- Rearrange

- Eliminate

- Combine

- Simplify

I - fingers only

II - fingers, wrist

III - fingers, wrist, elbow

IV - entire arm from shoulder

V - entire arm and twisting of body

8-11 = Operator

11-2 = Static Zone

2-5 = Assistant

5-8 = Transfer Zone

- occlusal pits and grooves (premolars and molars)

- buccal/lingual pits and grooves (molars)

- lingual pits of maxillary incisors, usually near cingulum

O

OL

OB

BOL

- the extension of a class I to the proximal surfaces of molars and premolars

- class II lesions can involve all surfaces, but must at least involve 1 proximal + 1 non-proximal surface

- cervical 1/3 on the F/L of any tooth

- on root, near CEJ

- anteriors: incisal edge

- posteriors: cusp tip

- II, III, and IV

(only those involving proximal surfaces)

- to serve as a replacement wall during insertion of restorative material

- to restore proper contour to proximal surface

- to restore proper contact with adjacent teeth

- Tofflemire retainer

OR

- Universal Retainer

- on the buccal side

(retainers not generally used for anterior teeth, though a matrix band might)

- posterior: thin, flexible stainless steel

- anterior: celluloid or mylar

- restores proper contour

- restores proper contact

- prevents gingival overhang

- round

- triangular

- wood

- plastic

- posterior: lingual

- anterior: side opposite prep

The wedge base and the cervical border of the matrix band should be just __ to the prep box floor.

(occlusal or cervical)

- cervical

(if it were occlusal to the prep box floor, the filling would leak out, duh)

It is important that the occlusal border of the matrix band be just __ of where the marginal ridge will be.

(occlusal or cervical)

- Maxillary Right and Mandibular Left

(positioned with open end of "U" or diagonal slot on top and facing toward you)

1) loosen outer knob of retainer

2) remove retainer

3) continue to carve until amalgam is hard

4) remove matrix band one proximal surface at a time

5) resume carving

- III and IV

(anteriors)

A plastic matrix should be positioned __ etching and bonding.

(before or after)

- automatrix system

(no retainer used; bands come in different sizes, materials; coil-like locking mechanism manipulated by wrench)

- to control water used as coolant (from hi-speed)

- to control debris (from slo-speed)

- to remove fluids from mouth

- to prevent moisture contamination of materials

- the opening should be parallel to buccal or lingual surface

- one edge of the opening should be even w/ the occlusal surface

- should be held as close to tooth as possible w/o touching soft tissue

- parallel w/ labial or lingual surface (opposite surface of restoration)

- bisect incisal edge (what?)

- lingual

- buccal

1) Receiving, sorting, cleaning and decontamination

2) preparation and packaging

3) sterilization

4) storage

- penetrates soft tissue or bone

- carries greates risk of transmitting infection

- only touches intact skin

- carries least risk of transmitting infection

- the receiving, sorting, cleaning and decontamination area

(gloves, mask, eye protection, gown)

- 3-20 minutes

- 3-6 minutes

- steam under pressure (autoclaving)

- dry heat

- unsaturated chemical vapor

- 15 psi

- 250 degrees F

light loads (hand pieces, rinn or snap-a-rays, ultrasonic tips, cotton products) - 15 min

heavy loads (cassettes, bagged instruments) - 30 min

surgical instruments - 45 min

- sterilization at 270 degrees F for 3 minutes (unwrapped) or 7 minutes (wrapped)

- not recommended; for emergencies only

- wrapped cycle = 4-10 min

(do not use unwrapped cycle)

- overall time (including drying?) = 45 min

- handpieces

- bur blocks

- porcelain polishing kits

- chlorine compounds

- silver

- iodine

- hydrogen peroxide

- hi-speed handpiece

- air/water syringe

- ultrasonic scaler

1) hearing message (sensing)

2) interpreting message

3) evaluating message content

4) retaining and responding to message

- faking attention

- internal and external noise

- arrogance and disrespect

- lack of interest

- thought speed

1) paraphrase

2) express understanding

3) ask questions

4) communicate nonverbally

1) verbal and nonverbal support

2) address content of message or specific behavior

- commensal = normal skin inhabitant; does not benefit or harm host

- opportunistic pathogen

      - IV drug users

      - newborns

      - elderly

      - catheters

- 30% carriers (on skin, in nose)

- colonization rates greater with...

