Dental Hygiene: Coronal Polishing Quiz
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Questions and Answers

Coronal polishing can safely be performed on newly erupted teeth.

False (B)

What is one contraindication for performing coronal polishing?

Sensitive teeth

Coronal polishing is strictly limited to the clinical ______ of the teeth.

crowns

What is the purpose of coronal polishing?

<p>To remove plaque and extrinsic stains from the coronal surfaces of the teeth.</p> Signup and view all the answers

The _____ is a finger rest used when holding an instrument or handpiece.

<p>fulcrum</p> Signup and view all the answers

Match the following terms with their definitions:

<p>Coronal polishing = Removal of plaque and stains from tooth surfaces Prophy paste = Abrasive paste for polishing teeth Nasmyth's membrane = Epithelial tissue residue on newly erupted teeth Oral prophylaxis = Complete removal of calculus, debris, stain, and plaque</p> Signup and view all the answers

What is a common example of an endogenous stain?

<p>Tetracycline staining</p> Signup and view all the answers

What procedure might be used for stains that cannot be removed by polishing?

<p>Professional and at-home bleaching (C)</p> Signup and view all the answers

Which of the following stains can be caused by excessive fluoride ingestion during tooth development?

<p>Dental fluorosis (A)</p> Signup and view all the answers

Match the type of intrinsic stain with its description:

<p>Pulpless teeth = Blood and pulpal tissues break down Tetracycline antibiotics = Gray brown or dark yellow discoloration Dental fluorosis = White spots to mottled enamel Imperfect tooth development = Yellowish brown or gray brown teeth</p> Signup and view all the answers

Flashcards

Dental Plaque

A layer of bacteria and debris that sticks to the surface of teeth.

Calculus

A hardened deposit of plaque that can't be brushed off.

Coronal Polishing

A technique used to remove plaque and stains from the visible surfaces of teeth.

Extrinsic Stains

Stains that appear on the external surfaces of teeth, often due to food or beverages.

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Intrinsic Stains

Stains that form within the tooth structure, often caused by medications or internal factors.

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Where is Coronal Polishing Used?

Coronal polishing is ONLY used on the clinical crowns of teeth, the part that's visible in your mouth.

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Who Shouldn't Get Coronal Polishing?

Coronal polishing is NOT recommended for patients with sensitive teeth because the abrasive agents can irritate them.

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When is Coronal Polishing Necessary?

Coronal polishing can be used before applying dental sealants, cementing orthodontic bands, or placing a dental dam.

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When is Coronal Polishing NOT Recommended?

Coronal polishing is NOT recommended for patients with active cavities or areas of weakened enamel because it can remove more tooth structure.

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Pulpless Tooth Discoloration

A type of tooth discoloration caused by blood and pulpal tissue breakdown, often due to a dying pulp.

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Tetracycline Staining

A greenish to brown discoloration of teeth caused by taking the antibiotic tetracycline during tooth development.

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Dental Fluorosis

Tooth discoloration caused by excessive fluoride intake during tooth development, resulting in white spots or brown stains.

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Imperfect Tooth Development Discoloration

A yellowish-brown or gray-brown discoloration of teeth due to imperfect tooth development.

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Silver Amalgam Staining

Gray or black discoloration around a dental filling, caused by metallic ions from the filling migrating into tooth structure.

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Systemic Discoloration

Yellowish-green discoloration of teeth caused by prolonged jaundice or erythroblastosis fetalis.

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Tooth Stain Penetration

The ability of certain substances to penetrate the tooth enamel and dentin, causing discoloration.

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Endogenous Stains

Stains originating from within the tooth, often caused by developmental issues or medications taken during tooth formation. These stains cannot be removed by polishing.

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Exogenous Stains

Stains originating from external sources, like food, drink, or tobacco. These stains can usually be removed by polishing.

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Fluorosis

A type of endogenous stain caused by excessive fluoride exposure during tooth development.

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Enamel Hypoplasia

A type of endogenous stain caused by impaired enamel formation, which can be caused by various factors. It appears as pits or grooves on the tooth surface.

