Summary
Samenvatting materialen en producten
- Course
- Institution
Samenvatting die overzichtelijk en gestructureerd is die het studeren zal vergemakkelijken
[Show more]
Seller
Followlaurencebonamie
Reviews received
Content preview
Bonamie LaurenceBachelor in de Mondzorg – 2022-2023
MATERIALEN EN PRODUCTEN
,INHOUD
INLEIDING......................................................................................................................... 4
1 INSTRUMENTARIUM VOOR MONDONDERZOEK EN NIET-CHIRURGISCHE PARODONTALE THERAPIE...................... 4
1.1 Terminologie ......................................................................................................................................................... 4
1.2 Types van instrumenten ........................................................................................................................................ 4
1.2.1 Handinstrumenten.................................................................................................................................... 4
1.2.2 Mechanisch (elektrisch en lucht) aangedreven instrumenten ................................................................ 10
2 MATERIALEN GEBRUIKT BINNEN DE PREVENTIEVE ZORG .................................................................. 11
2.1 Introductie .......................................................................................................................................................... 11
2.2 Beschermende vernissen en gelen ...................................................................................................................... 13
2.2.1 Vernissen en gelen op basis van fluoride ................................................................................................ 13
2.2.2 Vernissen en gelen op basis van chloorhexidine (CHX) ........................................................................... 15
2.3 Pit – en fissuur sealants ....................................................................................................................................... 17
2.3.1 Sealants op basis van kunsthars ............................................................................................................. 18
2.3.2 Sealants op basis van glasionomeer (GIC) ............................................................................................... 19
2.4 Mondbeschermers .............................................................................................................................................. 20
2.4.1 Inleiding .................................................................................................................................................. 20
2.4.2 Prefab mondbeschermers ...................................................................................................................... 20
2.4.3 Boil-and-bite mondbeschermers ............................................................................................................ 20
2.4.4 Individueel aangepaste mondbeschermers ............................................................................................ 21
3 MATERIALEN GEBRUIKT BINNEN DE RESTAURATIEVE ZORG ............................................................... 22
3.1 Inleiding .............................................................................................................................................................. 22
3.2 Geschiedenis ....................................................................................................................................................... 22
3.2.1 Oude tijd tot 18 e eeuw ........................................................................................................................... 22
3.2.2 18e – 19e eeuw ........................................................................................................................................ 22
3.2.3 20ste eeuw ............................................................................................................................................... 22
3.2.4 21ste eeuw ............................................................................................................................................... 22
3.3 Biomaterialen...................................................................................................................................................... 22
3.3.1 Metalen .................................................................................................................................................. 23
3.3.2 Polymeren (plastiek, kunststof, rubber,…) .............................................................................................. 23
3.3.3 Keramieken ............................................................................................................................................. 24
3.3.4 Composieten .......................................................................................................................................... 24
3.4 Vullingsmaterialen .............................................................................................................................................. 24
3.4.1 Amalgaam ............................................................................................................................................... 25
3.4.2 Composieten .......................................................................................................................................... 25
3.4.3 Glasionomeer cementen ........................................................................................................................ 27
3.4.4 Compomeren .......................................................................................................................................... 28
3.5 Cementen en voorlopige vullingsmaterialen ........................................................................................................ 28
3.5.1 Onderlaag ............................................................................................................................................... 28
3.5.2 Voorlopig vullingsmateriaal .................................................................................................................... 28
3.5.3 Zink oxide eugenol cement ..................................................................................................................... 29
3.5.4 Calcium hydroxide (CaOH) ...................................................................................................................... 29
3.5.5 Zink oxide in combinatie ......................................................................................................................... 29
3.5.6 Polycarboxylaat cementen...................................................................................................................... 30
3.5.7 Zink fosfaat cementen ............................................................................................................................ 30
3.5.8 Glasionomeer cementen (zie 3.4.3) ........................................................................................................ 30
3.6 Vaste prothetische voorzieningen ....................................................................................................................... 31
3.6.1 Inlays ...................................................................................................................................................... 31
3.6.2 Onlays / overlays .................................................................................................................................... 31
3.6.3 Kroon ...................................................................................................................................................... 32
3.6.4 Brug ........................................................................................................................................................ 32
3.6.5 Facetten of veneers ................................................................................................................................ 32
3.6.6 Gebruikte materialen.............................................................................................................................. 33
3.7 Uitneembare prothetische voorzieningen............................................................................................................ 34
3.7.1 Prothese basis ........................................................................................................................................ 34
3.7.2 Prothese tanden ..................................................................................................................................... 35
3.8 Reproductie van het werkterrein ......................................................................................................................... 35
3.8.1 Analoog proces ....................................................................................................................................... 35
