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CoronalPolishing1-86
Study guide for Coronal Polishing Certification
| Question | Answer | |||
|---|---|---|---|---|
| Which of the following abrasive agents is CONTRAINDICATED for most esthetic restoratives? | Regular prophy paste | Diamond Paste | Fine sapphire paste | Aluminum Oxide |
| What type of calculus is located on the crown, apical to the margin of the gingiva, extending along the root surface? | Subgingival | Ectopic | Supragingival | Amorphous |
| Which of the following disinfectants is appropriate for cleaning the dental treatment room? | Hospital-grade | Alcohol-based | low-level | household |
| Which of the following is an example of a single-use item appropriate for a coronal polishing procedure? | Saliva ejector | Explorer | Stainless steel mirror | low-speed handpiece |
| What part of the tooth is soft and can be easily removed by coronal polishing? | Cementum | Root structure | Enamel | Dentin |
| Which of the following can cause frictional heat and trauma to the gingiva when performing coronal polishing? | Hard rubber cup pressure | Slow-speed handpiece | intermittent light pressure | Fine abrasive material |
| What term refers to the degree of coarseness of a polishing agent? | Grit | Speed | Weight | Abrasive |
| Which of the following can be used for lip and tongue retraction while assisting with an oral prophylaxis? | High-volume evacuator tip | Mouth prop | Fingers | Saliva ejector |
| Which of the following is provided to the patient as a safety measure against spatter? | Eyewear | Mask | Gloves | Lead apron |
| The CDC's categories of patient care items (Spaulding classification) categorize a low-speed handpiece as | Semi critical | noncritical | subcritical | critical |
| What is another name for fluorosis? | Brown stain | Enamel hypoplasia | Calculus | Dentifrice |
| Prior to a dentist prescribing chlorhexidine, which potential side effects should be reviewed with the patient? | Brown or yellow stains on the teeth and tongue | random whit spots on the teeth and along the incisal edge | gray and red discoloration around a restoration | black line on the teeth near the gingival |
| A soft, flexible and webbed rubber cup is used to | adapt to the contours of the teeth | stimulate the gingiva | remove calculus | fit around the gingival margin |
| On what area of the oral cavity does coronal polishing occur? | Clinical Crown | gingival margin | retromolar region | subgingival tissue |
| Pre-cleaning before disinfection is important because it | removes bioburden | saves time | removes mycobacterium tuberculosis | kills pathogenic microorganisms |
| What type of stain can chlorhexidine cause? | Extrinisc | fluorosis | supernumeray | endogenous |
| During coronal polishing, what kind of stroke moves the rubber cup to ensure total coverage of the tooth? | Overlapping | Backward | Forward | Straight |
| The three basic phases in calculus formation are | pellice, biofilm and mineralization | gingival contour, abrasion and fibroblast | perioscopy, abrasion and mineralization | erythrosin, fluorescein and hyperplasia |
| Which of the following precautions best describes what to do when removing and placing surface covers? | wear gloves when removing contaminated covers; use clean bare hands to place new covers | use clean, bare hands at all times | Wear exam gloves at all times | use bare hand to remove barriers: wear new gloves when placing clean covers |
| In dental offices that still maintain paper records, all necessary corrections to a patient's dental record must be made by using a | black ink pen to draw a line through the previous entry, initial and date the corrections | black ink pen to draw a line through the previous entry and date the corrections | pencil to draw a line through the previous entry and initial the corrections | red ink pen to draw a line through the previous entry, inital and date the corrections. |
| What is the purpose of maintaining a fulcrum point? | Provide hand stability for the operator | minimize aerosol spray during treatment | aid in rinsing the patient's mouth | provide comfort to the patient |
| To reduce the risks associated with the inhalation of spray and splatter fluids, the operator should wear | a mask | a gown | eyewear | gloves |
| The polishing stroke should move from the gingival third to the | incisal third | facial third | lingual half | gingival half |
| Air-powder polishing instruments can create an aerosol of | debris and microorganisms | aluminum oxide | prophylaxis polishing paste | calcium and phospate |
| Which agent is appropriate for polishing a veneer? | aluminum oxide paste | chalk | fluoride paste | pumice |
| Endogenous staining is classified as what type of stain? | intrinsic | cariogenic | exogenous | chromogenic |
| What does the abbreviation rpm mean? | revolutions per minute | rotating periocoronal motion | rounds per mouth | round prophylaxis movement |
