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Coronal Polish Test
| Question | Answer |
|---|---|
| When do primary teeth begin erupting | 6 months |
| How long does it take for plaque to form | 4-12 hours |
| What PPE do you take off first | Gloves |
| What is an embrasure | V-shaped space |
| What do you use to check disclosing agent | Explorer |
| How long is a stroke | 1-2 sec |
| Low-speed handpiece RPM | 40,000 rpm |
| What are the potential side effects of chlorhexidine | Brown/Yellow stains on teeth or tounge |
| Why is an ultrasonic preferred rather than hand scrubbing | Safer for auxillary/ cavitation process/sound waves reach all parts of instruments |
| Where do you fulcrum | Stable tooth surface close to the working area |
| What does patient eye wear protect you from | splatter, paste, debris |
| What does SDS provide | Information about chemical safety hazards and handling |
| Where do you sit for maxillary polishing | 10-12 |
| Where do you start sitting for polishing | 8-9 |
| Where should SDS be | Accessible in the clinical area |
| What does plaque and sugars produce | Acid |
| What does closing lips on saliva ejector risk | Back flow contamination, hepatitis |
| 150 BPM is... | tachycardia |
| Where do you start coronal polishing | Distal/ Maxillary right posterior |
| What is cariogenic | causes cavities |
| Where is the cingulum most promientent | 7/10 |
| What is the most cariogenic | Pudding- it is thick |
| What is Advanced Periodontis | Full bone loss |
| Manufacturer instructions,ingredients & SDS is included where | Coronal Polish Products |
| How can polishing harm weak demineralized enamel | It can remove enamel and worsen the lesion |
| What is a clinical surface | Anything you touch during treatment |
| Final step of coronal polishing | Flossing |
| Irrelevant personal/financial info shouldn't be where | Health History chart |
| Clinical Disinfectants are.. | Intermediate-level disinfectants |
| What weakens or fractures the restoration before it sets | Chewing after a amalgam restoration |
| Esthetic restorations polishing paste? | Aluminum oxide polishing paste |
| What can scratch or damage composite/porcelain surfaces | regular prophy paste |
| What does pre-cleaning do | removes debris and plaque so surfaces can properly surfaces |
| Toothbrushing | reduces plaque |
| Calculus | Hard mineralized deposit on tooth |
| Oral Prophylaxis | Complete removal of calculus, debris, stain, and plaque |
| Clinical Crown | Portion of the tooth visible in the oral cavity |
| Intrinsic stains | stains that occur within the tooth, may not be polished off |
| Extrinsic Stains | stains that occur on the external surfaces of the tooth |
| Fulcrum | position that provide stability for the provider |
| Rubber-cup polishing | technique used to remove plaque and stains from coronal surface |
| Pen grasp | grasp used to hold the handpiece |
| Direction polishing stroke should be directed towards | the occlusal/ incisal |
| Head position for maxillary/anteriors | chin up |
| Head position for mandibular | chin down |
| Intermittent pressure | allows heat to dissipate between strokes |
| What minimizes frictional heat | speed of the cup |
| Prophy/ Cleanings | other names for an oral prophylaxis |
| Who can do a prophy | dentist and registered hygienist |
| 4 types of prophy angles | rubber cup, bristle brush, reusable, disposable |
| Types of instrinsic stains | tobacco stains, chewing, dipping , stains from dental amalgam |
| Stains from excessive amount of fluoride during tooth formation | endogenous |
| Stains from medications taken by mother or child during tooth development | endogenous |
| Extrinsic stains | food, drink tobacco stains that can be removed |
| Therapeutic polishing | Polishing of the root surfaces/root planing |
| Prophy paste | commercial premixed abrasive paste |
| Grit | coarseness of an agent |
| Selective Polishing | only teeth and surfaces that are stained get polished |
| Air-powder Polishing | handpiece that deliver a hard stream of warm water and sodium bicarbonate |
| Low abrasive polishing paste | used for esthetic restorations |
| Diamond, sapphire, aluminum oxide | Low abrasive polishing pastes |
| Rheostat | Used to control the rpm of the handpiece |
| Reusable/disposable | basic types of prophy angles |
| Dental floss | used after coronal polish for interpromixal surfaces |
| Black stain | line on teeth near gingival margin, more common in girls with clean mouths |
| Green stain | Common in children usually on facial of maxillary teeth |
