UNIVERSITY OF NORTH CAROLINA SCHOOL OF DENTISTRY INFORMATION FOR CANDIDATES FOR ADEX DENTAL EXAMINATIONS Revised: 1-23-2014 PLEASE READ!
The intent of the information contained within this document is to assist the candidate with taking the American Board of Dental Examiners (ADEX) Dental Examination administered by Council of Interstate Testing Agencies Inc. (CITA). The information, protocols, policies and fee structures contained herein are formulated solely by the administration of the UNC School of Dentistry. Questions, observations or concerns related to the information in this document or to the facilities, policies and/or fees charged by the School of Dentistry, may be directed to phone: (919) 537-3633, or email: [email protected] PARKING:
Patient & candidates parking is available in the UNC Hospital parking deck across the street from the School of Dentistry. The parking fee is $1.00 per hour or $8.00 per day. INSTRUMENTS AND STERILIZATION:
Candidates who wish to rent instruments from the School during the examination will need to contact Joyce Riley at (919) 537-3633 or email: [email protected], during the week of January 27th through January 31st, 2014 between the hours of 11:00 am – 1:00 pm or 3:00 pm – 5:00 pm. Candidates should not call or email before January 27th or after January 31st, or your request will not be granted. Please do not call the CITA office regarding instrument rental and/or sterilization, you must contact the school. Candidates who do not rent instruments are required to have their instruments sterilized at the School, even if your instruments have been sterilized previously. Candidates must contact Joyce Riley at (919) 537-3633 or email: [email protected], during the week of January 27th through January 31st, 2014 to make reservations to drop off instruments for sterilization. Candidates should not call or email before January 27th or after January 31st. The instruments contained herein are available from UNC. It is strongly suggested that if the candidate is familiar with a certain instrument or bur not referenced here that he/she bring such instrument or bur with them. SCREENING PATIENTS AND RADIOGRAPHS
The School of Dentistry is NOT available for screening patients and obtaining radiographs except in emergency situations after the examination begins. If an emergency (or Floor Monitor-requested) radiograph is required, there is a $10.00 charge for each per apical radiograph, and the candidate is responsible for payment of this fee at the time the radiograph is taken. Dental Units
Dental units at the UNC School of Dentistry are equipped with Midwest or NSK, fiber optic hoses with quick disconnects. Patient-based Restorative Procedures Examination Equipment and Instruments We ask all candidates to bring their own safety glasses for the candidate and patient. UNC School of Dentistry will not have Safety glasses to loan or sell. Exam Tray (MARKED #1): Rubber Dam (MARKED #RD)
17/23 Explorer 13/14 Columbia Cotton Pliers Hu-Friedy Cassette
Operative Tray (MARKED #OP): Iris Scissors
Burs Kits Amalgam Prep / Polish Kit Burs: Operative Burs:
7901 Composite Supplies Amalgam supplies
Wedges (orange, green, yellow and blue) Wedges (orange, green, yellow and blue) Xylocain Xylocaine Rubber dam Rubber dam Dental Floss Dental Floss Needles Needles Gauze 2x2 Gauze 2x2 Dental rolls Dental rolls Matrix bands Matrix bands Articulating paper holder Articulating paper holder Articulating paper Articulating paper Etch with tip Tooth picks POH floss White paper gowns OptiBond Solo Topical Anesthetic Micro Brushes Sybraloy Amalgam Tooth picks Dispersalloy Amalgam Mixing well Point & Cups Clear matrix strips Finishing & polishing Strips White paper gowns 12 Blade Topical Anesthetic Composite material Other miscellaneous diamonds and carbides are available on request Rubber dam punch
Shade guide Composite gun Temp materials Patient-based Periodontal Procedures Examination Equipment and Instruments
Exam Tray (MARKED #1): Scale Tray (MARKED #2):
