13 - Oral Health Care Flashcards

1
Q

Denture Cleaners

A

Ban-A-Stain Liquid
Phosphoric Acid 25%

Dentu-Cream Paste
dicalcium phosphate dehydrate / calcium carbonate / aluminum silicate

Efferdent Plus Tablets
Sodium bicarb / perborate / potassium monopersulfate / detergents

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2
Q

TYPES of Detrifices

(toothpaste)

A

Caries Prevention / Treatment
sodium fluoride

  • *Tartar Control**
  • *zinc** chloride/citrate / soluble pyrophospates
  • *Anti Plaque/Gingivitis**
  • *Triclosan (Colgage total)** = only toothpaste accepted by the ADA for this indication
  • *Whitening / Anti-Stain**
  • *Baking soda** (mild abrasive) / titanium dioxide (pigment produces brightening)
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3
Q

Non-Rx DESENSITIZING Toothpastes

A

Colgate Sensitive Multi-Protection

Colgate Sensitive Enamel Protect

Crest Sensitivity
Clinical Sensitivity Relief Extra Whitening

Sensodyne Maximum Strength w/ Fluoride

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4
Q

Carmex Lip Balm

Ingredients / Indicaiton / Directions

A

Lip Balm = 1.7% CAMPHOR + 0.7% MENTHOL
Cold Sore Treatment: 10% BENZOCAINE

For the temporary relief of
Cold Sores & Chapped Lips

AAA PRN
do NOT put on cold sores for >14 days

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5
Q

Prevention of Caries

A
  • *Control Dental Plaque**
  • *Mechanical Removal** = brush / floss

Chemical Management = Fluoride / products that remove / prevent plaque

Non-Pharmacological

DIETARY = AVOID CARIOGENIC FOODS
cariogenic food = >15% sugar –> clings to teeth -> remains in mouth

high water content is good, need to stimulate flow of saliva

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6
Q

Toothbrushing GUIDELINES

A

Brush after each meal or BID

Gentle back & forth motion, sweep AWAY from gums
45* angle @ gumline

>2 minutes covering all surfaces

Brush tongue to reduce plaque + bacteria

rinse + spit out water

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7
Q

Toothache

A

Cavitation or Decay present in tooth

  • *Intermittent SHORT / SHARP pain on stimulation**
  • may indicate reversible damage*
  • *Pain w/o stimulation**
  • may indicate IRREVERSIBLE damage*

Requires DENTAL CARE for resolution

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8
Q

Medications that –> XEROSTOMA

A

May Decrease blood flow

Anti Histamines / Decongestants

Anti Hypertensives / Diuretics

Anti Depressants / Anti Psychotics

Sedatives

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9
Q

DENTIN

A

HARD TISSUE
located beneath the Enamel

contains microscopic tubules
(small hollow tubes or canals)

when dentin loses its protective covering = enamel
then the tubules allow for heat+cold or Acid/sticky foods to
stimulate nerves / cells INSIDE the tooth –> SENSITIVITY

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10
Q

Orajel

Indications

A

Toothaches or Teething
for temporary pain relief
Apply directly to gum area affecting the tooth

CANKER SORES
Denture Irritation
/ Mouth Ulcer / Other sores
AAA AD

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11
Q

Oral Health Tips

A
  • Drink fluoridated water and brush with fluoride toothpaste.
  • Practice good oral hygiene. Brush teeth thoroughly.
  • Flossing is just as important! Even flossing 1-2 times per week can make a difference!

Visit your dentist on a regular basis every 6 months,
and for severe pain ASAP

Do not use any tobacco products and limit alcohol

•Control diabetes

•Know if your medications can cause dry mouth- consider an
alternative treatment, or care for dry mouth.

•See your doctor or a dentist if you have
sudden changes in taste and smell

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12
Q

Xerostoma

A

DRY MOUTH
Salivary flow is limited or completely stopped

Sjogren’s Syndrome
autoimmune disorder where salivary glands are partly/completely disfunctional

DM / Depression / Crohn’s
may also be prone to dry mouth
+medications

MINIMIZE = caffeine / acidic foods / alcohol / alcohol rinses

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13
Q

CHEMICAL Removal of Plaque

A

Fluoride
enhances development of fluoridated hydroxyapatite
resistant to De-mineralizing ACIDS
ALSO interferes w/ bacterial cariogenic process

