1/12/17 Locally delivered Flashcards

1
Q

What is the goal of oral hygiene?

A

-Provide an environment that encourages normal flora and prevents growth of pathogenic flora

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2
Q

What are three ways that oral hygiene can be achieved?

A
  • Mechanical means
  • Chemical means
  • Combination of means
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3
Q

What is the primary method used to prevent dental diseases and maintain oral health?

A

-Mechanical plaque control

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4
Q

What is the first thing you want to talk to a patient about when trying to educate them about having caries?

A

-Their Diet

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5
Q

How deep does tooth brushing get in pockets?

A

-1 - 2 mm

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6
Q

How deep does flossing go in pockets?

A

-2-3 mm

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7
Q

How many days does it take to go from healthy flora to pathogenic flora?

A

42 days

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8
Q

What are five desirable characteristics of local chemotherapeutics?

A
  • Substantivity
  • Low toxicity
  • High potency
  • Good permeability
  • Intrinsic efficacy
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9
Q

What is the first thing you should prescribe a person if they have rampant caries?

A

-Fluoride

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10
Q

What is the first generation of chemotherapeutic agents?

A

-Agents that have antimicrobial activity

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11
Q

What are second generation products of chemotherapeutic agents?

A

-Agents that have antimicrobial activity and proven substantivity

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12
Q

The ADA seal for chemotherapeutics require that is must do what?

A

-Demonstrate significant effects against gingivitis

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13
Q

What are three types of topical antimicrobials?

A
  • Mouthrinses
  • Gels
  • Dentrifices
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14
Q

T/F

Chlorhexidine is a type of topical antimicrobials

A

True

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15
Q

What is the gold standard of topical antimicrobials?

A

Chlorhexidine

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16
Q

What is the mechanism of action of chlorhexidine?

A

-Ruptures cell membranes

17
Q

What is the substantivity of chlorhexidine?

A

-Binds to soft tissues (30% retained after 8-12 hrs)

18
Q

What is the spectrum of chlorhexidine?

A

-Effective against gram +, gram -, and yeast

19
Q

What are two common side effects of chlorhexidine?

A
  • Staining

- Increased supragingival calculus

20
Q

What might chlorhexidine do to taste?

A

-Alter taste sensation

21
Q

What is the percentages of products in chlorhexidine in the US?

A
  • .12 % chlorhexidine

- 11.6% alchohol

22
Q

How much does chlorhexidine reduce plaque and gingivitis?

A
  • 50-55% plaque

- 45% gingivitis

23
Q

How long should a patient rinse with chlorhexidine?

A

30 seconds with 1/2 oz

24
Q

How long should a patient wait to brush their teeth after using chlorhexidine?

A

-30 minutes

25
Q

What two products in toothpaste may reduce the effectiveness of Chlorhexidine?

A
  • Sodium lauryl sulfate

- fluoride

26
Q

What does Chlorhexidine do with wound healing if used as a pre-rinse for extractions, scaling and root planing, and periodontal surgeries?

A

-Enhances wound healing

27
Q

A 30-60 second pre-rinse with chlorhexidine can reduce the bacterial load by how much?

A

> 90-95%

28
Q

What is the main phenolic related essential oils treatment that is used as a topical antimicrobial?

A

-Listerine

29
Q

What is the method of action of listerine (essential oils)?

A

-Cell wall disruption and inhibition of bacterial enzymes

30
Q

What are the four essential oils in listerine?

A
  • Thymol
  • Eucalyptol
  • Menthol
  • Methyl salicylate
31
Q

How long should you rise with listerine?

A

30 seconds

32
Q

What reduction in plaque and gingivitis does listerine have?

A

-20-34% in plaque

28-34% in gingivitis