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Coronal Polish
| Question | Answer |
|---|---|
| Tetracycline Stains | Discoloration of the teeth resulting from high amounts of tetracycline antibiotics taken while teeth were developing. |
| Plaque | A sticky mass that contains bacteria and grows in colonies on the teeth. |
| Fulcrum | The support point on which a level turns positions of finger rest for support when working in the mouth (ring finger). |
| Exogenous | Originating from outside of the mouth. |
| Endogenous | Originating from inside the mouth. |
| General Supervision | Dental Assistant able to perform duties ordered by the doctor while the doctor is off-site. |
| Periodontal Disease | Inflammation and deterioration of the periodontal tissues caused by protozoa with bacteria. |
| What causes Periodontal Disease? | Poor oral hygiene resulting in heavy calculus and plaque build up that was left untreated. |
| Symptoms of Periodontal Disease | Mobility, pain and tenderness, recession, halitosis, inflamed gingival, bleeding gums. |
| Classifications of Periodontal Disease | Gingivitis and Periodontists |
| The primary reason to use floss is to remove debris from where? | Interproximally and under gingival tissue. |
| How long does it take plaque to reform? | 12-24 hours |
| How long does it take pellicle to form? | Within minutes (1-2 hours or less). |
| Tapered brush is used in which areas? | Pits and fissures/Grooves |
| Why are synthetic gloves used? | For patients with latex allergies. |
| When would an irrigation device be used? | Around orthodontic brackets. |
| What is Oral Prophylaxis? | Where hard deposits are removed then the teeth are polished. |
| Signs of healthy gum tissue | Light pink and stippled |
| What is demineralization? | Where minerals, calcium, and phosphates are lost from the enamel. |
| Upper Arch | Maxillary |
| Lower Arch | Mandibular |
| How many teeth in the adult dentition? | 32 |
| What age is the adult dentition present (except 3rd molars)? | Age 12 |
| What divides the quadrants into halves? | Midline |
| Starting from midline, list the eight teeth in order. | Central, Lateral, Canine/Cuspid, 1st Biscupid, 2nd Bicupid, 1st Molar, 2nd Molar, 3rd Molar. |
| List the 5 surfaces of anterior teeth. | Mesial, Distal, Facial, Lingual, Incisal. |
| List the 5 surfaces of the posterior teeth. | Mesial, Distal,Buccal, Lingual, Occlusal. |
| Another name for primary teeth. | Deciduous |
| At what age are all primary teeth present? | 3 years old. |
| What is mixed dentition and what period does it occur? | When both primary and permanent teeth are present at the same time, usually occurring between ages 6-12 years old. |
| List the basic three. | Mouth Mirror, Sheppard's Hook Explorer, Cotton Forceps/Pliers |
| Mouth Mirror used to: | Reflect, retract, and view indirect vision. |
| Sheppard's Hook Explorer used to: | Check for decay and remove debris. |
| Cotton Forceps/Pliers used to: | Remove and deliver materials to and from the mouth. |
| What is the tip of the root called? | Apex |
| The biting surface of the posterior teeth. | Occlusal |
| What teeth are not succadaneous? | The Primary Molars |
| Instrument used to check the health of the gum tissue. | Periodontal Probe |
| How many roots do mandibular molars have? | 2 (Bifurcated) |
| What two teeth numbers have The Cusp of Carabelli? | 3 and 14 (Maxillary first molars). |
| What is the layer under enamel? | Dentin |
| What is the hard build up on the tooth's surface? | Calculus/Tarter |
| What does the disclosing agent contain the is contraindicated for the use of diabetics? | Iodine |
| What precautions must you take when establishing a fulcrum? | Avoid resting on the chin, mobile teeth, pinching lips. |
| Used to polish metallic restorations? | Tin-Oxide |
| Should you establish a fulcrum on hard or soft tissue? | Hard tissue. |
| Used to polish gold restorations. | Ruge |
| T/F: Abrasive paste can leave scratches or rough surfaces on gold, composite restorations, acrylic veneers and porcelain surfaces. | TRUE |
| T/F: Contraindication-Patients who are at high risk for dental caries because small amounts of enamel are removed during the polishing procedure. | TRUE |
| T/F: Silver amalgam (intrinsic)- Appears as a gray or black discoloration around the restoration. | TRUE |
| T/F: Fluoride prophylaxis paste- The complete removal of calculus, debris, stain, and plaque from the teeth. | FALSE |
| T/F: Super fine silex- Mildly abrasive and is used for more persistent stains, such as tobacco stains. | FALSE |
| T/F: A re-useable prophy angle is sterilized. | TRUE |
