MIDTERM - PROCESS OF Dental CARE
1. What are the four factors in choosing the correct instrument?: tooth anatomy amount and tenacity of calculus
periodontal status radiographs
2. Benefit of larger handles?: less strain on hand muscles
3. Benefit of rigid/extra rigid shank?: better for tenacious calculus
4. Con of rigid/extra rigid shank?: less tactile sensitivity
5. Features of the Gracey After 5?: 3 mm elongated terminal shank 10% thinner blade
(know the patient's probe depths)
6. Features of the Micro 5?: 3 mm elongated terminal shank 50% shorter blade
micro mini is 20% smaller/thinner than the mini after 5
7. Which instrument should you use for the mesial surfaces of molars?: -
Gracey 15/16
8. The Gracey 15/16 has shank design of?: Gracey 13/14
9. Which instrument should you use for the distal surfaces of molars?: Gracey 17/18
10.What are the features of the Gracey 17/18?: deep angle of shank with more bends
long terminal shank reduced blade
length
better access to deep pockets
better access to root concavities and furcations
11.Which molars do the Gracey 17/18 best work on?: 2nd and 3rd molars
12.Characteristics of the vision curvettes?: 50% shorter blade increased blade curvature
straighter shank
5-10 mm markings
3 mm longer shank for posterior
13.Which instrument is a universal blade?: Langer curettes
14.What kind of shank does the Langer curette have?: gracey shank and rigid shank
15.Which fulcrum has the finger in the same arch, but opposite quadrant?: -
cross arch fulcrum
16.Which fulcrum has the finger in the opposite arch from working area?: op- posite arch
17.Which fulcrum has the finger of other hand in the same arch as working area?: finger-on-finger
, MIDTERM - PROCESS OF Dental CARE
18.Which fulcrum has the index finger/thumb from other hand which is placed on the shank for extra lateral
pressure?: reinforced fulcrum
19.The extraoral fulcrum should be palm for stabilization.: palm up
20.What are the benefits of a sharp instrument?: easier calculus removal reduced number of
strokes/working efficiency
reduced clinician fatigue
21.When sharp, the cutting edge does or does not reflect light?: does not
22.The cutting edge bites the test stick on?: heel 1/3, middle 1/3, toe/tip 1/3
23.What is the sharpening objective?: maintain the original shape of instrument produce a sharp cutting edge
24.Which sharpening stone do we use at OUCOD?: ceramic or "man-made" stone
25.When the stone is correctly placed against the blade, the internal angle of approximately degrees is
maintained.: 70 degrees
26.When sharpening, what must be parallel to the countertop/floor?: the face of the instrument
27.T/F:You can autoclave the entire sidekick: False, ONLY the sharpening stone. Just disinfect with wipes
28.Healthy, non-smoking, no or minimal alcohol use: ASA I
29.Current smoker, social alcohol drinker, pregnancy, obesity (30<BMI<40), well-controlled DM/HTN, mild
lung disease: ASA II
30.Poorly controlled DM/HTN, COPD, morbid obesity (BMI >40), active hepati- tis, alcohol dependence,
implanted pacemaker, ESRD undergoing regularly scheduled dialysis, history (>3 mo) of MI, CVA< TIA, or
CAD/stents: ASA III
31.Recent (<3 mo) MI, CVA, TIA, or CAD/stents, ongoing cardiac ischemia or severe valve dysfunction, severe
reduction of ejection fraction, shock, sepsis, DIC, ARD or ESRD not undergoing regularly scheduled dialysis.:
ASA IV
32.In immune suppressed patients, critical lab tests should NOT be older than?: 6 months
33.Hemoglobin levels should be?: e 8 g/dL
34.Blood glucose levels should be?: d 200 mg/dL
35.A normal CD4 count ranges from?: 500 - 1,500 cells/mm^3
36.What is the association between viral load and CD4 count?: one goes up, other goes down
37.Does viral load have an impact on dental tx?: does not have an impact on dental tx planning, modifications
would be based on the critical lab values
38.T/F: For CD4 count, conventional wisdom says there is no level which dental care cannot be done: True
39.For platelets, when should we NOT treat pts?: d 20,000
