DNTA 1335

Induction

The length of time from injection of the anesthetic solution to complete and effective conduction blockage

Matrix band

Thin flexible stainless steel material

Recommended polishing paste?

Those with high polish abs low abrasion levels. Consistency will be slurry

Purpose of selective polishing

To avoid unnecessary removal of even small amounts of surface enamel

Aspirate

To draw back or to draw within

Rubber cup polishing

Used an abrasive polishing agent that is rotated slowly and carefully by a prophy angle attached to the slow speed hand piece.

Universal band

Used for class II preparation when the proximal "box" is prepared to a minimum depth and width and the cusps are intact

Extension band

Used for class II preparation with a more extensive preparation and requires gingival extensions to compensate for the loss of a cusp.

Fulcrum

Used interchangeably to describe the placement of the third, or ring, finger of the hand, which holds the instrument or hand piece

Dental implants

Used to attach artificial teeth to anchors that have been surgically embedded into the bone

Wedge

Used to hold the matrix band firmly against the gingival margin of the predation.

Bristle brush

Using the slowest speed, apply the revolving brush lightly to the occlusal surfaces.

Patients with history of heart conditions are not recommended to use what?

Vasoconstrictors

What should be recorded before, during and after a patient is given N2O/O2?

Vital signs of blood pressure, pulse and respiration.

Vasoconstrictor

When combined with the anesthetic slows down the uptake of an anesthetic agent into the bloodstream and increases the duration of action.

What is required before implant treatment begins?

Written informed patient consent

circumoral

surrounding the mouth

Outline form

the dentist decides on the design and initial depth of sound tooth structure

Anesthetic Cartridge

to hold liquid anesthetic for local injection in the oral cavity

Areas of concern for Class I restorations

- Occlusal pits and fissures of premolars abs molars - Buccal pits and fissures of mandibular molars - Lingual pits and fissures of maxillary molars - Lingual pits of maxillary incisors

Palatal injections

-Anterior palatine nerve block -Nasopalatine nerve block

Characteristics of Local Anesthetics

-Nonirritating to the tissues the area of the injection -Associated with minimal toxicity (cause the least possible damage to body systems) -Rapid onset -Able to provide profound d anesthesia (completely eliminate the sensation of pain during a procedure) -Sufficient duration (remain effective long enough for the procedure to be completed) -Completely reversible (leave the tissue in its original state after the patient's recovery from anesthesia) -Sterile or capable of being sterilized by heat without deterioration

Initial preparation (cavity)

-Outline form- -Resistance form -Retention form -Convenience form

Contraindications to implants

-The financial investment is greater than that for a conventional bridge or denture -Treatment can take several months or longer to complete -As with any surgical procedure, implants convey a risk of infection and other complications -An implant may loosen, requiring replacement -Emotionally, the implant procedure may be challenging for some patients -Bruxism is a significant component of failed implants

Components of a anesthetic syringe

-Thumb ring, finger grip -Harpoon -Piston Rod -Barrel -Threaded tip

Indications for dental implants

-To prevent bone loss and gum recession that often accompany bridgework and dentures -To replace one or more teeth as single units without affecting adjoining teeth -To replace a bridge abs eliminate the need for a removable partial denture -To provide support for a denture, making it more secure and comfortable -To enhance the patient's confidence in smiling and speaking -To improve the patient's overall psychological health -To improve the esthetic appearance of the patient's teeth and mouth

3 primary indications for prescribing tooth whitening procedure

-extrinsic stains -aged teeth -Intrinsic stains

When a vasoconstrictor is used.....

-the effect of the anesthetic agent is prolonged by decreasing blood flow in the immediate area of injection -absorption into the cardiovascular system is slowed -bleeding at the injection area is decreased, which is especially important for surgical procedures

What is the patient's mouth rinsed with before dental implant procedure?

0.1% chlorhexidine

Physiologic measurements should be taken and recorded at least every __ minutes.

15

Lowest concentration of a vasoconstrictor

1:20,000

Time span of a short-acting anesthetic

30 mins

How long before the patients appointment should anxiolytics be take ?

30-60 mins

Time span of a intermediate-acting local

60 mins

Time span of long-acting anesthetics

90 mins

Hydroxyapatite

A ceramic substance that rapidly osseointegrates the implant to the bone

What type of matrix system is used on anterior teeth?

A clear plastic matrix (aka celluloid strip or Mylar strip) used with anterior composite resin or glass ionomer materials

Dental implants can provide....

A natural looking and functional replacement for missing teeth that incorporates principles from fixed and removable prosthodontics with the use of bone-anchored implants

Selective polishing

A procedure in which only those teeth or surfaces with stain are polished

Air-polishing use what?

A specially designed hand piece with a nozzle that's delivers a slurry of warm water and sodium bicarbonate

Veneers

A thin layer of tooth-colored material that is applied to the facial surface of a prepared tooth

Methods of removing plaque and stains

Air-powder polishing and rubber cup polishing

What is general dentistry?