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Study Notes

Learning and Performance Outcomes

  • Students will be able to pronounce, define, and spell key terms related to coronal polishing.
  • They will understand coronal polishing, differentiating it from prophylaxis.
  • Students will know indications and contraindications for coronal polishing.
  • They will identify types of intrinsic and extrinsic stains, and the methods to remove them.
  • Students will name and describe handpieces and attachments for coronal polishing.
  • They will explain the importance of selecting appropriate polishing agents.
  • Students will know how to polish esthetic restorations, including suitable materials. They will describe the step-by-step process, including safety, correct sequence, post-polish flossing, and evaluation of the procedure.
  • Students will demonstrate handpiece grasp and positioning for prophy angles.
  • Students will demonstrate the fulcrum and finger rest.
  • Students will demonstrate proper seating of the operator and assistant during procedures.
  • Students will complete coronal polishing without causing trauma.
  • Students will know how to determine if teeth are free from plaque and stains

Key Terms

  • Calculus: Plaque adhered to tooth structure, mineralized by calcium and phosphate salts.
  • Clinical crown: Visible portion of the tooth in the oral cavity.
  • Coronal polishing: Technique to remove plaque and stains from coronal surfaces.
  • Endogenous stains: Stains developed within tooth structure.
  • Exogenous stains: Stains developed from external sources.
  • Extrinsic stains: Stains on external tooth surfaces, removable by polishing.
  • Fulcrum: Finger rest used when holding an instrument.
  • Intrinsic stains: Stains within the tooth structure, often not removable by polishing.
  • Nasmyth's membrane: Residue from epithelial tissue, easily stained.
  • Oral prophylaxis: Complete removal of calculus, debris, stain, and plaque.

Coronal Polishing

  • Coronal polishing removes plaque and stains from crowns.
  • A smooth surface is less likely to accumulate plaque, calculus, or stain.
  • Polishing is done with a low-speed handpiece, prophy angle, rubber cup, and polishing material (abrasive agent).

Indications and Contraindications for Coronal Polishing

  • Indications: before placement of sealants, orthodontic bands, acid etching, crowns, or bridges.
  • Contraindications: when no stain is present, high-risk caries (nursing bottle, root), sensitive teeth, newly erupted teeth, areas of demineralization.

Possible Damaging Effects of Coronal Polishing on Teeth

  • Tooth surfaces: abrading newly erupted teeth or exposed cementum/dentin.
  • Restorative materials: scratches on composite, porcelain, or crowns.
  • Gingival tissues: damaging the tissues with high speed/prolonged application.

Dental Stains

  • Stains are primarily esthetic issues.
  • Some are removable, while others are not.
  • Identification of stain cause is important for advising patients.
  • Endogenous stains are internal, while exogenous stain is external.

Extrinsic Stains - Table 58.1

  • Extrinsic stains are external and removable. Examples include tobacco, food, drink.
  • Characteristics: appearance and cause of different extrinsic stains (black, tobacco stains, brown/yellow, green, dental plaque agents, food/drink, Nasmyth's membrane)

Intrinsic Stains - Table 58.2

  • Intrinsic stains are incorporated into tooth structure. They cannot be easily removed by polishing or scaling. Examples include pulpless teeth, tetracycline, dental fluorosis, imperfect tooth development and silver amalgam
  • Characteristics: appearance and cause of different intrinsic stains are shown.

Methods of Removing Plaque and Stains

  • Air polishing uses water/sodium bicarbonate slurry for stain, plaque removal.
  • Rubber cup polishing uses abrasive pastes with a rubber cup in a low speed handpiece, for plaque and stain removal.

Coronal Polishing Steps - General

  • Start with the most posterior tooth in the quadrant. Work forward towards anterior.
  • Use strokes from gingival third toward incisal third
  • Use low speed, intermittent pressure for approximately 1-2 seconds between strokes
  • Ensure complete tooth coverage with overlapping strokes.

Patient and Operator Positioning

  • The patient's head must be positioned correctly for both mandibular and maxillary arches(chin up/down for maxilla/mandible).
  • The operator must be seated comfortably at the patient's side
  • Operator's positioning is often visualized as a clock (e.g., 8 or 9 o'clock); positioning must permit access to all oral areas.

Polishing Esthetic Restorations

  • Use low-abrasion pastes like sapphire, diamond, or aluminum oxide.
  • Polish first, then proceed with other teeth.

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Related Documents

Coronal Polishing PDF

Description

Test your knowledge on coronal polishing in dental hygiene. This quiz covers indications, contraindications, types of stains, and related procedures. Enhance your understanding of how to effectively perform and apply coronal polishing techniques in clinical practice.

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