Supplies Dental Floss Gauze 2X2 Needles Coarse Prophy Paste Needle Guard Prophy Angle Cup Prophy Angle Brush Xylocaine White Paper Gowns Apron Plastic Throw Mask Gloves Nurse Cap Manikin Based Examination Equipment and Instruments The units in the laboratory are equipped like those in the clinical operatories. They have Midwest four- hole fiber optic hoses with quick disconnects. Laboratory Instruments will be issue by the Preclinical Laboratory assistant, (first floor lab 148, Brauer Hall.) Questions regarding instruments can be directed to the School at (919) 966-2757. Important Immediately following procedure, all headpieces and instruments must be returned to the Preclinical Laboratory Assistant, in Lab 148 Brauer Hall. Lab Operative Kits Endo Pack See update ENDO PACK Rotary Handpieces Motors for Waveone Endo Sponge containing: Stainless Steel K files 25mm 10,15 and 20, 25,30 Niti Handfiles 25mm 15, 20, 25, 30, 35, 40, 45, 50, 55 and 60 Niti finger spreaders Fine and Med Fine Waveone SZ 25/25mm Bur Packs containing: Friction Grip high speed #2 and #4 Latch Surgical length slowspeed #4 and #6 Endo Z friction grip Rubber Dam kits containing: Rubber Dam Frame Rubber Dam Forcep Rubber Dam clamps #2 (2 each) and 26 N Rubber Dam Irrigating Syringe and Tip Rubber Dam Kits
782.8C round taper diamond or equivalent
781.8C round end taper diamond or equivalent W8
TGE 1.4F end cutting diamond or equivalent
252. SC gold diamond or equivalent 254. Sc gold diamond or equivalent 8878K 016 smoothing diamond Other miscellaneous diamonds and carbides are available on request
Miscellaneous items available Gutta Percha Master cones 35-60 (.04) Gutta Percha Accessory Points FF Ribbon Sealer Paper Points Med and Fine Cotton Pellets RC Prep Endo stoppers Dental Floss Alcohol Gauze Rubber Dam Punches Matrix Bands Gloves Masks INFECTION CONTROL POLICIES AND PROCEDURES TO BE FOLLOWED DURING THE EXAM
PREPARATION AND DISINFECTING OF OPERATORIES
Clean-up and aseptic preparation of operatory is required according to the protocol outlined below, immediately following each patient encounter. Adherence to these procedures will insure that all operatories will be left in an aseptic and sanitary condition and that minimal preparation of the operatory will be required before seating a new patient.
Use plastic covers for the bracket tray, dental chair, air/water syringes, handpieces, suction hose handles and accessory arm. These covers provide the most effective protection from chemicals and microbes. Items so covered do not require surface disinfection after patient treatment unless the integrity of the cover has been compromised.
Preparation of operatories shall be performed in accordance with the following sequence of activities.
Each operatory shall be stocked with the following items:
Within each clinical area, the following items are available:
plastic covers for bracket tables, dental chairs, air/water syringes, handpieces, suction hose handles and accessory arm
disposable saliva ejectors and suction tips
puncture-resistant container for sharps disposal
Upon entering the operatory, place the rheostat on the floor, place full water bottle on unit, turn on the main switch and lower the dental chair. Remove watches and jewelry from hands and store in a safe place.
Wash hands with antiseptic soap, lather and rinse two times. Use a paper towel to avoid direct contact with the faucet handles. Put on disposable treatment gloves.
Push suction tip, air/water syringe and saliva ejector through the small plastic cover so that the tips protrude through the cover.
Test air/water syringe and suction to ensure unit activates. If plastic cover blocks activator switch in holder, simply pull plastic away from switch. Flush water through air/water syringe and handpiece for 30 seconds.
Re-hang handpiece hoses and air/water syringe in their supports.
Place disposable napkin on surface of mobile cabinet. Set out sealed instrument
cassette and supplies for the entire treatment procedure on the covered bracket table and covered mobile cabinet. Remove radiographs and information from the patient chart. Place in appropriate location in the operatory. Remove disposable gloves.
Seat the patient in the operatory. Patient use of an antiseptic mouthwash is recommended prior to treatment for reduction in patient oral bacterial count.
Put on mask and eye covering. Wash hands, put on disposable treatment gloves. Open sealed instrument cassette without contaminating instruments. Place slow, color-change sterilization indicator strip on the unit with instruments. Retain paper instrument cassette wrap.
Clean-up and disinfecting of the operatory shall be performed according to the following sequence of activities after dismissing the patient from the operatory: [Do not disinfect surfaces and items covered with plastic drape unless the plastic cover was torn during treatment.]
Wash hands with antiseptic hand soap. Rinse, dry, and put on disposable treatment gloves. Place cotton rolls, air/water syringe tip, and other disposable items from the bracket table into the inverted plastic covering the dental chair and discard.
