OSCE Dental Hygiene with Complete Solutions
Bass Method - -Most widely used method.
Bristles are angled at a 45 degree angel towards
the gingiva. Stannous Fluoride - --0.4% available for
non-prescription use.
-1% neutral sodium fluoride gels available for
Stillman's Method - -Bristles are positioned prescription use.
on the gums rather than into the pockets and -Can cause extrinsic staining (especially in
directed at a 45 degree angle. patient's with inadequate plaque control).
Charter's Method - -Bristles are directed Acidulated Phosphate Fluoride (APF) - --
occlusally, away from the gingiva. Useful for Do NOT use of composites, porcelain, or sealant
cleaning orthodontic brackets, prosthesis, and materials as it causing pitting and roughening.
areas treated with surgeries. -Also avoid on root surfaces.
Fone's Method - -Bristles are moved in Neutral Sodium Fluoride - -Agent of choice
large circular motion on the buccal and lingual on root caries, implants, cosmetic restorations,
surfaces. Useful for children, those physically and reduced salivary flow.
impaired, or adults who lack manual dexterity.
Second trimester - -safest trimester for
Fluoride Varnish - --Dries immediately dental treatment.
upon contact with saliva.
-Does not require a professional prophylaxis
before hand. Pregnancy gingivitis - --Caused by an
-Can eat and drink immediately after. elevation of hormones estrogen and
-Avoid brushing, rigorous rinsing, or hard foods progesterone. Hormones increase can cause
for 3 to 4 hours. exaggerated gingival response to
-Easier and more effective method microorganisms.
Fluoride is recommended for patients who: - Pyrogenic granuloma (Pregnancy tumor) - -
--Have xerostomia localized area of gingival enlargement, typically
-High caries risk involving interdental papilla, usually diminishes
-Undergoing cancer therapy after delivery of baby.
-Orthodontics
What category of LA can use administer to a
Fluoride Gel or Foam (office application) - - pregnant patient? - -Category B (lidocaine
-Applied onto tray and placed in patient's mouth and prilocaine)
usually for 4 minutes (Read manufactures label).
-Do not eat, drink, or smoke for 30 minutes.
-Most popular types are 1.23% APF and 2% Can you use Nitrous oxide sedation and general
Neutral sodium fluoride. sedation on a pregnant patient? - -relative
, OSCE Dental Hygiene with Complete Solutions
contraindication (gas interferes with the portion of the facial aspect of the tooth.
absorption of B-12 and other nutrients). -Results from forces of friction between the teeth
or external objects.
-Can happen from improper brushing technique
Early Childhood Caries (ECC) index - -- or the use of a toothpick or pipe.
presence of 1 or more areas of decay on a child
younger than 6 years of age
Attrition - --Results from forces between
the teeth.
Severe-Early Childhood Caries (S-ECC) index - -Wear on the incised and occlusal surfaces from
--Presence of decay in a child younger grinding.
than 3 years old.
Abfraction - --Biomechanical destruction
When should a child's first dental appointment related to fatigue, flexure, and deformation of
occur? - --Within 6 months of the eruption tooth structure.
of the first tooth or before 1-year of age. -Can appear as a wedge-shaped lesion at the
cervical third of the tooth.
When should you first start brushing a child's
teeth? - --When the first tooth appears. What is the most effective public health measure
to prevent tooth decay? - -Community
Water Fluoridation
Erosion causes - --Anorexia Nervosa
-Bulimia Nervosa
New recommended level of fluoride is? - -
0.7 ppm
Anorexia Nervosa - -extreme weight loss
caused by self-starvation, excessive exercise,
use of laxatives, self-induced vomiting. Old level of fluoride is? - -0.7-1.2 ppm
Bulimia Nervosa - -compulsive disorder HIV can cause: - --Linear gingival erythema
that involves periods of starvation, binging, and -Kaposi Sarcoma
purging. -Delayed healing
-Larger than usual ulcers
-Candidiasis
Signs and Symptoms of erosion - --dental -Etc.
caries from vomiting
-Perimolysis: erosion from vomiting mostly on the
maxillary lingual surfaces. Raised appearance of Diabetes can cause: - --Delayed healing
restoration margins. -Periodontal disease
-Candidiasis
-Etc.