| Which of the following is an endogenous stain that cannot be removed by coronal polishing? | dental fluorosis | nasmhyths membrane | green stain | Coffee stain |
| What precaution should be taken with the handpiece to prevent splatter of debris during coronal polishing? | release the rheostat before removing if from the mouth | remove the prophylaxis angle from the handpiece | place two patient napkins on the patient | use both an internal and an external prophylaxis cup |
| Polishing demineralized tooth surfaces creates | loss of surface enamel | a smoother tooth | a barrier against decay | scratches on the enamel |
| Periodontal measurements take place during a(n) | oral prophylaxis | coronal polish | gingivectomy | periodontal flap procedure |
| Which of the following is applied to the patient's teeth to help assess home-care needs? | disclosing agents | topical fluoride | stannous fluoride | desensitizing agents |
| For optimal access, what should be kept parallel to the floor when polishing the teeth of the mandibular arch? | the lower jaw | the upper jaw | The headrest | the dental chair |
| Polishing agents should be mixed with water to | minimize frictional heat | maximize abrasive effectiveness | maximize occlusal cleaning | minimize enamel sloughing |
| Which of the following is considered a housekeeping surface? | Operatory floor | operator chair buttons | handpiece control buttons | computer keyboard |
| Pregnant women who take tetracycline during the third trimester may have children with | discolored teeth | a facial abnormality | mottled enamel | enamel hypoplasis |
| Which teeth are known as the cornerstone of the mouth? | Caninies | first premolars | first molars | centrals |
| When using more than one abrasive material during the coronal polishing procedure, which sequence of abrasives is appropriate? | medium, then fine | coarse, then medium | medium, then coarse | Fine, then medium |
| How should teeth appear after completing coronal polishing? | Glossy | frosty | desiccated | dry |
| Stains that originate from inside the tooth structure are called | endogenous | extrinsic | exogenous | intrinsic |
| Which of the following can be an adverse effect of coronal polishing? | Newly erupted enamel can be damaged | orthodontic molar bands wont fit properly | teeth take on yellow stains | crowns and bridges don't seat properly |
| What type of stain is caused by continuous use of stannous fluoride? | brown/yellow | Green/yellow | black | Green |
| What strokes should be used when polishing the surfaces of a tooth? | short, intermittent and overlapping | long, overlapping and intermittent | intermittent, high speed and overlapping | overlapping, high speed and short |
| Smooth and glossy surfaces of the teeth help to | reduce plaque, calculus and stain accumulation | prevent tooth decay | eliminate periodontal disease | indicate a more-abrasive prophy past is needed |
| Coronal polishing is limited to what portion of the tooth? | Clinical crown | clinical root | anatomical crown | cementum enamel junction |
| Which of the following is used on the occlusal surfaces of the teeth to clean pits and fissures? | prophy brush | hard-bristle toothbrush | interproximal brush | denture brush |
| Full debridement is mainly accomplished by performing a(n) | oral prophylaxis | periodontal probing | coronal polishing | interproximal flossing |
| At what seated position would a right-handed operator begin a coronal polishing procedure? | 8 o'clock | 4 o'clock | 10 o'clock | 2 o'clock |
| Which party is responsible for ensuring a Safety Data Sheet is available in the workplace for each hazardous material? | manufaturer | Employer | Employee | distributor |
| Which of the following should be updated at every appointment? | Health history | birthdate | referral | consent form |
| Which of the following items requires a surface barrier? | headrests | sinkhandles | countertop | rheostat |
| Which of the following actions can be performed during a coronal polish to reduce the rate of abrasion? | decrease the pressure applied to the cup | increase the amount of material used | increase the speed of the handpiece | decrease the number of teeth polished |
| Which of the following is used after coronal polishing to ensure that all teeth have been cleaned? | disclosing agents | fluoride varnish | Dental Floss | caries detector |
| What disinfectant's antimicrobial activity is inhibited by hard water? | iodophor | phenolic | chlorine | alcohol |
| The procedure that removes hard mineralized deposits attached to teeth is known as a/an | oral prophylaxis | subgingival cleaning | coronal polishing | debridement |
| Which of the following dental healthcare professionals can legally complete an oral prophylaxis in all states? | Hygienist | expanded duties dental assistant | certified dental assistant | dental lab technician |
| Which of the following can be used to remove stain when the embrasure and interdental papilla are absent? | finishing strip | prophy cup | floss threader | explorer |
