PMPR 1
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Questions and Answers

What is the purpose of starting the adaptation position with the lower terminal shank parallel to the midline plane?

  • To simplify the handling of the instrument
  • To increase the pressure on the instrument
  • To ensure coverage of the whole tooth surface (correct)
  • To restrict movement during the procedure
  • Which motion component involves the activation of the wrist?

  • Handle roll
  • Wrist motion activation (correct)
  • Digital motion activation
  • Pivot
  • What does correct aspect usage of an instrument refer to?

  • Choosing the appropriate area of the instrument for the task (correct)
  • Using the blunt edge to avoid trauma
  • Using the sharp edge for detailed work
  • Switching tools based on convenience
  • Why is handle roll an important motion in instrument handling?

    <p>It helps to rotate the instrument for better access</p> Signup and view all the answers

    Which of the following statements about digital motion activation is true?

    <p>It is used for precise and controlled movements</p> Signup and view all the answers

    What is the primary focus of ergonomics in instrument use?

    <p>Ensuring comfort and reducing strain on the user</p> Signup and view all the answers

    When is it most appropriate to use wrist motion activation?

    <p>During slow, thorough movements</p> Signup and view all the answers

    What is the role of pivot in motion components?

    <p>Enabling rotational movement while working</p> Signup and view all the answers

    Which movement is least likely to be involved in instrument adaptation?

    <p>Foot motion activation</p> Signup and view all the answers

    What is the main reason for ensuring an atraumatic approach in instrumentation?

    <p>To improve patient comfort and safety</p> Signup and view all the answers

    What is the primary purpose of using an intra-oral fulcrum in clinical practice?

    <p>To stabilize the clinician's dominant hand inside the mouth</p> Signup and view all the answers

    Where is the pad of the ring finger positioned when utilizing an intra-oral fulcrum?

    <p>Near the tooth being instrumented</p> Signup and view all the answers

    What angle considerations are mentioned for using an intra-oral fulcrum?

    <p>Incisal edge or occlusal surface angle of a stable tooth</p> Signup and view all the answers

    What is one potential risk associated with the use of an extra-oral fulcrum?

    <p>Increased chance of patient discomfort</p> Signup and view all the answers

    In which location is an extra-oral fulcrum typically stabilized?

    <p>On the patient's cheek or chin</p> Signup and view all the answers

    Which of the following statements is true about an intra-oral fulcrum?

    <p>It helps decrease the likelihood of injury for both the patient and clinician.</p> Signup and view all the answers

    What is a common feature of both intra-oral and extra-oral fulcrums?

    <p>They both stabilize the clinician's hands</p> Signup and view all the answers

    What should be considered for hand positioning when using an intra-oral fulcrum?

    <p>The occlusobuccal or occlusolingual angle of a stable tooth</p> Signup and view all the answers

    Which of the following is NOT a reason to use an intra-oral fulcrum?

    <p>To create a barrier from patient saliva</p> Signup and view all the answers

    What is the primary purpose of having a fulcrum during periodontal therapy?

    <p>To provide a stable support for hand movement</p> Signup and view all the answers

    Which of the following best describes an intra-oral fulcrum?

    <p>A support point on a tooth surface</p> Signup and view all the answers

    Which statement correctly explains the role of finger rests in periodontal procedures?

    <p>They help ensure stability and safety for the clinician</p> Signup and view all the answers

    What is the significance of the lower terminal shank when identifying the appropriate working end of an instrument?

    <p>It identifies the orientation of the blade</p> Signup and view all the answers

    In what scenario would you use different types of instrumentation motion during therapy?

    <p>To adapt to various areas of the mouth and tooth structures</p> Signup and view all the answers

    What is a key benefit of properly utilizing a fulcrum during treatment?

    <p>It facilitates precise movement and enhances safety</p> Signup and view all the answers

    Which characteristic is ideal for a finger rest?

    <p>It should be stable and securely positioned</p> Signup and view all the answers

    Which of the following is NOT a reason for using a fulcrum?

    <p>To limit hand movement</p> Signup and view all the answers

    How does a finger rest contribute to patient safety during periodontal therapy?

    <p>By minimizing the risk of slipping instruments</p> Signup and view all the answers

    What is a crucial aspect to consider when conducting a clinical periodontal session?

    <p>The structure and function of instrumentation motions</p> Signup and view all the answers

    Study Notes

    Intended Learning Outcomes

    • Students should be able to revise steps for a good clinical periodontal session
    • Explain the rationale for a fulcrum
    • Recognize and demonstrate intra-oral and extra-oral fulcrums
    • Identify and demonstrate appropriate working ends using the lower terminal shank
    • Explain the appropriate usage and situation for different instrumentation motions
    • Demonstrate usage of instrumentation motions

    Recap

    • Diagrams show healthy teeth with intact enamel and supragingival, subgingival biofilms and homeostatic inflammation.
    • Diagrams display various angles and application points, including elbow, knee, head of fibula to floor.

    Instruments

    • Images of various dental instruments are presented.

    Stability & Safety

    • Key elements for stability & safety include a fulcrum and finger rests
    • Intra-oral and extra-oral fulcrums are described

    Fulcrum

    • A fulcrum supports your hand and provides safety for both you and the patient
    • It allows hand movement and precise movements.

    Finger Rests

    • The document questions what features are ideal for a finger rest, and also what is the ideal structure for a finger rest.

    Intra-oral Fulcrum

    • Used to stabilize the clinician's dominant hand inside the mouth
    • Use a pad of the ring finger near the tooth being instrumented.
    • This decreases likelihood of injury for both patient and clinician.
    • Focus on the incisal edge or occlusal surface, and occlusobuccal or occluso-lingual angles of a stable tooth.

    Extra-oral Fulcrum

    • Stabilizes the clinician's dominant and non-dominant hands outside the mouth.
    • Commonly used on the cheek or chin.
    • Students should consider potential risks.

    Which End Do I Use?

    • This section discusses the use of instruments.
    • The cyclic process between Instrument action, Ergonomics, Detection and Grip is visible in a circular diagram.

    Lower Terminal Shank

    • The bent section of the shank closest to the working end is described
    • Placement of the lower terminal shank is parallel with the midline plane
    • Covering the whole tooth surface, atraumatic, and use of the correct aspect of the instrument are stressed.

    Starting Position

    • Use the lower terminal shank parallel with midline plane.
    • Ensure to cover the whole tooth surface, avoiding trauma.
    • Correct instrument aspect should be used.

    Start Midpoint—The Move But Look Closer

    • Visual aids illustrating the midpoint of movement are provided.

    Which End Do I Use?

    • The document displays visual examples, illustrating the correct end for the instrument's use for treatment.

    Motion

    • Four components (pivot) of the motion are diagrammed.
    • Wrist motion activation, digital motion activation, and handle roll are included in the illustration.

    Digital Motion Activation

    • Explains when and why digital motion activation is used.
    • Visual aids depict the procedure.

    Wrist Motion Activation

    • Discusses when and why wrist motion activation should be used.
    • Visual aids are presented to illustrate the procedure.

    Handle Roll

    • When and why handle roll motion activation is conducted is discussed
    • Depicted visually, the procedure is illustrated.

    Look Closely and Piece It Together

    • This section illustrates how to visualize and conceptualize the process more completely.
    • It shows how parts relate to the whole.

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