NJXDG EXAM LATEST STUDY GUIDE WITH
CORRECT ANSWERS GRADED A+
Applying topical fluoride gel or foam (efda) - ANSWER Selecting the tray
1) Select a disposable tray that is of the appropriate size for the patient's
mouth. The tray must be long and sufficiently deep to cover all erupted teeth
completely without extending beyond the distal surface of the most
posterior tooth. Trays are available in sizes to fit primary, mixed, and adult
dentition. If the patient's mouth can accommodate it, you may use a
double-arch tray. This saves time by treating both arches at the same time.
Remember, trays are discarded after a single use & if you try a tray in the
mouth but do not use it that tray must be discarded.
Preparing the teeth
2) Check to see whether calculus is present; if it is not, no preparation is
required. Fluoride diffuses easily through the acquired pellicle and bacterial
plaque.
3) If calculus is present, request that the dentist or dental hygienist remove
it. The presence of plaque will not affect the uptake of fluoride.
Applying the topical fluoride
4) Seat the patient in an upright position and explain the procedure. Having
the pt upright prevents gel from going into the throat.
,5) Instruct the pt not to swallow the fluoride.
6) Select the appropriate tray, and load it with a minimal amount of fluoride,
following guidelines according to the patient's age.
7) Dry the teeth using air from the air water syringe. For fluoride to be
maximally effective, the teeth must be dry when the fluoride is applied.
8) Insert the tray, and place cotton rolls between the arches. Ask the patient
to bite up and down gently on the cotton rolls, to squeeze the fluoride over
all tooth surfaces.
9) promptly place the saliva ejector, and tilt the patient's head forward.
10) Set the timer for the appropriate amount of time in accordance with the
manufacturer's instructions. During this time, do not leave the patient
unattended.
11) On completion, remove the tray, but do not allow the pt to rinse or
swallow. Promptly use the saliva ejector or the high-volume oral evaluator tip
to close the lips tightly around the saliva ejector. Removing excess saliva and
fluoride solution will make the pt more comfortable and less likely to rinse
with water.
12) Instruct and the pt not to rinse, eat, drink, or brush the teeth for at least
30 minutes. These activities could disturb the action of the fluoride.
Documentation
- date
- "applied APF fluoride get. Instructed pt not to eat for 30 min.)
,- operator
Applying fluoride varnish (EFDA) - ANSWER 1) Obtain informed consent from
the pt, or parent/legal guardian in the case of a minor patient. Informed
consent is a legal requirement for the provision of any dental treatment.
2) Gather supplies and single-unit dose for application. Once you begin the
procedure, you will not be able to stop in your the middle to get something
you forgot.
3) Recline the pt to an ergonomically correct position for better access to the
oral cavity & be in a comfortable position.
4) Wipe the teeth to be varnished with the gauze or cotton roll & insert the
saliva ejector. The varnish is not moisture sensitive and can be applied in the
presence of saliva, the saliva ejector is for pt comfort only.
5) Using a cotton tip applicator, brush or syringe applicator, apply 0.3 to 0.5
ml of varnish (unit dose) to clinical crown of teeth; application time is 1-3
minutes. Refer to manufacturer's instructions for specific application time.
6) Dental floss may be used to draw the varnish inter-proximally.
7) allow pt to rinse after the procedure has been completed to remove any
residual taste.
8) Remind the pt to avoid eating hard foods, drinking hot or alcoholic
beverages, brushing, and flossing for at least 4-6 hours, or preferably until
the next day after the application. Drink through a straw for the first few
hours after application.
, Documentation
- date
- "applied 0.3 ml of 5% sodium fluoride varnish (insert brand name) on facial
and lingual surfaces of teeth #s 6-14, and 19-30.
- operator
Assisting patient with dental floss (EFDA) - ANSWER Preparing the floss
1) Cut a piece of floss about 18 inches long. Wrap the excess floss around the
middle or index fingers of both of your hands, leaving 2-3 inches of working
space exposed.
2) Stretch the floss tightly between your fingers, and use your thumb and
index finger to guide the floss into place.
3) Hold the floss tightly between the thumb and forefinger of each hand.
These fingers control the floss and they should be no farther away than 1/2
inch apart.
Flossing the teeth
4) Pass the floss gently between the patient's teeth, using a sawing motion.
Guide the floss to the gumline. Do not force or snap the floss past the
contact area. The floss may cut or injure the tissue.