3.8.2 Digitaal proces ........................................................................................................................................ 42
2
,4 POLIJSTMATERIALEN ........................................................................................................ 43
4.1 Belangrijke termen .............................................................................................................................................. 43
4.2 Types abrasieven................................................................................................................................................. 43
4.2.1 Kalk ......................................................................................................................................................... 43
4.2.2 Puimsteen ............................................................................................................................................... 43
4.2.3 Aluminiumoxide ...................................................................................................................................... 43
4.2.4 Silex (vuursteen) ..................................................................................................................................... 43
4.2.5 Tin oxide ................................................................................................................................................. 43
4.2.6 Tungsten carbide .................................................................................................................................... 43
4.3 Factoren die mate van abrasie bepalen ............................................................................................................... 44
4.3.1 Hardheid ................................................................................................................................................. 44
4.3.2 Grootte en vorm ..................................................................................................................................... 44
4.3.3 Druk en snelheid ..................................................................................................................................... 44
4.3.4 combineren – coaten .............................................................................................................................. 44
4.4 Gebonden en gecoate abrasieve middelen .......................................................................................................... 45
4.4.1 Diamant boren ........................................................................................................................................ 45
4.4.2 Arkansas Steentjes .................................................................................................................................. 45
4.4.3 Rubber wieltjes en punten, rubber cups ................................................................................................. 45
4.4.4 Schijfjes en strips .................................................................................................................................... 45
4.4.5 Profylaxe pasta’s – polijstpasta’s ............................................................................................................ 45
4.4.6 Poeders................................................................................................................................................... 47
4.4.7 Therapeutische additieven ..................................................................................................................... 47
5 SPECIFIEKE MATERIALEN .................................................................................................... 48
5.1 Orthodontie ........................................................................................................................................................ 48
5.1.1 Materialen gemeenschappelijk met andere vakgebieden binnen de tandheelkunde ............................. 48
5.1.2 Specifieke materialen ............................................................................................................................. 49
5.2 Endodontie ......................................................................................................................................................... 51
5.2.1 Gutta-percha .......................................................................................................................................... 51
5.2.2 Endodontische sealers ............................................................................................................................ 51
5.2.3 Mineral Trioxide Aggregate (MTA) .......................................................................................................... 51
5.3 Parodontologie ................................................................................................................................................... 52
5.3.1 Parodontaal verband .............................................................................................................................. 52
5.4 Pedodontie ......................................................................................................................................................... 53
5.4.1 Vullingsmatieralen – calciumsilicaten ..................................................................................................... 53
5.4.2 Confectie kroontje .................................................................................................................................. 54
5.4.3 Ruimtehouder ......................................................................................................................................... 54
5.5 Bleken van tanden............................................................................................................................................... 55
5.5.1 Non-vitaal bleken.................................................................................................................................... 56
5.5.2 vitaal bleken ........................................................................................................................................... 56
5.5.3 Nieuwe Europese wetgeving .................................................................................................................. 57
6 Ergonomie ................................................................................................................... 58
6.1 Definitie .............................................................................................................................................................. 58
6.2 Doel .................................................................................................................................................................... 58
6.3 Algemene oorzaak ............................................................................................................................................... 58
6.4 Werkgerelateerde aandoeningen van bewegingsapparaat ................................................................................... 58
6.5 Enkele feiten ....................................................................................................................................................... 59
6.6 Ergonomische maatregelen voor mondhygiënist ................................................................................................. 59
6.6.1 Plaatsing van patiënt .............................................................................................................................. 59
6.6.2 Werkhouding .......................................................................................................................................... 60
6.6.3 Zittend beroep = sedentair beroep ......................................................................................................... 60
6.6.4 Gebruik van tandartslamp ...................................................................................................................... 61
6.6.5 Werkstoel ............................................................................................................................................... 62
6.6.6 Werkhoogte ............................................................................................................................................ 62
6.6.7 Dynamiseren van werkhouding .............................................................................................................. 63
6.6.8 Hoofdlijnen voor ergonomische werkwijze ............................................................................................. 63
3
, INLEIDING
Bachelor in de mondzorg is voor België een nieuw en complementair lid van mondzorgteam. Internationaal is het teamlid al langer
bekend als mondhygiënist. Zij zal naast tandarts, tandartsassistent en tandtechnicus instaan voor goede mondzorg van patiënt.