Abrasion - --V-shaped notch in the gingival
, OSCE Dental Hygiene with Complete Solutions
Produced by denser structures. (i.e. Lamina
ASA 1 - -Normal, Healthy Dura)
ASA 2 - -Pt. with mild systemic diseases. Overlap - -inappropriate horizontal
-Allergies angulation
-Controlled hypertension
-Asthma
-Mild obesity Foreshortening - -too much vertical
-Pregnancy angulation
-Cigarette smoking without COPD
-Diabetes without systemic effects
Elongation - -not enough vertical
angulation
ASA 3 - -Pt. with severe systemic disease
and some functional limitation.
-Controlled disease of more than one body Mark across film - -bent film
system
-Controlled CHF
-Poorly controlled hypertension Circular white boarder on film - -Cone cut
-Morbid obesity
-Respiratory Problems (COPD)
-Stable angina
Herringbone or waffle pattern on film - -
backwards film
ASA 4 - -Pt with severe systemic disease
that is a constant threat to life.
Darker film with outlines of many teeth - -
-Possible risk of death
double exposure
-Unstable angina
-Symptomatic COPD and CHF
Film too dark - -too much development
time; temperature too high
ASA 5 - -Moribund patient not expected to
survive for more than 24 hours without surgery.
Film too light - -not enough development
time; temperature too low
ASA 6 - -Brain dead pt.
Cracked emulsion - -sudden temperature
Radiolucency - -Dark areas on the film.
change between developer and fixer.
Produced by less dense structures that allows
the passage of x-rays. (i.e. cysts)
Darker areas - -developing solution
touches film before processing procedure.
Radiopaque - -Light areas on the film.
Bass Method - -Most widely used method.
Bristles are angled at a 45 degree angel towards
the gingiva. Stannous Fluoride - --0.4% available for
non-prescription use.
-1% neutral sodium fluoride gels available for
Stillman's Method - -Bristles are positioned prescription use.
on the gums rather than into the pockets and -Can cause extrinsic staining (especially in
directed at a 45 degree angle. patient's with inadequate plaque control).
Charter's Method - -Bristles are directed Acidulated Phosphate Fluoride (APF) - --
occlusally, away from the gingiva. Useful for Do NOT use of composites, porcelain, or sealant
cleaning orthodontic brackets, prosthesis, and materials as it causing pitting and roughening.
areas treated with surgeries. -Also avoid on root surfaces.
Fone's Method - -Bristles are moved in Neutral Sodium Fluoride - -Agent of choice
large circular motion on the buccal and lingual on root caries, implants, cosmetic restorations,
surfaces. Useful for children, those physically and reduced salivary flow.
impaired, or adults who lack manual dexterity.
Second trimester - -safest trimester for
Fluoride Varnish - --Dries immediately dental treatment.
upon contact with saliva.
-Does not require a professional prophylaxis
before hand. Pregnancy gingivitis - --Caused by an
-Can eat and drink immediately after. elevation of hormones estrogen and
-Avoid brushing, rigorous rinsing, or hard foods progesterone. Hormones increase can cause
for 3 to 4 hours. exaggerated gingival response to
-Easier and more effective method microorganisms.
Fluoride is recommended for patients who: - Pyrogenic granuloma (Pregnancy tumor) - -
--Have xerostomia localized area of gingival enlargement, typically
-High caries risk involving interdental papilla, usually diminishes
-Undergoing cancer therapy after delivery of baby.
-Orthodontics
What category of LA can use administer to a
Fluoride Gel or Foam (office application) - - pregnant patient? - -Category B (lidocaine
-Applied onto tray and placed in patient's mouth and prilocaine)
usually for 4 minutes (Read manufactures label).
