Ch. 36, 37: Moisture Control and Anesthesia & Pain Control (copy)

The ___ is the curved part of the dental dam clamp visible in the mouth once the dam material has been placed.

In most cases it should be facing distally, and is attached to a ligature

bow

The end of the HVE tip is ___ so that it is positioned parallel to the site for better suction.

beveled

The dental dam is ___ around each tooth to create a seal to prevent the leakage of saliva.

This is the last step you do

inverted

The ___ is the part of the dental dam clamp that is stabilized around the anchor tooth.

jaw

The dam punch has a ___, which is a sharp pointed tool used for cutting.

stylus

An instrument is said to be ___ when it can be adapted or adjusted to multiple areas of the dentition.

universal

A(n) ___ is the piece of the dental dam between each pair of punched holes.

septum

When a tooth is visible in the dental dam, it becomes ___.

exposed

___ means to inhale an object or material.

Aspirate

The two types of evacuation systems used in dental procedures are ___.

high-volume suction and saliva ejector

The main function of the saliva ejector is to ___.

remove saliva and water

HVE suction tips are made from ___.

stainless steel and plastic

The type of rinsing technique used throughout a dental procedure is the ___.

limited

What method of isolation could be used for sealant placement?

cotton roll

Which technique provides a moisture-free isolation for the restoration of a class IV composite resin?

dental dam

Why is it important to moisten a cotton roll before

removing it from the mouth?

the cotton roll may irritate the lining mucosa

Teeth that become visible after the dam material is

placed are referred to as being ___.

exposed

What piece of equipment stabilizes and stretches the dam away from the face?

dental dam frame

If you are unable to slide the dam material interproximal, what can be used on the underside of the dam to help in the application?

water-soluble lubricant

Which cavity classification would indicate the use of an anterior dental dam clamp?

class V on tooth #7

The assistant uses the ___ holding the HVE.

pen or thumb-to-nose

The dentist is preparing a class V restoration on the

buccal surface of tooth #5; the HVE tip would be

positioned on the ___.

distal lingual surface of the tooth

The rationale for inverting the dental dam is to ___.

prevent saliva leakage

The working end of the HVE tip should be positioned ___ the occlusal surface of the tooth being prepared.

slightly beyond

The ___ is used to create holes in the dental dam to expose the teeth for isolation.

dental dam punch

What is secured on the dental dam clamp before positioning on the patient's tooth?

dental floss

The equipment used to perform a limited rinse includes;

air-water syringe and HVE

The operator has positioned the high-speed hand-piece on the occlusal surface of tooth #4. Where should the HVE be positioned?

lingual surface on tooth #3

A type of drug used in dentistry that produces a temporary loss of feeling or sensation is a(n) ___.

anesthetic

The time from induction of an anesthetic to its complete reversal is its ___.

duration

The ___ is the standard dimension or measurement of the thickness of an injection needle.

gauge

___ is a temporary loss of feeling or sensation.

Anesthesia

A(n) ___ is a type of drug to prolong anesthetic action and constrict blood vessels.

vasoconstrictor

___ is determining the exact amount of drug to use to achieve a desired level of sedation.

Titrate

Something that is ___ will have openings to allow gas or fluid to pass through.

porous

___ is the supply or distribution of nerves to the jaw or a specific body part.

Innervation

The ___ is the hollow center of the injection needle.

lumen

The time from injection to the point at which anesthesia takes effect is the ___.

induction

Topical anesthetics are used in dentistry for ___.

numbing surface tissue

*extra note:

numbing localized nerve endings

The most frequently selected form of pain control used in dentistry is ___.

local anesthesia

Local anesthetics are injected near ___ to create a numbing effect.

a nerve

What is added to a local anesthetic solution to prolong its physiologic effect?

Epinephrine

*extra note:

helps constrict bleeding

What type of injection technique would the dentist most frequently use for a small area of maxillary teeth?

Infiltration

What needle sizes are most commonly used in dentistry?

1-inch and 1 5/8-inch needles

*extra note:

1-inch=infiltration

1 5/8 inch=block

Is it common for a patient with an acute infection to feel the numbing sensation of local anesthesia?

No

*extra note:

acute = short + fast, symptoms more severe

chronic = ongoing + regular, low pain

The dental team can be at risk for exposure to N20/02 in a dental office because of;

Leaking or escaping of gasses from the nasal mask, patients’ exhalation of gasses, leaking of gasses from the hoses

A patient would receive ___ at the beginning and end of an N20/02 sedation procedure.

oxygen

*extra note:

N2O received start to finish of treatment

100% oxygen received before treatment and five minutes after treatment to reintroduce into bloodstream

General anesthesia is best provided in what type of environment to be most safely administered?

Hospital or surgical center

The tank or cylinder of ___ is always color coded green.

oxygen

Anesthetic cartridges should be ___.

enclosed in their packaging before use

___ anesthesia is achieved by injecting the anesthetic into the posterior superior alveolar nerve.

Block

A ___ size needle is used for infiltration injections.

1-inch

The recommended form of topical anesthetic for

controlling a gag reflex is ___.

spray

A used or contaminated needle is to be discarded in

the ___.

sharps container

What hole size is punched in the dental dam for the

anchor tooth?

5

What hole size is punched in the dental dam for the

molars?

4

What hole size is punched in the dental dam for the

premolars?

3

What hole size is punched in the dental dam for the

max. anteriors?

2

What hole size is punched in the dental dam for the

mand. anteriors?

1

what color is the N2O tank?

the N2O tank color is blue

when should oxygen be administered?

throughout the entire procedure

Why do we need to secure a ligature around the clamp?

To fish it out of the pts. mouth in case it enters their throat (faces distally)

A ___ size needle is used for block injections.

1 5/8 inch (red/yellow)

A ___ size needle is used for infiltration injections.

1 inch (blue)