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24 Cards in this Set

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What angle should the cutting edge of an instrument be?
Cutting edge should meet the tooth at an angle less than 90 but greater than 45
The shank of an instrument should be ____ with the long axis of the tooth
parallel
An imaginary line that passes through the center of a tooth
Long axis
Towards the apex of the tooth
apical
towards the crown of a tooth
coronal
where 2 tooth surfaces meet
line angle

Each tooth has 4
for instrumentation, how is the dentition split up?
Into sextants and then further into aspects (facial/lingual)
What are the functions of the probe?
Measure sulcus and pocket depth

Measure clinical attachment levels

Determine the width of the attached gingiva

Assess for the presence of bleeding

Measure the size of oral lesions
What depth of pocket (in the absence of resession) indicates a healthy gingival sulcus?
1-3 mm
What is the proper stroke pressure?
10-20 g
What type of probe is used for measureing furcations
Nabers probe
What are the classifications of furcations?
Class I-slight root indention
Class II-1/2 way through
Class III-through and through, covered by gingiva
Class IV-through and through exposed
Whar are the classes of mobility?
N-Normal no movement
Class I-<1mm
Class II->1mm
Class III->1mm in all directions (depressible)
What is femitus? How is it measured? How is it recorded?
-Palpable vibrations, excessive contact
Analysis is only done on maxillary teeth
-Lightly press finger on cerivcal 1/3 of tooth
Have pt lightly tap posterior teeth together
How do you record the degree of fremitus?
-Record by toothe number
N=Normal
+=One degree fremitus, only slight vibration can be felt
++=Two-degree, the tooth is clearly palpable but movement is barely visible
+++=three-degree, movement is clearly observed visually
What causes a cleft in the gingiva?
Aggressive flossing or frenum pulling
In dentrix, how would you chart a PD of over 9?
Use the 1_ button. Measurements greater than nine mm appear as > on the data chart
In Dentrix how do you chart if the GM is above the CEJ?
Click the + button followed by the appropriate number. Button only works when entering the GM measurement

On the chart the GM appears white in a black square to indicate it's positive
How many sites are needed to determine periodontal classification?

Describe how you would determine this classification using the CAL.
10 sites (round down)

Take the greatest reading found on the facial or lingual of the CENTER calculated CAL. (Proximal sites are taken into consideration radiographically). You should have only one reading per tooth (whichever is a greater CAL on the facial or lingual center measurement)

Write this number in the box next to the tooth number on the Perio work sheet.

Add up the total number of sites by millimeters (1, 2, 3, 4, 5 mm etc)

Must have at least 10 sites in a category to classify as a certain type
Periodontal Class

Type I
No attachment loss (recession) present.

Bleeding may be present (localized or generalized). Mobility may be present.

Health-Gingivitis
Perio Class

Type II
Slight Attachment Loss

Attachment loss present (recession). The CAL calculation on the perio chart will have the appropriate # of teeth with 1-2mm charted
Perio Class

Type III
Moderate attachment loss

3-4mm attachment loss
Perio Class

Type IV
Sever/Advanced Attachment Loss

5-6mm
What is a pseudopocket?
When the gingival margin is above the CEJ

May give a "false" reading in regards to attachment loss

Subtract the extra tissue that is above the CEJ