| T/F: An oral prophylaxis is a preventative procedure of scaling and polishing including the removal of calculus, soft deposits and plaque stains. | TRUE |
| T/F: Wax floss is recommended for more inteproximal friction. | FALSE |
| T/F: Ruge is used to polish gold. | TRUE |
| T/F: You disclose teeth before and after you perform a coronal polish. | TRUE |
| Removes plaque and gives luster to the tooth surface. | Polishing Agents |
| What can a RDH(hygienist) do that a DA(assistant) can NOT? | Scale teeth |
| What is the purpose of disclosing solution? | To expose existing plaque and ensure removal. |
| A DA can perform a coronal polish by doing what? | Passing a board approved course. |
| What stain is most common on children's anterior teeth? | Green stain |
| Tuberculosis is passed to others through? | Aspiration |
| The main infection source in the operatory is from? | Hands |
| Which surface could be used as a fulcrum rest? | Cusp |
| Where are abrasive strips used? | Enamel surface |
| Coronal Polish starts on what surface? | Distal |
| Which finger is best for holding a fulcrum? | Ring finger |
| The steps for performing a coronal polish would be? | Disclose, polish, floss, disclose. |
| What saliva duct is located on the mandibular posterior lingual surface? | Wharton's Duct |
| Which stain cannot be removed from polishing? | Metallic |
| An intrinsic stain that results from ingestion of excessive fluoride during the mineralization period of tooth development, also known as "mottled enamel" is? | Dental Fluorosis |
| A technique used to remove plaque and stains from the coronal surfaces of the teeth is known as? | Coronal Polish |
| A genetic abnormality in which the teeth appear translucent, yellowish brown, or vary in color is known as? | Imperfect Tooth Developement |
| Stains that occur on the external surface of the teeth and may be removed by polishing are called? | Extrinsic Stains |
| Conditions that would contraindicate a coronal polish would include? | No stains present, after scaling and root planning, and irritated gingiva. |
| An intrinsic stain that varies in color from yellow to black to green to magenta and is caused by blood and pulp tissues seeping into the dentin tubules is known as? | Non-Vital Tooth Stain |
| A thin black line on the tooth neat the gingival margin that is more commonly found in females with good oral hygiene is known as? | Black Stain |
| Used for cleaning and polishing tooth surfaces (this material is highly effective and does not abrade tooth enamel). | Zirconium Silicate |
| Most commonly found on the buccal surfaces of the maxillary molars and the lingual surfaces of the lower anterior incisors and is caused by poor oral hygiene or using a toothpaste with inadequate cleansing action. | Brown or yellow stain |
| A procedure in which only those teeth or surfaces with stains are polished is known as? | Selective Polishing |
| The portion of the tooth that is visible in the oral cavity is called? | The clinical crown |
| What material is best to remove soft deposits? | Superfine Pumice |
| At minimum, how many seconds should a handwash be? | 15 seconds |
| High rates of calculus are associated with? | Stains |
| What should a patient expect from a coronal polish? | Extrinsic stain removal |
| What is the purpose of floss after a polish? | Remove abrasive |
| The cup should first adapt at which part of the tooth? | Cervical third of the crown. |
| Yellow and brown stains, tobacco stains, green stains, and black line stains are known as? | Extrinsic stains |
| A mask is worn by dental team members to? | Protect the mucous membranes of the nose and mouth. |
| An environment free of pathogens is called? | Asepsis |
| A microbe found in the waterline is called? | Biofilm |
| Dental Fluorosis, tetracycline stains, and metallic stains are known as? | Intrinsic Stains |
| One of the best ways to prevent the spread of microorganisms from one person to another is by? | Hand washing with water and antimicrobial soap. |
| Located below the ear, this salivary gland is known as the? | Parotid Gland |
| The most recommended type of toothpaste contains? | Fluoride |
| The optimal level of fluoride that prevents caries without mottling the teeth is? | 1ppm |
| When working on the maxillary and mandibular right facial/buccal or left lingual arch, you should turn the patient....? | Away and tilt the chin up. |
| Which gland empties saliva into the mouth through the Stensen's Duct? | Parotid Gland |
| Which abrasive is used to polish gold restorations, exposed dentin, tooth colored restorations, and enamel? | Zirconium Silicate |
| Under what supervision would a coronal polish be performed? | General Supervision |
