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F08 DH Care Final
Important Points
127
Other
Professional
11/28/2008

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Term
OSHA: Occupational Safety and Health Administration
MIOSHA: Michigan Occupational Safety and Health Act
CDC: Centers for Disease Control and Prevention
Definition
OSHA stands for ___ ___ and ___ ___.
MIOSHA stands for ___ ___ ___ and ___ ___.
CDC stands for ____ for ____ ___ and ____.
Term
1. General Safety Standards
2. Hazard Communication Standards
3. Bloodborne Pathogens Standards
Definition
OSHA has rules and regulations that fall into what 3 categories?
Term
30 years
Definition
You must keep employees medical records for ___ years plus the duration of employment.
Term
musculoskeletal disorder
Definition
A ____ ___ is an injury to the body that is caused by forceful or awkward movements, poor posture and fast-paced or repetitive movements.
Term
itis = inflammation, algia = pain
Definition
____ refers to inflammation and ____ refers to pain.
Term
carpal tunnel syndrome
Definition
___ ___ syndrome is a painful disorder of the wrist and hand due to compression of the median nerve in the wrist.
Term
ulnar nerve entrapment
Definition
___ ___ ___ is a painful disorder of the lower arm and wrist caused by compression of the ulnar nerve at the wrist.
Term
pronator syndrome
Definition
___ syndrome is a painful disorder of the wrist and hand caused by compression of the median nerve by the pronator muscle.
Term
extensor wad strain
Definition
___ ___ ___ is a painful disorder of the fingers as a result of injury to the extensor muscles.
Term
thoracic outlet syndrome
Definition
___ ___ syndrome is a painful of the fingers, hand, and or wrist due to compression of the brachial nerve plexus and vessels.
Term
trapexius myalgia
Definition
___ ___ is a painful disorder of the trapezius muscle.
Term
rotator cuff tendinitis
Definition
___ ___ ___ is a painful inflammation of the muscle tendons in the shoulder region.
Term
bursitis
Definition
____ is the inflammation of fluid filled sacs that lubricate and cushion pressure points between bones, tendons and muscles.
Term
1. Educator, 2. Researcher, 3. Administrator, 4. Advocate, 5. Clinician, 6. Public Health
Definition
Name the 6 interrelated roles of the RDH.
Term
1. Assessment, 2. DH Diagnosis, 3. Planning, 4. Implementation, 5. Evaluation, 6. Documentation
Definition
List the 6 steps of the DH Process of Care Standards of Practice:
Term
primary, also reversing initial stages to arrest disease process
Definition
Reducing risk or aborting onset of disease is which level of preventive dentistry?
Term
secondary, means taken to treat incipient disease
Definition
Using treatment to terminate disease process is which level of preventive dentistry?
Term
tertiary, more extensive treatment such as surgery, prosthetics, etc.
Definition
Employing measures to replace lost tissue and rehab clients to near function as possible is which level of preventive dentistry?
Term
1. Gingiva, 2. Alveolar bone, 3. PDL, 4. Cementum
Definition
List the 4 tissues of the periodontium.
Term
keratinized
Definition
Marginal gingiva is (keratinized/nonkeratinize).
Term
keratinized
Definition
Attached gingiva is (keratinized/nonkeratinized).
Term
nonkeratinized
Definition
Alveolar mucosa is (keratinized/nonkeratinized).
Term
non keratinized in the center
Definition
Col is (keratinized/nonkeratinized).
Term
True!
Definition
T/F: Oral, sulcular and junctional epithelium are all stratified squamous epithelium.
Term
nonkeratinized
Definition
Sulcular epithelium is (keratinized/nonkeratinized).
Term
nonkeratinized
Definition
Junctional epithelium is (keratinized/nonkeratinizeD).
Term
Nabers = curved, Marquis = color coded
Definition
The ___ probe is curved to examine furcations and does not measure sulcus/pocket depths. The ___ probe is color coded, thin, 3-6-9-12mm markings but result in too much estimation.
Term
Williams (thick, no 4/6), Michigan O (thin)
Definition
The ___ probe is thick with no markings at 4 or 6mm. The ___ probe is thin with markings at 3, 6, and 8mm.