With needle shield in place, remove covered needle from anesthetic syringe. Discard needle, anesthetic carpules, and all other sharp disposable items into puncture-resistant container. Cover for sharps container must be secured prior to removal of container from the operatory.
Account for all instruments originally found on the cassette. Return instrument cassette to paper wrap and set aside.
Spray disinfectant into a paper towel and wipe any used bottles and containers then wipe dry with paper towel.
Flush water through handpiece into sink or trash containers for 30 seconds. Remove handpiece. Remove and discard plastic covers from air/water syringe, handpiece hoses, and suction hose from the supports on the unit. Discard suction and saliva ejector tips. Place three towels in the seat of the dental chair. Lay air/water syringe, handpiece hose, and suction hose ends on paper towel on the dental chair and wipe with disinfectant.
Invert, remove, and discard plastic drape from bracket table. Remove and discard the lamp handle foil and the patient napkin covering mobile cabinet.
Wet paper towel with disinfectant spray and wipe lamp switch, lamp face, and controls that were not covered with plastic drape. DO NOT SPRAY CONTROLS DIRECTLY. Wipe surface of the mobile cabinet, uncovered arms of dental chair, exposed drawer handles, radiographic view box and switch. Discard wet paper towels.
Wipe faucet handles, sink counter top, and trash disposal openings with disinfectant and wipe dry with paper towel. Discard towel, re-spray areas with disinfectant, and leave damp.
Wipe items of clinical equipment to be returned to the dispensary with disinfectant. Let stand for 3 minutes, then wipe dry.
Remove treatment gloves. Discard in operatory trash bin. Wash hands with antiseptic hand soap, rinse, and dry with paper towel.
Place a clean saliva ejector, air/water syringe tip and suction tip into their hoses and cover with plastic drapes.
Cover the back of the dental chair with plastic drape. Cover lamp handles with foil. Cover the bracket table with plastic drape and place paper tray cover on top.
Raise the dental chair to its highest position. Hang up the rheostat on the dental unit or lay in patient chair on paper towel. Turn off the main switch.
Empty water bottle and invert on paper towel.
Return instruments (IF RENTED) to the dispensary for sterilization. If instruments were brought in, disinfect, wrap in paper towels and remove from clinic.
TREATMENT OF INSTRUMENTS A.
Only sterile instruments and handpieces may be used in patient treatment.
Please return all UNC instruments Cassettes, at the completion of treatment, in the original blue wrap. Rinse instruments in the operatory and remove excess cement and gross accumulation of debris prior to insertion into wrap. PLEASE NOTE: instruments should be returned to the cassette in a neat and orderly fashion. Handpieces and their attachments should be placed back in original peel pack and returned to the dispensary. OTHER FACILITY RULES In order to ensure a smooth-running examination, it is essential that you strictly adhere to the following rules, procedures and guidelines: ACCESS TO FACILITY
You will be allowed to enter the School of Dentistry after 6:45 am; however, candidates will NOT be allowed into the clinics until after registration has concluded. The School will be locked each night at 7:00 p.m.
STORAGE OF INSTRUMENTS AND SUPPLIES
You are reminded that there are no provisions for storing instruments, equipment, supplies and personal belongings at the Dental School, either overnight OR during the day. The School does not have space available for storage. If you leave items at the School during the examination period, you do so at your own risk!
SMOKING, FOOD AND BEVERAGES
Smoking is not permitted within the School of Dentistry. For reasons of health and sanitation, food and beverages are not permitted in patient waiting rooms or in the clinical care areas at any time. Please ensure that your patients and assistants are informed of these rules. This policy is particularly important since we will be using the new facilities at the Dental School.
A message board will be located on the third floor of Tarrson Hall, near the dispensary where telephone messages will be posted. Messages may be left by calling (919) 966-2757. Candidates are responsible for checking the board periodically for messages.
Reporting adverse events: basis for a common representation M´elanie Courtot 1 , Ryan R. Brinkman 1,2 and Alan Ruttenberg 3 1BC Cancer Agency, Vancouver, BC, Canada, 2Department of Medical Genetics, University of British Columbia,Vancouver, BC, Canada, 3School of Dental Medicine, University at Buffalo, NY, USA Abstract. Reports of adverse events aim to monitor the status of patients in clin
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