1/12/17 Locally delivered

Question 1

What is the goal of oral hygiene?

Answer 1

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

Question 2

What are three ways that oral hygiene can be achieved?

Answer 2

• Mechanical means
• Chemical means
• Combination of means

Question 3

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

Answer 3

-Mechanical plaque control

Question 4

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

Answer 4

-Their Diet

Question 5

How deep does tooth brushing get in pockets?

Answer 5

-1 - 2 mm

Question 6

How deep does flossing go in pockets?

Answer 6

-2-3 mm

Question 7

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

Answer 7

42 days

Question 8

What are five desirable characteristics of local chemotherapeutics?

Answer 8

• Substantivity
• Low toxicity
• High potency
• Good permeability
• Intrinsic efficacy

Question 9

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

Answer 9

-Fluoride

Question 10

What is the first generation of chemotherapeutic agents?

Answer 10

-Agents that have antimicrobial activity

Question 11

What are second generation products of chemotherapeutic agents?

Answer 11

-Agents that have antimicrobial activity and proven substantivity

Question 12

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

Answer 12

-Demonstrate significant effects against gingivitis

Question 13

What are three types of topical antimicrobials?

Answer 13

• Mouthrinses
• Gels
• Dentrifices

Question 14

T/F

Chlorhexidine is a type of topical antimicrobials

Answer 14

True

Question 15

What is the gold standard of topical antimicrobials?

Answer 15

Chlorhexidine

Question 16

What is the mechanism of action of chlorhexidine?

Answer 16

-Ruptures cell membranes

Question 17

What is the substantivity of chlorhexidine?

Answer 17

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

Question 18

What is the spectrum of chlorhexidine?

Answer 18

-Effective against gram +, gram -, and yeast

Question 19

What are two common side effects of chlorhexidine?

Answer 19

• Staining

- Increased supragingival calculus

Question 20

What might chlorhexidine do to taste?

Answer 20

-Alter taste sensation

Question 21

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

Answer 21

• .12 % chlorhexidine

- 11.6% alchohol

Question 22

How much does chlorhexidine reduce plaque and gingivitis?

Answer 22

• 50-55% plaque

- 45% gingivitis

Question 23

How long should a patient rinse with chlorhexidine?

Answer 23

30 seconds with 1/2 oz

Question 24

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

Answer 24

-30 minutes

Question 25

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

Answer 25

- Sodium lauryl sulfate | - fluoride

Question 26

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

Answer 26

-Enhances wound healing

Question 27

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

Answer 27

> 90-95%

Question 28

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

Answer 28

-Listerine

Question 29

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

Answer 29

-Cell wall disruption and inhibition of bacterial enzymes

Question 30

What are the four essential oils in listerine?

Answer 30

- Thymol - Eucalyptol - Menthol - Methyl salicylate

Question 31

How long should you rise with listerine?

Answer 31

30 seconds

Question 32

What reduction in plaque and gingivitis does listerine have?

Answer 32

-20-34% in plaque | 28-34% in gingivitis