Term
Michigan O w/Williams markings
Definition
The __ probe is thin with markings at all mm except 4/6. Used at UDM.
Term
6 (facial, lingual, mesiofacial, mesiolingual, distofacial, distolingual)
Definition
You have ___ readings on each tooth when probing.
Term
Medical waste
Definition
___ waste is any solid waste generated in dx, tx or immunization of humans/animals or testing biologicals. Sharps, pathological, liquid, microbial and animal research waste are 5 categories of this waste.
Term
Contaminated waste
Definition
____ waste are items that have contacted blood or other body secretions. Gloves, masks, disposable gowns, bibs, used gauze w/saliva-blood, used barriers are examples.
Term
infectious waste
Definition
___ waste is a subset of medical waste capable of causing an infectious disease. Blood and blood soaked materials, pathological waste such as tissue and extracted teeth, and sharps are examples.
Term
regulated waste
Definition
___ waste is infectious waste that requires special handling, neutralization and disposal according to applicable federal, state or local law.
Term
toxic waste
Definition
___ waste has the capability of having a poisonous effect. Organic solvents, cleaning solutions and acids are examples.
Term
hazardous waste
Definition
____ waste poses a risk or peril to humans or the environment. It does not have to be infectious, usually refers to hazardous and toxic chemicals.
Term
All are true except that extracted teeth may not be disposed of in a sharps container.
Definition
T/F: Contaminated waste may be discarded with general office trash, Pathogenic waste must be neutralized and extracted teeth may be disposed in a sharps container.
Term
True!
Definition
T/F: This is the step-by-step management of medical waste: handle, segregate, store, label, dispose.
Term
marginal (free gingiva), papillary (papillae), diffuse (free/attached/alveolar)
Definition
___ refers to free gingiva only, ___ refers to only papillae or interdental gingiva, and ___ includes free and attached gingiva and possibly alveolar mucosa.
Term
attachment level
Definition
___ ___ is the distance from the junctional epithelium to a fixed point on a tooth (such as the CEJ) and provides a means of monitoring apical migration of attachment apparatus.
Term
1. determine sulcus/pocket depth (FGM--> junctional epithelium), 2. measure position of FGM in relation to CEJ (apical = recession/positive #, at = 0, coronal = negative #), 3. find the sum of the probing depth and FGM number
Definition
Explain how you determine the attachment level.
Term
nonmineralized, calculus is mineralized
Definition
The following are (mineralized/nonmineralized): acquired pellicle, biofilm, materia alba, food debris.
Term
glycoproteins
Definition
The acquired pellicle is made of _____ from saliva and sulcular fluid.
Term
Orban-type #17
Definition
____ explorer is single-ended with a 2mm tip at a right angle to terminal shank used in deep, narrow pockets, but is poor on line angles and proximals (better for facial/lingual)
Term
shepherd's hook
Definition
____ explorer is single ended, with a short, rigid shank used to examine restorations and pit/fissures not for calculus detection. Mainly replaced by CH3.
Term
CH3
Definition
____ explorer is double ended with paired working ends used for calucus detection in sulci/shallow pockets. Has a short, broadly curved terminal shank and is universal.
Term
ODU
Definition
___ explorer has paired, double ends excellent for calculus detection and is easily adapted to perio pockets, but is universal.
Term
True!!
Definition
T/F: When using the explorers on posterior teeth, you want the terminal shank to be parallel on the distal and wrap around the mesial.
Term
True!
Definition
T/F: When using explorers on anterior teeth you use one end of the instrument for nears and switch ends for far surfaces.
Term
normal = <120/80
pre = 120-139/80-89
stage 1 = 140-159/90-99
stage 2 = >160/>100
Definition
Normal blood pressure = ____.
Pre-hypertension = ____.
Stage 1 hypertension = ____.
Stage 2 hypertension = ____.
Term
True!!
Definition
T/F: Rectal temp is normal if 1 degree above oral and axillary temp is normal if 1 degree below oral.
