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23 Cards in this Set

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Danielle Hoffman



row: flash cards

danielle hoffman

Assisting with a class 1 restoration

Equipment and Supplies

-restorative tray for appropriate dental material to be used including basic setup, hand cutting instruments, amalgam carrier, condenser, burnisher,carvers, plastic instrument, and articulating paper holder.

-local anesthetic setup (some patients do not require anesthetic)

-dental dam setup (some dentists do not use the dental damn)

-high volume evacuater and saliva ejector

-high speed and low speed rotary handpieces

-burs, often in a block (each dentist has preferences)

-cotton products (pellets, rolls, 2x2 gauze squares, dry angles)

-dental liner, base, bonding agent, and caries indicator dye

-permanent restorative material of choice

-articulating paper

-dental floss

Post Op For Amalgam

1. do not chew any hard foods for 24 hours. the amalgam continues to harden for this amount of time

2. do not chew gum for 24 hours

3. 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

4. if the amalgam is a two- surface restoration with a contact to another tooth, the patient should not floss that area for 24 hours.

5. if the restoration feels high or the other teeth are not occluding, the patient should call the office for a check and occlusion


assisting for a class 1 amalgam restoration

1. deliver mouth mirror and explorer to dentist. (dentists must examine tooth to be restored

2. assist dentist in the delivery of anesthetic, topical and local

3. place isolation items, cotton rolls, or dental damn (state permitting)

4. deliver mouth mirror to dentist and inform the dentist of the type of bur on the handpiece

5. adjust the light, retract the patients cheek or tongue, and use the HVE and air/water syringe to keep the working area clear for the dentist

6. transfer the necessary instruments to the dentist during the preparation as needed

7. rinse and dry prepared tooth for the dentist to evaluate.

8. deliver caries indicator dye to the preperation wait rinse and dry. (repaet until tooth is clear of caries)

9. if the preperation requires a base or liner mix and deliver to the dentist

10. activate amalgam capsule and triturate

11. fill the smaller end of the amalgam carrier and transfer to the dentist. the dentist may wan tboth ends of the carrier . ulternate the condenser with carrier. continue to supply the dentist with more amalgam until th epreperation is slightly over filled

12. exchange the condenser for the burnisher so the dentist can burnish the excess murcery to the tooth surface.

13. deliver the carving instruments of dentists choice until the restoration is complete.

14. the dental assistant will continue to use the HVE to remove particles and for retraction during the continued carving and burnishing.

15. the assistant must still use the HVE to remove any pieces of amalgam as well as continue to retract the cheek,lip or tongue

16. remove all cotton and the dental dam. rinse and dry the area.

17. 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

18. inform the patient not to chew on that side of the mouth. the amalgam will continue to harden for several hours after placement

19. if the patient recieved anesthetic inform him to avoid chewing until the anesthetic is gone so as to avoid biting his cheek or tongue.

20. 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