Management of Dental Hygiene Care

A set of 50 question and answer flashcards derived from the lecture notes on the management of dental hygiene care.

What phase of the dental hygiene process of care immediately follows diagnosis?

Planning

Which of the following methods will achieve

sterilization?

Chemical vapor at 270°F for 20 minutes

Which of the following is the OSHA primarily

concerned with protecting?

Employee

What is the G.V. Black classification of dental caries located on the gingival buccal third of #18?

Class V

What should be done with instruments from an HIV positive patient after use?

Follow routine instrument processing steps.

What pulse rate indicates tachycardia?

Over 100 beats per minute.

Piezoelectric tips have a (an) _______________

movement whereas magnetostrictive inserts

have a (an) _______________ movement.

Linear; elliptical

The primary difference between regulated and nonregulated waste is based on what?

The amount of liquid blood or other potentially infectious body fluid present.

Which instrument would you use to remove a tenacious supragingival calculus deposit from tooth #31?

A posterior sickle scaler.

What is the most efficient instrument for removing light subgingival calculus from a furcation area on mandibular molar?

A Gracey curet with an extended shank and minature working end

Access to subgingival calculus deposits on

the proximal surfaces of the mandibular anterior

teeth is often difficult because of papillary

enlargement of the gingival tissue. Which of the

following statements provides the BEST advice

for thorough subgingival calculus removal?

Use a curet with a small, thin working end, and approach from both facial and lingual aspects.

What is a sealant placed on permanent molars meant to prevent?

Class I caries.

Which professional high concentration fluoride agent is known for both caries prevention and control of dentinal hypersensitivity?

Sodium fluoride varnish.

Which Federal Agency regulates disinfectants used on clinical contact surfaces?

The Environmental Protection Agency.

Which of the following should NOT be considered an example of regulated medical waste?

A used latex examination glove.

The patient expresses great discomfort

during periodontal probing. All of the following

are true statements about periodontal probing

technique EXCEPT one. Which is the

EXCEPTION?

Su!cient pressure for accurate reading is 30 to 50g

What should healthy adult blood pressure readings be?

<120/<80 mm Hg.

Access to subgingival calculus deposits on

the proximal surfaces of the mandibular anterior

teeth is difficult because of papillary enlargement

of the gingival tissue. Which of the following

statements provides the BEST advice for

thorough subgingival calculus removal?

Use a curet with a small, thin working end and approach the deposit from both facial and lingual aspects

What is one goal of hard tissue assessment?

Recognize and document signs of dental caries.

The patient’s primary reason for seeking oral

healthcare services is the:

chief complaint

A clinician is using hand instruments to

remove moderate calculus deposits. After 30

minutes, the clinician’s hand muscles become

fatigued. Potentially, all the following can cause

hand fatigue EXCEPT one. Which one is the

EXCEPTION?

Using instruments with large diameter, hollow handles.

What is the best single estimate of periodontal support around a tooth?

Clinical attachment level.

What is the first clinical sign of demineralization?

A white spot lesion.

Which fluoride is contraindicated for use on composite and porcelain restorations?

Acidulated phosphate fluoride.

Which component is added to dentifrice to reduce calculus formation?

Soluble pyrophosphate.

All of the following are relative

contraindications to the elective use of nitrous

oxide-oxygen conscious sedation EXCEPT one.

Which is the EXCEPTION?

Asthma

Inactive ingredients help maintain the

toothpaste’s consistency to make it more

palatable to the consumer. Active ingredients

contribute to the therapeutic properties of the

dentifrice.

Both are true

What three characteristics should be considered when selecting an instrument handle?

Weight, diameter, and texture.

What causes attrition of tooth structure?

Excessive horizontal forces.

Who devised the first practical classification of occlusion?

Angle.

Individuals with stable angina pectoris, COPD

and/or mild congestive heart failure are in which

ASA physical status classification category?

ASA II.

What instrument is not an assessment tool?

1/2 Gracey.

How many working ends does a universal curet have?

2.

What are standard precautions in dental hygiene?

Applied to blood and other body fluids, excluding sweat.

What stain is associated with chromogenic bacteria?

Orange.

Which toothbrushing method is recommended for clients with plaque biofilm control issues around cervical areas?

Bass method.

Which term is used for the practice of treating

a client’s blood, bodily fluids, nonintact skin, and

mucous membranes as potentially infectious?

Standard precautions.

Standard tips are designed for what type of deposit removal?

Moderate to heavy deposit removal.

What bristle type is least desirable in a toothbrush?

Natural bristles.

What type of mobility is called when a patient can feel movement in their maxillary central incisors?

Fremitus.

A right-handed clinician is working on the

buccal aspect of tooth #2. (For a left-handed

clinician, this area would be equivalent to the

buccal aspect of tooth #15.) The clinician is using

a Gracey 13/14 curet and retracting the client’s

cheek with a mouth mirror. The clinician’s neck is

bent excessively as she works. What correction

should the clinician make for more ergonomic

positioning?

Turn the mirror head so that the reflecting surface

can be used to view the distal surface

Which cusp of the maxillary first molar occludes with the mesiobuccal groove of the mandibular first molar?

Mesiobuccal.

Floss holders assist clients with what issue?

Manual dexterity problems.

What is the preconditioning stage of biofilm attachment?

Acquired pellicle.

What ASA classification should not receive elective dental treatment?

ASA IV.

Which instrument is best for detecting multi-rooted furcation involvement?

Nabers probe.

Which bacterium is not primarily associated with biofilm formation?

Streptococcus viscosus.

What negative side effect is common to chlorhexidine gluconate-based rinses?

Temporary dental staining.

A clinician decides to use a hand instrument

to remove a tenacious, moderate calculus

deposit on the facial surface of tooth #31. The

calculus deposit is located supragingivally on

the crown of the tooth. Which of the following

instruments would you choose?

A posterior sickle scaler.

What system does N2O/O2 primarily impact?

None of these are correct.