Aka operative dentistry, is the primary focus of the general dentist. Commonly used to describe restorative and esthetic dentistry

Electronic Anesthesia

An innovative, noninvasive form of anesthesia, designed to block plain electronically with the use of a low current of electricity

Anterior palatine nerve block (Palatal injections)

Anesthesia in the posterior portion of the hard palate

To be certain the solution is not being injected into a vessel, the dentist will always _________ before injecting any local anesthetic solution.

Aspirate

Alternative matrix system

AutoMatrix used to hold to band in place without the use of a retainer

The dental office may be equipped with what type of N2O/O2 equipment?

Built-in or portable

permanent restorations

Can range from small class I to an extensive class II multi surface and continue with classes III,IV, and V

What is used to control the flow of each gas?

Control valves

Resistance form

Dentist determines the primary shape and placement of the cavity walls

Convenience form

Dentist has accessibility in preparing and restoring the tooth

Retention form

Dentist knows where to place retention in the preparation to help in securing the restoration in place

Matrix

Designed to create a temporary interproximal wall for the amalgam, composite resin, or IRM to be placed against during the restorative procedure

Anxiolytics

Drugs that reduce feelings of anxiety

Types of dental stains

Endogenous Exogenous (Extrinsic, Intrinsic)

Beaut are the different types of implants?

Endosteal Maxillary Subperiosteal Tranosteal

Types of vasoconstrictors used w/ local anesthetic

Epinephrine Levonordefrin Neo-cobefrin

EFDA

Expanded Functions Dental Assistant

Class II restorations

Extensions of the class I cavity into the proximal surfaces of the premolars and molars - 2 or more surfaces of posterior teeth

Intermediate restoration

Filling material that will only be placed for a short time

Indicates the flow rate of the gas

Flow meter

Another method to administer anti anxiety agents?

General anesthesia

Class V Restoration

Gingival 3rd of the facial or lingual surface of any tooth (gum line)

Incisive nerve block

Given only when the mandibular anterior teeth or premolars require anesthesia

Titanium implants can be covered with what?

Hydroxyapatite

Esthetic dentistry

Improves the appearance of teeth by repairing imperfections with direct and indirect restorative materials, or by whitening techniques

Restorative dentistry

Indicated when a tooth is to be restored to its original form and shape through the use of direct and indirect restorative materials

Mandibular Anesthesia

Inferior alveolar nerve block aka mandibular nerve block is obtained by injecting the anesthetic solution near, but not into, the branches of the inferior alveolar nerve close to the mandibular foramen

Local infiltration (maxillary anesthesia)

Injecting into a small, isolated area

Class III Restorations

Interproximal surfaces (mesial or distal) of incisors and canines

Class IV restorations

Larger surface (mesial or distal), which includes incisal edges and the interproximal surfaces of incisors and canines

In reference to anesthetic needles, the __________ the gauge number the ________ the needle

Larger, thinner or Smaller, thicker

Duration

Length of time from induction until the reversal process is complete

3 types of local anesthetic injections

Local infiltration Field block Nerve block

Nosepieces are also referred to as?

Masks

A method of reducing anxiety and pain through different nonpharmacologic techniques?

Mind-body medicine

If used properly, may be the safest type of sedation method

N2O/O2 analgesia

What is inhalation sedation also known as?

Nitrous oxide/oxygen (N2O/O2) analgesia

Nerve block (maxillary anesthesia)

Occurs when local anesthetic is deposited close to a main nerve trunk

What are the most common type of implants and where are they placed?

Osseointegrated implants aka endosteal; jawbone

What can for on implants just as on natural teeth?

Plaque and calculus

Matrices

Plural term for matrix

Osseointegration

Process by which the living cells of the jawbone naturally grow around the implanted dental supports

nasopalatine nerve block (Palatal injections)

Produces anesthesia in the anterior hard palate

Topical Anesthesia

Provides a numbing effect in a specific area where an injection is to take place. Provides temporary numbing on nerve endings located on the surface of oral mucosa.

Buccal nerve block

Provides anesthesia to the buccal soft tissues closest to the mandibular molars

Comprehensive evaluation

Psychological Evaluation Dental Examination Medical History and Evaluation Specialized Radiographs and Imaging Diagnostic Casts and Surgical Stents

Local Anesthesia

Reduces pain and discomfort Most frequently used Safe, effective, and dependable method of anesthesia

RDA

Registered Dental Assistant

Where are the two gases combined?

Reservoir bag

Before administering N2O/O2 you should do what?

Review the patients medical history

What function of the harpoon?

Sharp hook that locks into the rubber stopper of the anesthetic cartridge, so the stopper can be retracted by pulling back on the piston rod making aspiration possible

The ideal candidate to receive an implant...

Stable health and have adequate alveolar bone and is willing to commit to attentive oral hygiene and regular dental visits

Innervation

Supply or distribution of nerves to a specific body part

The implant team is recommended to consist of what 3 persons?

Surgical DA clinician Nonsterile circulating assistant

Coronal polishing

Technique that is used to remove plaque and stains from the coronal surfaces of the teeth

Anesthesia

Temporary loss of feeling or sentation

Oral prophylaxis

The complete removal of calculus, debris, stain, and plaque from the teeth. Commonly known as prophy or cleaning

Field block (maxillary anesthesia)

The injection of anesthetic near a larger terminal nerve branch