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Field Guide · Domain I · 15%

Evaluation, condensed

Every Domain I fact worth knowing, in one pass: the polish-vs-prophy line, four deposits, the stain taxonomy, the mouth map, and the pre-polish checks.

5 lessons distilled 15% of the exam ★ Half of Domain I is the polish-vs-prophy distinction
Every image in this domain · tap to jump back to the lesson
1 · Polish vs. Prophy teaching image1 · Polish vs. Prophy 2 · Deposits teaching image2 · Deposits 3 · Stains teaching image3 · Stains 5 · Restorations teaching image5 · Restorations
1The one distinction

Polish vs. prophy — the exam’s anchor.

Coronal polishing removes plaque + extrinsic stain from the clinical crowns — nothing hard, nothing subgingival, nothing diseased. An oral prophylaxis includes scaling (calculus removal) and belongs to the dentist or hygienist. Polishing is not a prophy, not "a cleaning," and never removes calculus.

2The four deposits
DepositPolishable?
glossy tooth with thin protective filmPellicle — salivary protein film
Yes (re-forms in minutes)bacteria attach to it to start plaque
🦠Plaque — soft living biofilm
Yes — prime targetcauses caries and gingivitis
tooth with hard crusty mineralized calculusCalculus — mineralized plaque
No — scaling onlydentist or hygienist
tooth with loose soft white debrisMateria alba — loose white debris
Yes — rinses awayeasily displaced
3Stains at a glance
StainClass
Coffee / tea / tobacco / chlorhexidine
Extrinsic · exogenous — polishablesurface stains, however dark
tooth with green chromogenic stain bandGreen/orange (chromogenic bacteria, kids)
Extrinsic · exogenous — polishablecervical thirds, poor hygiene
💊Tetracycline / fluorosis / pulpal trauma
Intrinsic · endogenous — NOT polishablebuilt into the tooth; whitening/restoration territory

Rule: polishing removes extrinsic stains only. Ex = out (comes out) · In = built in (stays in).

4The mouth, mapped

2 arches · 4 quadrants · 6 sextants. Dentitions: primary (20, A–T), mixed (~6–12 yrs), permanent (32, 1–32). Universal numbering runs a horseshoe from the patient's upper right (#1) → #16 (upper left) → #17 (lower left) → #32 (lower right). Anchors: #8/#9 upper centrals, #24/#25 lower centrals. Surfaces: facial, lingual, occlusal/incisal, proximal (mesial = toward midline, distal = away).

5Evaluate before you polish

History first: antibiotic premedication (confirm taken), sodium restriction & respiratory disease (air-polishing flags), illness, sensitivity. Then the crowns: coarse abrasives permanently scratch amalgam, composite, gold, and porcelain glaze — finest agent, lightest touch, shortest time around restorations, or skip them.

Trap check
"Removes plaque and extrinsic stain from clinical crowns"coronal polishing
"Which deposit requires scaling?"calculus
"Re-forms within minutes"the pellicle
"Antibiotic taken during tooth development"tetracycline — intrinsic, endogenous
"Tooth #17"mandibular left third molar
"First step before polishing"review the health & dental histories
Self-test
Which is TRUE of coronal polishing?
Plaque and extrinsic stain, clinical crowns, nothing more. Calculus = scaling; intrinsic stain = inside the tooth; a prophy = a licensed provider’s procedure.
Self-test
A gray-brown banded discoloration across most teeth, from childhood antibiotics, is:
Tetracycline stain — intrinsic, endogenous, permanent. No polish reaches color bound into dentin.
Read the mouth first — then pick up the handpiece.

Review the full lessons any time, or head back to your dashboard.

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