Fulcruming, Adv. Instrum., Root Planning
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Fulcrum | show 🗑
|
||||
| show | Intraoral, Extraoral, Advanced Fulcrum
🗑
|
||||
| Intraoral Fulcrum | show 🗑
|
||||
| show | stabilization of hte clinician's had outside the patient's mouth, usually on the chin or cheek
🗑
|
||||
| When is an extraoral fulcrum useful? | show 🗑
|
||||
| Which type of fulcrum is a variation of an intraoral or extraoral finger rest? | show 🗑
|
||||
| Advanced Fulcrums are useful when... | show 🗑
|
||||
| Fulcruming the ring finger on a tooth provides... | show 🗑
|
||||
| show | Standard intraoral fulcrum
🗑
|
||||
| What is the technique for an intraoral fulcrum | show 🗑
|
||||
| show | on the same arch as the treatment area, naer the tooth being instrumented
🗑
|
||||
| List the advantages of intraoral fulcrums | show 🗑
|
||||
| show | provides excellent tactile transfer to the fingers; allows hand & instrument to work together effectively;
🗑
|
||||
| Advantages of intraoral fulcrums | show 🗑
|
||||
| Advantages of intraoral fulcrums | show 🗑
|
||||
| Disadvantages of intraoral fulcrums | show 🗑
|
||||
| show | may not be practical for use in edentulous areas
🗑
|
||||
| What are advanced fulcruming techniques useful in obtaining? | show 🗑
|
||||
| show | Selectively
🗑
|
||||
| T/F: It is difficult to obtain parallelism with the lower shank or to adapt the cutting edge when using a standard intraoral fulcrum | show 🗑
|
||||
| show | easier access to max 2nd & 3rd molars, easier access to deep pockets on the molar teeth
🗑
|
||||
| Advantages of advanced fulcruming technique | show 🗑
|
||||
| Disadvantages of advanced fulcruming technique | show 🗑
|
||||
| Disadvantages of advanced fulcruming technique | show 🗑
|
||||
| show | may cause more muscle strain, not well tolerated by patients w/ limited opening or TMJ
🗑
|
||||
| show | helpful when working in areas of limited access, such as narrow deep pockets
🗑
|
||||
| Advanced fulcrms should be used selectively in areas of limited access to: | show 🗑
|
||||
| show | True
🗑
|
||||
| show | True
🗑
|
||||
| show | modified intraoral, cross arch, opposite arch, finger-on-finger, basic extraoral, finger assist
🗑
|
||||
| The modified inraoral fulcrum is achieved by | show 🗑
|
||||
| show | instrumenting the maxillary teeth
🗑
|
||||
| The modified intraoral fulcrum involves altering the point of contact: | show 🗑
|
||||
| For the modified intraoral fulcrum, the middle and ring fingers contact one another: | show 🗑
|
||||
| show | there is NO contact between the middle and ring fingers
🗑
|
||||
| The cross arch fulcrum is accomplished by | show 🗑
|
||||
| show | This is an example of a cross arch fulcrum
🗑
|
||||
| The opposite arch fulcrum is an | show 🗑
|
||||
| show | Opposite arch fulcrum
🗑
|
||||
| show | resting the ring finger on the arch opposite the treatment area
🗑
|
||||
| show | resting the ring finger of the dominant hand on hte index finger of the nondominant hand
🗑
|
||||
| This technique allows the clinician to fulcrum in line with the | show 🗑
|
||||
| show | stable rest for the clinician's dominant had & provides improved access to deep periodontal pockets
🗑
|
||||
| The finger-on-finger can | show 🗑
|
||||
| show | Knuckle-rest technique & chin-cup technique
🗑
|
||||
| show | resting the knuckles of the clinician's dominant hand against the patient's chin or cheek.
🗑
|
||||
| The chin-cup technique involves: | show 🗑
|
||||
| show | using the index finger of the nondominant hand AGAINST THE SHANK of a periodontal instrument to assist in the instrumentation stroke.
🗑
|
||||
| the finger of the nondaminant hand is placed against the instrument shank to: | show 🗑
|
||||
| The finger assist fulcrum is most commonly used with: | show 🗑
|
||||
| (T-F) the finger assist fulcrum gives the clinician better lateral pressure | show 🗑
|
||||
| (T-F) while exploring, only the tip-one-third of the explorer should touch the tooth | show 🗑
|
||||
| (T-F) interproximal deposits can be felt from both the lingual and buccal/facial aspects. | show 🗑
|
||||
| show | up
🗑
|
||||
| show | 4mm
🗑
|
||||
| show | in the extended gracey curet, the LOWER shank is 4mm longer than the standard curet.
🗑
|
||||
| show | the miniature gracey curet has a SHORTER, THINNER working-end that is 3mm longer than a standard curet.
🗑
|
||||
| The extended shanks come in the Hu-Friedy "____" and the American Eagle Gracey "____" | show 🗑
|
||||
| show | (1)longer lower shank and (2)thinner working-end
🗑
|
||||
| show | The thinner working-end facilitates insertion beneath the GINGIVAL MARGIN and reduces TISSUE DISTENTION away from the root surface.