| What term describes the biting surface of a tooth? | occlusal | buccal | lingual | facial |
| How does a fast rotating polishing cup damage the gingival tissue? | pushes polishing paste into the sulcus | rips onto the oral mucosa | puts heat trauma on the cementoenamal juncion | tears and rough up the enamel |
| Bristle brushes are NOT recommended when polishing | exposed cementum | lingual surfaces | pits and fissures | enamel surfaces |
| Which of the following is appropriate for use on a clinical surface during a pre-cleaning procedure? | soap and water | alcohol | chemical sterilant | bleach |
| Record keeping is essential in dental healthcare because it provides | quality care to patients | up-to-date bookkeeping procedures | guidelines for scheduling patients | assistance to patients with dental fear |
| Which of the following is considered to be regulated waste? | hypodermic needle | saliva ejector | patient napkins | prophy angle |
| The signed acknowledgment of HIPAA is kept in a patient's record for a minimum of | six years | four years | two years | eight years |
| Why is proper positioning of the patient and operator necessary during coronal polishing? | for maximum comfort and efficiency | to avoid gagging | for maximum vision and access | to avoid swallowing the polishing material |
| What is the recommended length of time per stroke that a revolving polishing cup should be on the surface of a tooth? | 1-2 seconds | 3-4 seconds | 5-6 seconds | 7-8 seconds |
| Which of the following is performed immediately after removing damaged gloves during patient treatment? | handwashing | re-gloving | disinfecting clinical surfaces | surgical scrub |
| Which of the following is the objective for a coronal polish? | remove stains and plaque from surface of teeth | remove stains and plaque from below the gingival tissue | remove plaque and calculus from the surface of teeth | remove plaque and calculus from below the gingival tissue |
| To maintain stability and reduce fatigue during coronal polishing, the operator should use a(n) | fulcrum | hand rests | exjplorer | rubber prophy cup |
| After a coronal polish, excess water and debris are removed from the mouth by using a(n) | high-volume evacuator | saliva ejector | electric toothbrush | saliva ejector |
| White spots on a tooth are | demineralized areas | bleached areas | polished areas | remineralized areas |
| Intraoral bacteria that are disturbed when using a prophylaxis handpiece can find their way to the patient's | bloodstream | biofilm layer | dentin smear layer | restorations |
| At what level should an operator's arms be positioned during a coronal polishing procedure? | waist | chin | shoulder | neck |
| When using abrasive agents, the dentinal tubules can be uncovered, causing thinning of the | cementum or dentin | gingival tissue | periodontal ligament | rubber polishing cup |
| Safety Data Sheets (SDSs) include information on the potential hazardous effects of | chemical | sharp instruments | bacteria | viruses |
| When the smear layer of a tooth is removed and dentinal tubules are exposed, | unnecessary sensitivity may occur | mincroorganisms | stain removal is more easily accomplished | the teeth appear significantly whiter |
| The point of stabilization on the tooth surface used to balance and support the instrument during a polishing procedure is the | fulcrum/finger rest | adaption and angulation | lateral pressure/balance pressure | palm/pen grasp |
| Which of the following describes the inflammation of the gingival tissues that can be reversed with good oral hygiene? | gingivitis | gingival candidiasis | pyogenic granuloma | advanced periodontitis |
| For a right handed operator, when polishing the mandibular left posterior quadrant, the buccal aspect of the mirror is used to retract the cheek and provide | indirect vision of the buccal surfaces | direct vision of the lingual surfaces | direct vision of the buccal surfaces | indirect vision of the lingual surfaces |
| During coronal polishing, fluoride prophylaxis pastes should be avoided on patients who are receiving which of these immediately following the coronal polish? | sealant | anesthetic | pulpotomy | root planing |
| To what classification level do synthetic phenolic disinfectants belong? | intermediate | High | low semi-critical | low |
| What speed is used on a prophylaxis handpiece during the polishing procedure? | lowest | middle | highest | boosted maximum |
| Endogenous stains on a tooth are formed | from within the tooth | by taking certain medications | on the outside of the tooth | by eating certain foods |
| If a patient needs additional treatment after root planing and scaling, what is the next step? | gingival curettage | antibiotic therapy | coronal polishing | oral prophylaxis |
| Which of the following supplies is needed when performing coronal polishing? | air-water syringe tip | sandpaper disc | high-speed handpiece | fluoride mouth rinse |