Term
adults: 60-100
children: 60-120
Definition
Normal pulse for adults:
Normal pulse for children:
Term
brady = <50
tachy = >150
Definition
bradycardia = ___ bpm
tachychardia = ___ bpm
Term
adults: 14-20 breaths per minute
children: 14-30 breaths per minute
Definition
normal respiratory rate for adults:
normal respiratory rate for children:
Term
brady = 12 or less
tachy = 28 or more
Definition
bradypnea = ___ breaths/minute
tachypnea = ___ breaths/minute
Term
systolic = vent contraction (sister has contractions), diastolic = vent relaxation (you'll relax when you die)
Definition
___ is the highest pressure during ventricular contraction and ___ is the lowest pressure during ventricular relaxation.
Term
90% unknown, 10% known
Definition
___% of hypertension cases have an unknown cause and ___% of hypertension cases have causes that can be identified.
Term
140/90 - <160/100 there are no limitations, but faculty must be informed. 160/100 - <180/110 need faculty clearance. >180/110 cannot be treated
Definition
140/90 - <160/100 (is ok/cannot be treated). >160/100 - <180/110 (is ok/cannot be treated). >180/110 (is ok/cannot be treated).
Term
1st (systolic) sharp thumping, 2nd (auscultatory gap) soft swishing or silence, 3rd sharp tapping returns, 4th muffled tapping, 5th (diastolic) absence of sound
Definition
Korotkoff sounds:
1st sound = systolic = ____
2nd sound = auscultatory gap = ____
3rd sound = ____
4th sound = ____
5th sound = diastolic = ____
Term
phase 5
Definition
Aortic regurgitation occurs when phase ___ of korotkoff sounds is missing.
Term
hoe scaler
Definition
___ scaler has 1 blade at 99 degree angle to shank with a single cutting edge beveled at 45 degrees. It is used for gross removal of calculus (buccal, lingual or proximal adjacent to edentulous areas)
Term
file scaler
Definition
___ scaler has a rounded working end with multiple cutting edges. Each blade is 90 degrees with shank, used to crush or fracture very heavy calculus and smoothing restorations.
Term
chisel scaler
Definition
___ scaler has 1 straight flat cutting edge beveled at 45 degrees to shank, used for heavy calculus removal in anteriors with a push stroke to dislodge deposits.
Term
sickle scalers
Definition
___ scaler has a straight or curved end used for anteriors or contra-angled for posteriors.
Term
False! The more simple the shank, the more anterior.
Definition
T/F: The more complex the shank, the more anterior the intended use of a sickle scaler.
Term
True!
Definition
T/F: Your visual cue when using a sickle scaler is that the handle is parallel to the long axis of the tooth on the distal.
Term
True!
Definition
T/F: When using the sickle scaler in the anterior, you flip the instrument when changing from nears to fars.
Term
204S Posterior Sickle Scaler
Definition
The ___ sickle scaler is best for calculus removal under contact points and is used on interproximal areas only.
Term
posterior 204S
Definition
The ____ sickle scaler is not used on buccal or lingual.
Term
Demineralization
Definition
(Demin/Remin) is the dissolution of calcium phosphate mineral of the tooth by organic acids produced by bacteria.
Term
Remineralization
Definition
(Demin/Remin) occurs when acid is neutralized and the concentration of calcium phosphate ions reverse directions and diffuse back into the tooth.
Term
mutans streptococci = initiation, lactobacilli = progression
Definition
___ ___ bacteria is responsible for the initiation of caries and child acquire it from parents whereas ____ bacteria is responsible for the progression.
Term
topical fluoride
Definition
___ ___ enhances remineralzation, inhibits demineralization and bacterial metabolism.
Term
False! You want to have low concentration and high frequency (think fluoridated water)
Definition
T/F: You would rather have high concentration and low frequency when talking about fluoride.
Term
0.7-1.2ppm
Definition
___-___ppm is the optimal concentration of fluoride in water.
Term
low caries risk
Definition
A person in the ___ caries risk group has no incipient or cavitated lesions during the last 3 years and no factors that may increase caries risk.
Term
Moderate caries risk
Definition
A child <6yrs in the ___ caries risk group would have no incipient or cavitated lesions during the last 3 years, but has at least 1 risk factor, whereas a child >6yrs could have 1/2 incipient/cavitated lesions in last 3 years or no incipient/cavitated lesions AND at least 1 risk factor.