🗑
|
||||
| Mini's are designed for use in: | show 🗑
|
||||
| show | (1)Longer lower shank, (2)Thinner working-end, and (3)shorter working-end
🗑
|
||||
| show | 3mm
🗑
|
||||
| show | 10 percent
🗑
|
||||
| show | half
🗑
|
||||
| the mini's also have an extra "___" | show 🗑
|
||||
| show | Working-end length, working-end curvature, and shank design.
🗑
|
||||
| the working end of the curvette is: | show 🗑
|
||||
| the working end curvature of a curvette is: | show 🗑
|
||||
| The shank design of the curvette: | show 🗑
|
||||
| show | anterior teeth
🗑
|
||||
| show | anterior teeth and premolar teeth
🗑
|
||||
| show | mesial, facial and lingual surfaces of molars
🗑
|
||||
| show | 15/16
🗑
|
||||
| show | distal surfaces of molar teeth
🗑
|
||||
| The vision curvette 13/14 is "sister" to: | show 🗑
|
||||
| show | hybrid
🗑
|
||||
| The Langer curet can be thought of as a hybrid design because: | show 🗑
|
||||
| show | (1)each curet is limited to use only on certain teeth and certain areas, (2)each curet has a long complex functional shank, (3)a set of 3 Langer curets is needed to instrument the entire dentition.
🗑
|
||||
| (T-F) the Langer 17/18 may be used on molars. | show 🗑
|
||||
| The Langer 5/6: | show 🗑
|
||||
| Langer 1/2: | show 🗑
|
||||
| show | Maxillary posterior teeth
🗑
|
||||
| Langer 17/18: | show 🗑
|
||||
| show | PREPARE calculus deposits before removal with another instrument.
🗑
|
||||
| show | a file is used to CRUSH or ROUGHEN a heavy deposit
🗑
|
||||
| files have multiple cutting edges, at an angle of ___ to ___ degrees to the base. | show 🗑
|
||||
| show | Hirschfield 3/7, 5/11, and 9/10 and Orban 10/11 and 12/13
🗑
|
||||
| show | 1-2mm
🗑
|
||||
| show | light, pressure against the tooth
🗑
|
||||
| show | use tge correct part of the active tip (sides/back/face) and tip on the piece of calculus
🗑
|
||||
| the activation when using an ultrasonic should be: | show 🗑
|
||||
| Gracey +3, access 00-0 is used for: | show 🗑
|
||||
| Gracey 1-2: | show 🗑
|
||||
| show | cuspid-cuspid
🗑
|
||||
| gracey 5-6: | show 🗑
|
||||
| gracey 7-8: | show 🗑
|
||||
| show | molars, buccal and lingual, more adaptable to roots than gracey 7-8
🗑
|
||||
| show | mesial surfaces of premolars and molars (better than 15-16)
🗑
|
||||
| gracey 13-14: | show 🗑
|
||||
| show | mesial surfaces of premolars and molars, requires less cheek retraction and greater access than 11-12
🗑
|
||||
| show | distal surfaces of premolars and molars,smaller blade, slightly longer shank, designed specifically for 3rd molars.
🗑
|
||||
| show | ultra-thin, cuspid-cuspid
🗑
|
||||
| McCalls 13-14S | show 🗑
|
||||
| show | true
🗑
|
||||
| Columbia 13-14: | show 🗑
|
||||
| HG6-7: | show 🗑
|
||||
| Nevi-1: | show 🗑
|
||||
| show | posterior scaler, thin, designed for distal and mesial surfaces of molars
🗑
|
||||
| show | The process by which plaque & calculus is removed from all tooth surfaces coronal to the junctional epithelium
🗑
|
||||
| show | Plaque & calculus removal apical to the margin of the gingiva
🗑
|
||||
| show | Plaque & calculus removal coronal to the margin of the gingiva
🗑
|
||||
| Root Planning | show 🗑
|
||||
| T/F: Reattachment is more difficult if cementum is removed | show 🗑
|
||||
| Why is it possible for plaque to seep into the cementum? | show 🗑
|
||||
| show | To remove ALL the altered cementum (toxins taken up into the root surface)
🗑
|
||||
| show | By creating a glassy smooth surface through root planning.