| What is the smallest salivary gland that is located on the floor of the mouth? | Sublingual Gland |
| What is the most common route of disease transmission in the dental field? | Direct contact with the patient's blood or saliva. |
| Contaminated waste that is capable of transmitting an infectious disease includes? | Blood soaked material, body tissue, and a used needle or blade. |
| Walnut shaped gland that is located on the inside of the mandibular posterior area is known as? | Submandibular Gland |
| Level of supervision requiring that a dentist authorized a procedure and remain on the premises while the procedure is performed, then evaluate the patient before dismissal is known as? | Direct Supervision |
| What does OSHA Bloodborne Pathogen Standard state about contaminated protective clothing? | Must be red bagged or labeled biohazard. |
| Stains that originate from within the structure of the tooth are called? | Endogenous |
| What does the term systemic fluoride mean? | Ingested and circulated through the body. |
| What gland empties saliva into the mouth though Wharton's Duct? | Submandibular Gland |
| Stains that originate on the outside surface of the tooth are known as? | Exogenous |
| The sticky mass that grows on teeth and contains bacteria is? | Plaque |
| The loss of some enamel surface due to acid attack is called? | Demineralization |
| Antimicrobial means? | Growth inhibitor. |
| What would a DA do if a patient has chronic respiratory infection? | Minimize the use of slowspeed. |
| How would you remove a stain interproximally? | Abrasive polishing strip. |
| What stain can be removed by a coronal polish? | Chromogenic |
| In between patients, hand washing should be? | 15 sec with 10 sec rinse. |
| How do you keep the integrity of the gloves? | Keep nails short. |
| Coronal Polish is strictly limited to what part of the tooth? | The clinical crown. |
| How long does is take for pellicle to form? | Under 1 hour. |
| One disadvantage of disclosing solution is? | It stains clothing. |
| Why is abrasive used wet? | To reduce frictional heat. |
| Intrinsic stain resulting from high concentrations of tetracycline antibiotics taken during the time the tooth was developing. The stain varies in color from light green or yellow to dark grayish brown. | Tetracycline Stain |
| The stain can be intrinsic or extrinsic. Metals and metallic salts may be inhaled in industrial settings or taken orally in certain drugs, or comprise part or the material used to restore teeth. The metals adhere to the pellicle and other soft deposits. | Metallic Stains. |
| Abrasive used for stain removal and polishing. This material can be used on gold restorations, exposed dentin, and tooth colored restorations as well as enamel. | Zirconium Silicate |
| A very fine polishing agent used on enamel and metallic rest. Used in paste form, it is mixed with water, alcohol, or glycerin. | Tin Oxide |
| Abrasive used to remove stains from the enamel. Relatively coarse and should be followed by a fine polishing agent. Not used on exposed dentin, tooth colored restorations, or gold because of high abrasiveness. | Flour of Pumice |
| A mild abrasive used in some prophylactic pastes. | Chalk (Whiting) |
| Very popular abrasive. Fluoride is added to commercially prepared prophylaxis pastes to replace fluoride lost in the enamel surface during polishing. | Fluoride Prophylaxis Paste |
| Highly contagious disease of the respiratory system which can be spread to others by airborne particles released while coughing, saliva contact, if cross contamination occurs, by dental treatment. | Tuberculosis |
| Tiny, simple, single celled plants that contain no chlorophyl. | Bacteria |
| A federal standard made effective in 1992 that requires healthcare workers to follow protocol to reduce the spread of HIV and hepatitis B. | Bloodborne Pathogen Standard |
| Soft, bulky, cottage cheese like mass of food debris and bacterial growth that collects in grooves and spaces on the teeth, gingival, and appliances. Provides the source for plaque developement. | Materia Alba |
| Thin, clear film of insoluable proteins, fats and other materials from saliva that forms within minutes of removal. May protect enamel or provide breeding ground for plaque and calculus. | Pellicle |
| Discolorations on the outside of the tooth structure that can be removed by scaling and polishing. | Extrinsic Stains |
| Extrinsic Stains that are usually associated with poor oral hygiene. Dull yellow to light brownish color. Generally associated with plaque and most commonly found on the buccal surface of the maxillary molars and lingual surface of mandibular incisors. | Yellow and Brown Stains |
Created by:
beth.hillman