air-powder polishing.
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Removes plaque and stains as effectively and in less time
Removes less root structure than curets For anterior teeth use at a 60 degree angle For posterior teeth use at a 80 degree angle For occlusal surfaces use at a 90 degree angle 3-4 mm from tooth surface Constant circular mostion 1/2 to 1 sec on each tooth surface Rinse every 1 to 3 teeth. |
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Risk patients for Air-powder-polishing.
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Patients with sodium-restricted diets, hypertension, or respiratory or infectious diseases
Root surfaces exposed Soft, spongy gingiva Restorative materials present |
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What are some enhanced prophylaxis polishing pastes?
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Fluoride Prohylaxis Pastes
Amorphous Calcium Phosphate Pastes which forms apatite to mineralize the tooth Tooth Whitening Pastes Dentin Hypersensitivity Pastes which have Potassium Nitrate to block the dentinal tubules to block nerve transmission. |