Term
high caries risk
Definition
___ caries risk group contains children younger than 6 with any incipient/cavitated lesion during last 3 years, presence of multiple factors, low SES or suboptimal F exposure; or anyone >6yrs with 3+ incipient/cavitated lesions in last 3 years, multiple risk factors, suboptimal F exposure or xerostomia.
Term
moderate = 6month
high = 3 month
Definition
A child <6 yrs w/in the ___ caries risk group should have varnish at 6 month intervals, but if they are w/in the ____ caries risk group they should have varnish at 3 month intervals.
Term
both varnish and gel
Definition
Anyone >6 can receive (varnish/gel/both) flueoride.
Term
APF = 12,300ppm, 3.5pH, rapid uptake
NaF = 9050ppm 7pH, slow uptake
Definition
1.23% Acidulated phosphate (APF) is ____ ppm, has a pH of ___ and has (rapid/slow) uptake. 2.0% neutral Na fluoride (NaF) is ___ ppm, ___ pH and (rapid/slow) uptake.
Term
2.0% NaF
Definition
On composite or porcelain restorations you should use (NaF/APF) because a lower pH may etch these materials.
Term
5% NaF, 22,600ppm fluoride
Definition
Fluoride varnishes contain ___% (NaF/APF) and is ____ppm fluroide.
Term
0.25mg = primary or limited coverage
0.40mg = mixed dentition
0.50mg = full coverage permanent teeth
Definition
___mg dose of varnish is used on primary dentition or limited tooth surface coverage. ___mg dose is used on mixed dentition. ___mg is used only for patients with permanent dentition that require full coverage.
Term
fluoride varnish
Definition
What type of fluoride is indicated for use on root caries, ortho, uncooperative patients, older adults, dentin hypersensitivity and children?
Term
False! You want to do the maxillary arch first
Definition
T/F: When applying topical fluoride you want to do the mandibular arch first.
Term
Columbia 13/14 - slight/mod supra and shallow pockets; Barnhart 5/6 - slight/mod supra and mod/deep pockets; mccall's 17/18 - heavy calc supra and sub
Definition
___ universal curet is used for slight to moderate calculus removal supra and in shallow to moderate pockets. ___ universal curet is used for slight to mod calc removal from supra and mod/deep pockets. ___ universal curet is used for moderate/heavy calc removal supra and subg where tissue allows.
Term
True!
Definition
T/F: When instrumenting with universal curets the correct working end is when the terminal shank is parallel to long axis in distal and wraps around the mesial.
Term
exogenous = outside, endogenous = inside
Definition
___ stain develops from sources outside tooth, but ___ stain develops from sources inside the tooth.
Term
I = pit and fissures
II = interproximals of posteriors
III = interproximals of ants
IV = interproximals of ants + incisal edge
V = gingival 1/3
Definition
Class ___ caries are in pits and fissures. Class __ caries are in proximal surfaces of anterior teeth, but do not involve incisal edge. Class ___ are in the interproximal and involve incisal edges of anteriors. Class ___ are in interproximal surfaces of posteriors. Class __ occur in the gingival 1/3 of facial/lingual.
Term
Graceys 1/2, 3/4, and 5/6... we use 1/2
Definition
Graceys _/_, _/_ and _/_ are used to scale and root plane all surfaces of anterior teeth. We use Gracey _/_ in clinic.
Term
7/8 and 9/10... we use 7/8
Definition
Graceys _/_ and _/_ are used on buccal and linguals of posterior teeth only. We use gracey _/_ in clinic.
Term
11/12, 15/16... we use 15/16
Definition
Graceys _/_ and _/_ are used on mesial surfaces of posterior teeth. We use gracey _/_ in clinic.
Term
13/14 and 17/18, 17/18 better for 3rd molars but we use 13/14 in clinic
Definition
Graceys _/_ and _/_ are used on distal surfaces of posterior teeth. _/_ is better for 2nd and 3rd molars, but we use _/_ in clinic.
Term
True!
Definition
T/F: The longer/convex curved side of a gracey curet is the functional cutting edge.
Term
tongue and floor of mouth (40%)
Definition
What is the most common site for oral cancer?