| Tobacco stain | very tenacious dark brown or black stain |
| Reddish Brown stain on interpromixals and cervical areas | caused by mouth rinses with chlorhexidine |
| Bristle Brushes Polishers | used to remove stains from the deep pits and fissures of enamel surfaces |
| Dental fluorosis | mottled enamel, ingestion of excessive fluoride during mineralization |
| Imperfect Tooth Development | genetic abnormality/ environmental influences, yellowish brown or gray brown |
| Sliver Amalgam | staining that appears as a gray or black discoloration around a restoration |
| Yellow/ greenish discoloration/systemic causes | symptom of prolonged jaundice and Rh incompatibility |
| Pulpless teeth | differs in color, light yellow, gray, reddish brown,brown orangeish, greenish |
| Brown/yellow stain | stain most commonly found on the buccal of max. molars and lingial of lower anterior incisors. |
| Pellicle | Thin film coating of salivary material deposited on tooth surfaces |
| Tetracycline antibiotics staining | staining that occurs in a child while a mother in her 3rd tri takes medication |
| Where does calculus get formed at first | lingual anteriors / stensons duct |
| Dental Fluorsis | varying degrees ranging from few white spot to extensive white areas or distinct brown stain |
| Silver amalgam | stains from metallic ions from amalgam go into dentin/ enamel |
| Silex | fairly abrasive and used to clean more heavily stained teeth |
| Fine pumice | mildly abrasive for more persistent stains |
| Chalk | precipitated calcium carbonate, mixed with toothpaste and polishing pastes to whiten teeth |
| Zirconium Silicate | highly effective and doesn't abrade tooth enamel |
| Wharton's Duct/Parotid Gland | gland under tongue that produce saliva |
| Stenson's Duct | gland on the inside of the left and right cheek |
| Cementum | calcified connective tissue that cover the anatomic root of tooth |
| Anatomical crown | portion of the tooth covered with enamel. |
| Dentin | hard portion of the root that surrounds the pulp and is covered by enamel on the crown and cementum on the root. |
| Embrasure spaces | curved spaces between interpromixals of teeth |
| Apical migration | gingival margin moving due to trauma or diesease |
| Super-fine Silex | removes light stain |
| Fluoride Prophylaxis Paste | not a substitute for topical application of fluoride |
| Whiting | another name for chalk |
| Disclosing Agent | used to identify areas of plaque before or after coronal polish |
| Nylon/Natural | types of bristle brushes |
| Bristle prophy brushes | never contact the gingiva and positioned above gingival third |
| Pen Grasp | how the handpiece is held |
| Modified Pen Grasp | ring finger is fulcrum |
| Supragingival | above the gumline |
| Subgingival | below the gumline |
| Subgingival calculus | appears black,brown, or dark green |
| Supragingvial calculus | appears chalky white, yellow,gray, or stained by food/ most common on buccal of max. molars/uncommon in children under 9 |
| Abrasives | materials that cut/grind the surface leaving grooves and a rough surfaces, always be moist |
| Rate of Abrasion | the time it takes to remove stains |
| Pulp Damage or Non-Vital Tooth stains/Necrotic | stain when pulp is damaged or removed / light yellow, black,magenta,green/blood and pulp tissues seeping into dentin tubules |
| F/FF/FFF | the grades of fineness for low abrasive powders or flours |
| Particle size | the larger it is the more abrasive |
| Propylaxis | preventative therapy to maintain the health of the gingival |
| Auxilliary Polishing Aids | polishing aids like bridge threaders,abrasive polishing strips,soft wooden points, and small interpromixal brushes |
| Edge of cup | part that actually does the polishing |
| Center of cup | holds and transports the abrasive |
| Bridge threaders | pull the dental tape and floss under fixed appliances, orthodontic, around splints |
| Abrasives polishing strips | occasionally used for a small stain in the interpromixal, moved back and forth |
| interpromixal brush | cleans open contact areas, around Orthodontic appliances, exposed bifurcation or trifurcation of the roots and on abutment teeth of a hygienic bridge |
| What follows scaling | coronal polishing |
| Dental Assisting National Board | administers the coronal polishing certificate |
| 4 rationale reasons for polishing | |
| Lines of Retzius | |
| Ceramic Bearings | cooler/ceramic+steel/steel+steel/non-pourous |
| Imbrication Lines |
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