1. What are the four factors in choosing the correct instrument?: tooth anatomy amount and tenacity of calculus
periodontal status radiographs
2. Benefit of larger handles?: less strain on hand muscles
3. Benefit of rigid/extra rigid shank?: better for tenacious calculus
4. Con of rigid/extra rigid shank?: less tactile sensitivity
5. Features of the Gracey After 5?: 3 mm elongated terminal shank 10% thinner blade
(know the patient's probe depths)
6. Features of the Micro 5?: 3 mm elongated terminal shank 50% shorter blade
micro mini is 20% smaller/thinner than the mini after 5
7. Which instrument should you use for the mesial surfaces of molars?: -
Gracey 15/16
8. The Gracey 15/16 has shank design of?: Gracey 13/14
9. Which instrument should you use for the distal surfaces of molars?: Gracey 17/18
10.What are the features of the Gracey 17/18?: deep angle of shank with more bends
long terminal shank reduced blade
length
better access to deep pockets
better access to root concavities and furcations
11.Which molars do the Gracey 17/18 best work on?: 2nd and 3rd molars
12.Characteristics of the vision curvettes?: 50% shorter blade increased blade curvature
straighter shank
5-10 mm markings
3 mm longer shank for posterior
13.Which instrument is a universal blade?: Langer curettes
14.What kind of shank does the Langer curette have?: gracey shank and rigid shank
15.Which fulcrum has the finger in the same arch, but opposite quadrant?: -
cross arch fulcrum
16.Which fulcrum has the finger in the opposite arch from working area?: op- posite arch
17.Which fulcrum has the finger of other hand in the same arch as working area?: finger-on-finger
, MIDTERM - PROCESS OF Dental CARE
18.Which fulcrum has the index finger/thumb from other hand which is placed on the shank for extra lateral
pressure?: reinforced fulcrum
19.The extraoral fulcrum should be palm for stabilization.: palm up
20.What are the benefits of a sharp instrument?: easier calculus removal reduced number of
strokes/working efficiency
reduced clinician fatigue
21.When sharp, the cutting edge does or does not reflect light?: does not
22.The cutting edge bites the test stick on?: heel 1/3, middle 1/3, toe/tip 1/3
23.What is the sharpening objective?: maintain the original shape of instrument produce a sharp cutting edge
24.Which sharpening stone do we use at OUCOD?: ceramic or "man-made" stone
25.When the stone is correctly placed against the blade, the internal angle of approximately degrees is
maintained.: 70 degrees
26.When sharpening, what must be parallel to the countertop/floor?: the face of the instrument
27.T/F:You can autoclave the entire sidekick: False, ONLY the sharpening stone. Just disinfect with wipes
28.Healthy, non-smoking, no or minimal alcohol use: ASA I
29.Current smoker, social alcohol drinker, pregnancy, obesity (30<BMI<40), well-controlled DM/HTN, mild
lung disease: ASA II
30.Poorly controlled DM/HTN, COPD, morbid obesity (BMI >40), active hepati- tis, alcohol dependence,
implanted pacemaker, ESRD undergoing regularly scheduled dialysis, history (>3 mo) of MI, CVA< TIA, or
CAD/stents: ASA III
31.Recent (<3 mo) MI, CVA, TIA, or CAD/stents, ongoing cardiac ischemia or severe valve dysfunction, severe
reduction of ejection fraction, shock, sepsis, DIC, ARD or ESRD not undergoing regularly scheduled dialysis.:
ASA IV
32.In immune suppressed patients, critical lab tests should NOT be older than?: 6 months
33.Hemoglobin levels should be?: e 8 g/dL
34.Blood glucose levels should be?: d 200 mg/dL
35.A normal CD4 count ranges from?: 500 - 1,500 cells/mm^3
36.What is the association between viral load and CD4 count?: one goes up, other goes down
37.Does viral load have an impact on dental tx?: does not have an impact on dental tx planning, modifications
would be based on the critical lab values
38.T/F: For CD4 count, conventional wisdom says there is no level which dental care cannot be done: True
39.For platelets, when should we NOT treat pts?: d 20,000