-Do not eat, drink, or smoke for 30 minutes.
-Most popular types are 1.23% APF and 2% Can you use Nitrous oxide sedation and general
Neutral sodium fluoride. sedation on a pregnant patient? - -relative
, OSCE Dental Hygiene with Complete Solutions
contraindication (gas interferes with the portion of the facial aspect of the tooth.
absorption of B-12 and other nutrients). -Results from forces of friction between the teeth
or external objects.
-Can happen from improper brushing technique
Early Childhood Caries (ECC) index - -- or the use of a toothpick or pipe.
presence of 1 or more areas of decay on a child
younger than 6 years of age
Attrition - --Results from forces between
the teeth.
Severe-Early Childhood Caries (S-ECC) index - -Wear on the incised and occlusal surfaces from
--Presence of decay in a child younger grinding.
than 3 years old.
Abfraction - --Biomechanical destruction
When should a child's first dental appointment related to fatigue, flexure, and deformation of
occur? - --Within 6 months of the eruption tooth structure.
of the first tooth or before 1-year of age. -Can appear as a wedge-shaped lesion at the
cervical third of the tooth.
When should you first start brushing a child's
teeth? - --When the first tooth appears. What is the most effective public health measure
to prevent tooth decay? - -Community
Water Fluoridation
Erosion causes - --Anorexia Nervosa
-Bulimia Nervosa
New recommended level of fluoride is? - -
0.7 ppm
Anorexia Nervosa - -extreme weight loss
caused by self-starvation, excessive exercise,
use of laxatives, self-induced vomiting. Old level of fluoride is? - -0.7-1.2 ppm
Bulimia Nervosa - -compulsive disorder HIV can cause: - --Linear gingival erythema
that involves periods of starvation, binging, and -Kaposi Sarcoma
purging. -Delayed healing
-Larger than usual ulcers
-Candidiasis
Signs and Symptoms of erosion - --dental -Etc.
caries from vomiting
-Perimolysis: erosion from vomiting mostly on the
maxillary lingual surfaces. Raised appearance of Diabetes can cause: - --Delayed healing
restoration margins. -Periodontal disease
-Candidiasis
-Etc.
Abrasion - --V-shaped notch in the gingival
, OSCE Dental Hygiene with Complete Solutions
Produced by denser structures. (i.e. Lamina
ASA 1 - -Normal, Healthy Dura)
ASA 2 - -Pt. with mild systemic diseases. Overlap - -inappropriate horizontal
-Allergies angulation
-Controlled hypertension
-Asthma
-Mild obesity Foreshortening - -too much vertical
-Pregnancy angulation
-Cigarette smoking without COPD
-Diabetes without systemic effects
Elongation - -not enough vertical
angulation
ASA 3 - -Pt. with severe systemic disease
and some functional limitation.
-Controlled disease of more than one body Mark across film - -bent film
system
-Controlled CHF
-Poorly controlled hypertension Circular white boarder on film - -Cone cut
-Morbid obesity
-Respiratory Problems (COPD)
-Stable angina
Herringbone or waffle pattern on film - -
backwards film
ASA 4 - -Pt with severe systemic disease
that is a constant threat to life.
Darker film with outlines of many teeth - -
-Possible risk of death
double exposure
-Unstable angina
-Symptomatic COPD and CHF
Film too dark - -too much development
time; temperature too high
ASA 5 - -Moribund patient not expected to
survive for more than 24 hours without surgery.
Film too light - -not enough development
time; temperature too low
ASA 6 - -Brain dead pt.
Cracked emulsion - -sudden temperature
Radiolucency - -Dark areas on the film.
change between developer and fixer.
Produced by less dense structures that allows
the passage of x-rays. (i.e. cysts)
Darker areas - -developing solution
touches film before processing procedure.
Radiopaque - -Light areas on the film.
