Instrumentation Flashcards

(62 cards)

1
Q

What requires more pinch force?

A

Heavier or smaller diameter

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2
Q

Simple shank is

A

bent in one plane

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3
Q

Is Gracey 7/8 simple or complex?

A

imple

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4
Q

Where are simple shanks used?

A

in anteriors

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5
Q

What are complex shanks?

A

Bent in multiple planes

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6
Q

Complex shanks allow easier access and adaptation to

A

posteriors

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7
Q

Is Gracey 13/14 simple or complex?

A

Complex

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8
Q

What does shank diameter affect?

A

Amount of pressure that can be places

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9
Q

Thicker shank–>

A

More lateral pressure

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10
Q

Thinner shank–>

A

More flexible and less lateral pressure

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11
Q

Rigid shanks are more effective in

A

removing calculus

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12
Q

What does the functional shank allow?

A

for the working end to be adapted to tooth surface

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13
Q

Shorter functional shanks are used

A

supragingivally

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14
Q

Scalers are used

A

supragingivally

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15
Q

What instruments have a tip?

A

Scalers

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16
Q

What instruments have a toe?

A

Curete

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17
Q

Probes and explorers have _____ of working end

A

no activation

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18
Q

What is the cross section of the working end of a supragingival ickle scaler?

A

Triangular

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19
Q

What is the cross section of a curette?

A

Semi-circular in cross section and has rounded back and toe

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20
Q

Gracey curettes are

A

site specific

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21
Q

If double ended instrument, first number identifies the working end to the

A

left

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22
Q

Why do we use plastic probes for implants?

A

Don’t want to damage the metal surface

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23
Q

Where do you place the fulcrum?

A

On opposite side of tooth surface working on

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24
Q

Modified pen grasp will

A

improve precision, accuracy and control of stroke

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25
Hand and wrist is rotated while
fulcrum finger is pressing down on point
26
How many zones are probed per tooth?
6
27
What probing pressure is ideal?
20-25g
28
What are common errors in periodic probing?
- Incorrect positioning due to calculus, overhangs, bulky crowns - Incorrect angulation - probe tip in gingival tissues - Too much or too little probing pressure - Misreading probe
29
Interproximal is probed from both
facial and lingual
30
Perio explorers are used to
detect calculus thru tactile sensation, texture of root and determine completeness of debridement
31
What part of perio explorer do you use to detect calculus?
Side of explorer, not the tip
32
Assessment stroke: Moved forward using
vertical or oblique strokes
33
What do you use to probe furcation?
Curved #2 nabers probe
34
Where do you measure the M and D furcations from?
Palatal
35
Grade 1 furcation
horizontal <3mm
36
Grade 2 furcation
Horizontal >3mm
37
Grade 3 furcation
through and through furcation involvement
38
Scalers are used to
remove calculus from crowns
39
The straight profile of scalers makes it difficult to
adapt to curved root surfaces
40
How many cutting surfaces do sickle scalers have?
2 that converge to a point
41
In a sickle scaler, face is perpendicular to the
terminal shank
42
A curved scaler is
sickle
43
a straight scaler is
jacquette
44
What sickle scaler is used for anterior teeth?
H5/33
45
What scalers are used for posterior teeth?
- Jacquette 31/32 - 204 scaler
46
How many cutting edges do universal curettes have?
2, one on each side of the instrument face
47
Where can universal curettes be used?
In most areas, anterior and posterior by altering and adapting finger rest, fulcrum and hand position
48
How is the blade face oriented in universal curettes?
90 degrees to terminal shank
49
What are examples of universal curettes?
Columbia 13/14, 4R/4L
50
What is the cross section of a universal curette?
Semi circular
51
Describe working end of universal curette
rounded back and toe. 2 cutting edges per working end
52
Describe how face is oriented in a universal curette
90 degree to terminal so cutting edges are level with one another
53
With site specific curettes, blade face offset is
70 degrees from terminal shank
54
With site specific curettes, terminal shank is held
parallel to long axis of tooth
55
How many active cutting edges are in site specific curettes?
1 (lower edge)
56
Lower # site specific curettes have more
simple shank and are used on anteriors and B/L of posteriors
57
Higher # site specific curettes have
complex shank and are used on posteriors
58
Describe terminal shank of after 5 Gracey
3mm longer than standard
59
If R handed operator is sitting at 8, what can they do?
Anterior surfaces towards
60
If R handed operator is sitting at 9, what can they do?
Posterior surfaces towards
61
If R handed operator sits between 10 and 11, what can they do?
Posterior surfaces away
62
If R handed operator sits between 11 and 1, what can they do?
Anterior surfaces away