5) Curve the floss into a C shape against one tooth. Slide it gently into the
CORRECT ANSWERS GRADED A+
Applying topical fluoride gel or foam (efda) - ANSWER Selecting the tray
1) Select a disposable tray that is of the appropriate size for the patient's
mouth. The tray must be long and sufficiently deep to cover all erupted teeth
completely without extending beyond the distal surface of the most
posterior tooth. Trays are available in sizes to fit primary, mixed, and adult
dentition. If the patient's mouth can accommodate it, you may use a
double-arch tray. This saves time by treating both arches at the same time.
Remember, trays are discarded after a single use & if you try a tray in the
mouth but do not use it that tray must be discarded.
Preparing the teeth
2) Check to see whether calculus is present; if it is not, no preparation is
required. Fluoride diffuses easily through the acquired pellicle and bacterial
plaque.
3) If calculus is present, request that the dentist or dental hygienist remove
it. The presence of plaque will not affect the uptake of fluoride.
Applying the topical fluoride
4) Seat the patient in an upright position and explain the procedure. Having
the pt upright prevents gel from going into the throat.
,5) Instruct the pt not to swallow the fluoride.
6) Select the appropriate tray, and load it with a minimal amount of fluoride,
following guidelines according to the patient's age.
7) Dry the teeth using air from the air water syringe. For fluoride to be
maximally effective, the teeth must be dry when the fluoride is applied.
8) Insert the tray, and place cotton rolls between the arches. Ask the patient
to bite up and down gently on the cotton rolls, to squeeze the fluoride over
all tooth surfaces.
9) promptly place the saliva ejector, and tilt the patient's head forward.
10) Set the timer for the appropriate amount of time in accordance with the
manufacturer's instructions. During this time, do not leave the patient
unattended.
11) On completion, remove the tray, but do not allow the pt to rinse or
swallow. Promptly use the saliva ejector or the high-volume oral evaluator tip
to close the lips tightly around the saliva ejector. Removing excess saliva and
fluoride solution will make the pt more comfortable and less likely to rinse
with water.
12) Instruct and the pt not to rinse, eat, drink, or brush the teeth for at least
30 minutes. These activities could disturb the action of the fluoride.
Documentation
- date
- "applied APF fluoride get. Instructed pt not to eat for 30 min.)
,- operator
Applying fluoride varnish (EFDA) - ANSWER 1) Obtain informed consent from
the pt, or parent/legal guardian in the case of a minor patient. Informed
consent is a legal requirement for the provision of any dental treatment.
2) Gather supplies and single-unit dose for application. Once you begin the
procedure, you will not be able to stop in your the middle to get something
you forgot.
3) Recline the pt to an ergonomically correct position for better access to the
oral cavity & be in a comfortable position.
4) Wipe the teeth to be varnished with the gauze or cotton roll & insert the
saliva ejector. The varnish is not moisture sensitive and can be applied in the
presence of saliva, the saliva ejector is for pt comfort only.
5) Using a cotton tip applicator, brush or syringe applicator, apply 0.3 to 0.5
ml of varnish (unit dose) to clinical crown of teeth; application time is 1-3
minutes. Refer to manufacturer's instructions for specific application time.
6) Dental floss may be used to draw the varnish inter-proximally.
7) allow pt to rinse after the procedure has been completed to remove any
residual taste.
8) Remind the pt to avoid eating hard foods, drinking hot or alcoholic
beverages, brushing, and flossing for at least 4-6 hours, or preferably until
the next day after the application. Drink through a straw for the first few
hours after application.
, Documentation
- date
- "applied 0.3 ml of 5% sodium fluoride varnish (insert brand name) on facial
and lingual surfaces of teeth #s 6-14, and 19-30.
- operator
Assisting patient with dental floss (EFDA) - ANSWER Preparing the floss
1) Cut a piece of floss about 18 inches long. Wrap the excess floss around the
middle or index fingers of both of your hands, leaving 2-3 inches of working
space exposed.
2) Stretch the floss tightly between your fingers, and use your thumb and
index finger to guide the floss into place.
3) Hold the floss tightly between the thumb and forefinger of each hand.
These fingers control the floss and they should be no farther away than 1/2
inch apart.
Flossing the teeth
4) Pass the floss gently between the patient's teeth, using a sawing motion.
Guide the floss to the gumline. Do not force or snap the floss past the
contact area. The floss may cut or injure the tissue.
5) Curve the floss into a C shape against one tooth. Slide it gently into the