1. Instrumentarium voor mondonderzoek en niet-chirurgische parodontale therapie
2. Materialen binnen de preventieve zorg
3. Materialen binnen de restauratieve zorg
4. Afdrukmaterialen
5. Polijstmaterialen
6. Specifieke materialen
7. Principes van ergonomisch werken
1 INSTRUMENTARIUM VOOR MONDONDERZOEK EN NIET-CHIRURGISCHE
PARODONTALE THERAPIE
1.1 TERMINOLOGIE
Voor mondonderzoek, verstoren van biofilm en verwijderen van tandsteen en plaquevorming bestaan er heel wat instrumentaria.
Scalen Instrumentatie waarbij tandplaque en tandsteen mechanisch wordt verwijderd van
tandoppervlak. Dit kan zowel supra- als subgingivaal.
Rootplanen Glad maken van cement van worteloppervlak na subgingivale curettage of scaling, dit als
onderdeel van parodontale behandeling. Zacht cement wordt verwijderd en worteloppervlak
wordt hard en glad gemaakt.
Engelstalige literatuur spreekt ook van ‘Root Surface Debridement’ (RSD) waarbij tandsteen en
tandplaque worden verwijderd zonder verwijderen van wortelcement. Dit gebeurt met lichte,
niet chirurgische instrumentatie (bv. ultrasonisch).
SRP = scalen en Dieptereiniging, niet-chirurgisch
rootplanen
Polijsten Glad maken van de met instrumenten bewerkte tandoppervlakken met roterend
instrumentarium en polijstpasta.
Gingivitis Tandvleesontsteking
Parodontitis Als tandvleesontsteking onbehandeld blijft en er botafbraak optreedt
Waarom SRP: dieptereiniging om al het tandsteen/bacteriën subgingivaal te verwijderen om botafbraak te stoppen en te stabiliseren.
Bot dat weg is, is weg.
1.2 TYPES VAN INSTRUMENTEN
1.2.1 HANDINSTRUMENTEN
Handinstrumenten
• Instrumenten gebruikt voor mondonderzoek
• Instrumenten gebruikt voor uitvoeren van gebitsreiniging
1.2.1.1 INSTRUMENTEN VOOR MONDONDERZOEK
Voor mondonderzoek worden volgende basisinstrumenten gebruikt :
1. mondspiegel
2. haaksonde
3. pocketsonde
4. SPDI/CPITN pocketsonde
5. furcatiesonde
1. 2. 3. 4. 5.
1) MONDSPIEGEL
Bestaat uit 3 delen:
• handvat
• schacht/hals
• werkeinde
Bij metalen spiegels, kan je handvat losdraaien van werkeinde. Wanneer spiegel niet meer voldoende zicht geeft, kan zo een nieuw
spiegeltje erop geschroefd worden zonder dat handvat verloren is. Er bestaan ook disposable wegwerp mondspiegels uit plastiek.
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller laurencebonamie. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.58. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
64438 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now