Term
2nd - alveolar ridges and buccal mucosa; 3rd - palate
Definition
What are the 2nd and 3rd most common site for oral cancer?
Term
Lips
Definition
What is the 4th most common site for oral cancer?
Term
dysphagia
Definition
___ is difficulty in swallowing, a symptom or warning signal of oral cancer.
Term
lymphadenitis, lymphadenopathy
Definition
___ is inflammation of nodes, ___ is any disease process involving nodes.
Term
reactive, neoplastic, metastatic
Definition
A __ node is related to an infection. A __ node is the primary site of cancer. A __ node is the secondary site for metastasized cancer from head or distant parts of body.
Term
superficial, deep
Definition
The ___ cervical chain is found on the surface of the SCM whereas the ___ cervical chain is found beneath it.
Term
Occipital, subclavian, submental, submandibular, carotid and muscular
Definition
Make sure to take a look at the neck triangles...
Term
lips, labiomental sulcus, labiomarginal sulcus, nasolabial sulcus, wet line, vermillion zone
Definition
Make sure to take a look at all the extraoral structures...
Term
commissures, labial mucosa, labial frenum, minor salivary glands, stenson's duct, lateral frenum, alveolar mucosa, gingiva, hard palate, incisive papilla, palatine raphe, fovea palatinae, palatine rugae, soft palate, glossopalatine arch (anterior fauce), glossopharyngeal arch (posterior fauce), palatine tonsils, oropharynx, tongue, all the papillae on the tongue, sublingual caruncles/ridges, wharton's duct, lingual frenum
Definition
Make sure to take a look at all the intraoral structures...
Term
common
Definition
Torus palatinus, torus mandibularis and exostosis are (common/uncommon) intraoral abnormalities.
Term
Size, color, morphology, location, history
Definition
What are the 5 things you need in a lesion description?
Term
petechia
Definition
___ is a minute red spot resulting from escape of small amount of blood.
Term
ecchymosis
Definition
___ is a small flat hemorrhagic patch larger than a petechia
Term
hematoma
Definition
___ are larger than eccymosis localized collection of blood, usually clotted
Term
erythroplasia
Definition
___ is a persistent velvety red patch
Term
hyperkeratinization
Definition
___ is the thickening of outer surface of epithelium, usually white
Term
leukoplakia
Definition
___ is a clinical white patch that does not rub off
Term
vesicle
Definition
___ is a blisterform lesion <5mm
Term
bulla
Definition
___ is a blisterform lesion >5mm
Term
pustule
Definition
___ is a blisterform lesion containing pus
Term
papule
Definition
___ is a nonblisterform lesion <5mm
Term
nodule
Definition
___ is a nonblisterform lesion >5mm<2cm
Term
tumor
Definition
___ is a nonblisterform lesion >2cm
Term
macule
Definition
___ is a flat lesion of abnormal color
Term
verrucous, papillomatous, fissured, corrugated, crusted
Definition
___ is wart-like, ___ is cauliflower-like/nipply, ___ is cracked, ___ is wrinkled, and ___ is dry or scabbed.
Term
Practice documenting restorations and being able to name what each documentation means.
Definition
Remember to go over your Dental charting stuff!!
Term
GAR (General discussion of problem and treatment advised, Alternative txs, Risks) and NARCOB (Nature of procedure, Alternatives, Risks, Complications, Refusal/Opt out, Benefits)
Definition
Name the 2 different approaches to informed consent:
Term
sonic, ultrasonic
Definition
___ scaler is driven by compressed air and operates within the audible range. ___ scaler uses electrical energy converted to mechanical vibration and operates above the audible range.
Term
sonic, ultrasonic
Definition
___ powered scaler operates at 2kHz-9kHz. ___ powered scaler operates at 18kHz-50kHz.
Term
sonic scalers
Definition
___ powered scalers operate with an orbital O motion, all edges may be used and uses water for lavage only.
Term
magnetostrictive, piezoelectric
Definition
___ ultrasonic scaler's vibratory tip moves elliptical and all sides are active. ___ ultrasonic scaler's vibratory tip mores in a linear direction and you use only the lateral surfaces.
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