     - type I diabetes

     - IV drug users

     - AIDS

     - dermatologic conditions

     - hemodialysis

- skin (pimples)

- surgical wound infections

- blood infections

- pneumonia

- indiscriminate use (overuse, improper dosing, poor adherence)

- noncompliance w/ infection control

- antibiotics in food

- 19,000

- 99,000

- hospitalization

- surgery

- indwelling devices

- dialysis

- long-term care

- history of MRSA

- typically presents as skin infection (77% of time)

- abscesses, pustular lesions, boils

- atheletes

- prisoners

- military

- kids

- contact (direct, skin-skin)

- cleanliness

- compromised skin integrity

- contaminated objects

- crowded living

- hand hygiene

- wound coverage / bandage disposal

- eliminate sharing (equipiment, etc.)

- clean facilities

- alchohol (>60% content)

- bleach

- staph aureus = 3 minutes

- MRSA = 2 minutes

1. cover, keep clean
2. get cleared by physician (policy @ UAB)
3. eradication (antibiotics until MRSA can't be cultured)

- other potentially infectious material

- cerebrospinal fluid, synovial fluid, peritoneal fluid, pericardial fluid, pleural fluid, amniotic fluid, semen, vaginal secretions, breast milk

- hep B

- hep C

- HIV

- viremia (presence of virus in blood)

- injury (exposure of DCHP blood or infectious fluids)

- entry of DCHP blood or infectious fluid to pt portal of entry

- cuts or punctures

- splashes to mucous membranes (eyes, nose, mouth)

- contamination of non-intact skin

- jaundice (icterus)

- fever

- abd pain

- enlargement of liver

- cirrhosis

- liver cancer

- vaccination

- standard precautions

- cleaning, disinfecting

- 3 doses

- test for antibodies 1-2 months after doses

- if inadequate, repeat

- test again 1-2 months later (50% will now have adequate antibodies, others are screwed)

- jaundice

- abd pain

- fever

- enlargement of liver

- flu symptoms

- cirrhosis

- liver cancer

HBV = 3 months (30% asymptomatic)

HCV = 6+ months (80% asymptomatic)

HIV = maybe years

- 0.3%

- 0.09%

- any harm to anyone

- Kathleen Dively

- work practice controls (use intruments instead of fingers to retract, recap needles w/ 1 hand, etc.)

- engineering controls (sharps containers, devices w/ safety features, etc.)

- PPE

1. force bleeding of wound and wash w/ soap and water
2. inform pt of incident and ask for blood test (obtain verbal consent for HIV, HBV, HCV tests)
3. Inform Clinical Operations Office
4. Inform employee health and arrange for pt to go there
5. return to SOD to finish treatment

- deep injury

- visible blood on device

- needle in artery/vein

- terminal illness in pt

- open/close

- right/left

- protrusive/retrusive

- disinfect earpices

- center nasion relator assembly on crossbar

- attach indirect transfer assembly

- loosen screw on center of facebow (8604)

- loosen screws on transfer assembly: bite fork screw first (8640 then 8643)

- before removal, spray with air

- after removal, run under cool water

- soft tissue

- deep occlusal registrations

1. explain procedure
2. place bite fork (w/ cotton rolls)
3. slide toggle onto bite fork shaft while pt holds side arms
4. tighten facebow thumb screw
5. position nasion and tighten screw
6. push toggle on fork shaft until it is near lips
7. hold face bow with 1 hand and tighten toggle screw on fork shaft w/ other
8. tighten last screw

1. loosen nasion thumb screw and slide nasion back
2. w/ pt holding arms, loosen facebow screw
3. have pt pull earpieces while you remove bite fork
4. disinfect portions that were in mouth (rinse, spray (10 min), rinse)

- 2-3 minutes

- 30 seconds

- .08%