🗑
|
||||
| show | It is an example of the Historical Information
🗑
|
||||
| show | True
🗑
|
||||
| The goal of removing plaque & calculus, creating a smooth root, is the goal for: | show 🗑
|
||||
| show | Tissue response
🗑
|
||||
| What is the instrument of choice for root planning and Why? | show 🗑
|
||||
| show | Sharp instruments
🗑
|
||||
| Describe scaling strokes: | show 🗑
|
||||
| show | moderately firm grasp, wrist-forearm motion, continuous series of long strokes, even lateral pressure
🗑
|
||||
| show | horizontal, oblique, vertical
🗑
|
||||
| Lateral pressure is progressivley reduced when? | show 🗑
|
||||
| show | so that gradually planing away surface irregularities until a hard, glassy smooth surface remains
🗑
|
||||
| T/F: Root planning is the standard treatment | show 🗑
|
||||
| When should a patient recieve root planning? | show 🗑
|
||||
| show | Scaling strokes to remove calculus
🗑
|
||||
| If small irregulatiries are found utilize: | show 🗑
|
||||
| curettage: | show 🗑
|
||||
| show | the deliberate debridement of the soft tissue wall of the pocket with a curet or other instrument to remove the inflamed pocket wall, which includes junctional and pocket epithelium as well as the immediately subjacent diseased connective tissue.
🗑
|
||||
| subgingival curettage: | show 🗑
|
||||
| show | include surgical curettage, open curettage,flap curettage, open-flap curettage, excisional new attachment procedure (ENAP), and the modified widman flap.
🗑
|
||||
| Open curettage procedures: . | show 🗑
|
||||
| Inadvertant curettage: | show 🗑
|
||||
| Inadvertant curettage is caused by: | show 🗑
|
||||
| show | debridement and smoothing of root surfaces with a curet. AKA root planing
🗑
|
||||
| show | the use of a caustic solution to facilitate removal of the soft tissue lining of the pocket.
🗑
|
||||
| chemical curettage has been done with: | show 🗑
|
||||
| definitve porcedures should result in: | show 🗑
|
||||
| definitive gingival curettage would result in: | show 🗑
|
||||
| show | a reduction of inflammation but the persistence of a pathologically deepened pocket.
🗑
|
||||
| show | edematous pockets where reduction of inflammation is accompanied by a reduction of edema and shrinkage of the marginal gingiva.
🗑
|
||||
| show | the reunion of gingival connective tissue with a root previously exposed by peridontal disease.
🗑
|
||||
| reattachment | show 🗑
|
||||
| new attachment occurs by means of: | show 🗑
|
||||
| (T-F) pocket closure following instrumentation in fibrotic pockets is common. | show 🗑
|
||||
| what are the indication for gingival curettage? | show 🗑
|
||||
| what are the contraindications for gingival curettage: | show 🗑
|
||||
| show | TRUE!!
🗑
|
||||
| show | more than 90 degrees
🗑
|
||||
| show | the opposite working end should be used. (the "wrong" end) same is true for GRACEY'S!!
🗑
|
||||
| when using a Gracey curet, the angulation should be: | show 🗑
|
||||
| show | long, horizontal strokes with even, moderate pressure
🗑
|
||||
| why would the clinician place the finger of their opposite hand against the pocket wall with the curet blade? | show 🗑
|
||||
| immediately after the procedure, histologically, the JE (junctional epithelium) looks: | show 🗑
|
||||
| show | an acute inflammatory reaction to the surgery occurs within the first few hours and PMN's are found at the wound surface beneath the blood clot.
🗑
|
||||
| show | the acute inflammatory reaction is waning and is being replaced by granulation tissue at the wound surface. Epithelialization is prograssing but incomplete.
🗑
|
||||
| 6-7 days after the procedure, the tissue looks: | show 🗑
|
||||
| 6-7 days after the procedure, histologically, the tissue looks: | show 🗑
|
||||
| show | the gingiva looks normal, pink in color, firm, and no BOP
🗑
|
||||
| show | 1-2 weeks to reprobe, evaluate plaque control, examine for residual calculus, and reinstrument as necessary.
🗑
|
||||
| show | periodontal abscesses to promote drainage, highly edematous pockets with large amounts of granulation tissue, management of recurrent inflammation and pocket depth during treated perio cases during maintenance.
🗑
|
||||
| what are the contraindications for gingival curettage: | show 🗑
|
||||
| show | TRUE!!
🗑
|
||||
| show | more than 90 degrees
🗑
|
||||
| show | the opposite working end should be used. (the "wrong" end) same is true for GRACEY'S!!
🗑
|
||||
| show | 45-90 degrees against the tissue
🗑
|
||||
| show | long, horizontal strokes with even, moderate pressure
🗑
|
||||
| show | to lend support to the tissue
🗑
|
||||
| show | the JE and pocket epithelium have been completely removed leaving underlying connective tissue exposed. This is covered by a blood clot.
🗑
|
||||
| 1-2 days after the procedure, histologically, the tissue looks: | show 🗑
|
||||
| show | the acute inflammatory reaction is waning and is being replaced by granulation tissue at the wound surface. Epithelialization is prograssing but incomplete.
🗑
|
||||
| show | edema is gone. shrinkage has occured producing recession of the gingival margin. color is normal, and there is little or no BOP.
🗑
|
||||
| 6-7 days after the procedure, histologically, the tissue looks: | show 🗑
|
||||
| 10-14 days after the procedure, clinically, the tissue looks: | show 🗑
|
||||
| show | 1-2 weeks to reprobe, evaluate plaque control, examine for residual calculus, and reinstrument as necessary.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Jenny teeth