Dentifrices (TOOTHPASTE)
enhances removel of dental plaque + stain
decreased incidence of dental caries + gum disease
less mouth odor & enhanced appreance

Mouth Rinses
Cosmetic + Therapeutic

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14
Q

Crown / Root

A

part of the tooth that is

VISIBLE IN THE MOUTH

Root is the
Part of the tooth that is

INSIDE THE BONE SOCKET

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15
Q

Recurrent APTHOUS STOMATITIS

(Canker Sore)

A

Likely causes are: Stress + Local Trauma
chemical irriatation / biting inside of cheek/lips
injury from brushing or braces

can NOT be cured, products only provide symptomatic relief

Minor Presentation
oval / flat ulcer / erythematous tissue around ulcer / usually 1 lesion

Major presentation
oval / ragged / grey or yellow ulcers / several lesions

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16
Q

MEDICATIONS

that INCREASE the risk of GINGIVITIS

A

Calcium Channel Blockers = CCBs

Cyclosporine

  • *Phenytoin**
  • can cause HYPERtrophy of gums*
  • *AntiCholinergics / AntiDepressants**
  • reduces salivary flow*
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17
Q

Orajel Products

Ingredients

A

Regular Strength Gel
10% benzocaine

Severe Toothache Pain Cream
20% benzocaine + 0.25% menthol

  • *Canker Sore Gel**
  • *benzocaine 15% + menthol 2%**

Mouth Sore Rinse
1.5% hydrogen peroxide

Mouth Sore GEL
benzalkonium CL 0.13% + benzocaine + zinc chloride

18
Q

Mouth Rinses

A

Rince with plaque / calcus control properties
indicated as ADJUNCT to proper flossing / brushing w/ fluoride toothpaste

COSMETIC - freshens breath & cleans debris

Plaque control ingredients:
Aromatic Oils = Antibacterial / Local Anesthetic
4* Ammonium Compounds = Antimicrobial

Listerine
1st mouth rinse accepted by ADA as non-RX Anti-plaque/gingivitise RINSE

19
Q

Pulp Chamber

A

Space INSIDE the tooth

for the

Nerve + Blood Vessels

20
Q

Herpes Simplex Labialis

SYMPTOMS

A

Cold Sores or Fever Blisters

Burning / Itching / Tingling / Numbness
@
Junction of Oral Mucosa & Skin of LIP/NOSE
several number of lesions

Red / Fluid-Filled Vesicles
that may coalese, crusted when mature

Pustules or Pus under crust, may indicate secondary bacterial infection
needs to be further evaluated

21
Q

ABREVA

Ingredients / Indecation / Direction

A

DOCOSANOL 10%

Treatment of Cold Sores or Fever Blisters
on the face or lips by shortening healing time & duration
of the tingling/pain/burning /itching

Directions:
AAA on face or lips @ the first sign of cold-sore/fever blister
Use 5x per day until healed

do NOT use for >10 days or if symptoms worsen

22
Q

EX-ST

for COLD SORES / Fever Blisters

A

Tooth Aches / Loose Teeth
Broken / knocked out teeth

Severe Tooth Pain
hot / cold / chewing

Mouth soreness

Fever / Swelling

Bleeding Gums w/o trauma

Trauma to Mouth
bleeding / swelling / soreness

23
Q

FLUORIDE PRODUCTS!!

A

ACT Anticavity Flouride Rinse

  • *•Gel-Kam Gel**
    (0. 4% stannous fluoride)
  • *•Crest Pro-Health For me Anticavity Flouride Rinse**
    (0. 022% fluoride rinse)

(0.05% sodium fluoride)

24
Q

NonRX - Mouth Rinses

A
  • *Therapeutic**
  • *Crest PRO-Health** (cetylpriindium chloride)
  • *Botanical**
  • *Listerine**

Tom’s of Maine

25
**Denture Problems** **HYYGIENE RELATED**
**Pain UNDER Dentures** usually result of **poor denture cleaning** Dentures can accumulate: **Plaque / Stain / Calculi** *simular to natural teeth* **_Chronic Atrophic Candidiasis_** most common issue, often caused by **candida albicans** that **adheres to dental base**
26
**Biotene Oral Balance** **Indication / Ingredients / Directions**
Use as needed for **DRY MOUTH** = **Xerostoma** Use **15 ml** **rinse for 30 sec --\> SPIT** **Glucose Oxidase / Lysozyme / Lactoperoxidase**
27
**Special Population Considerations**
**Infants** 20 primary teath, need to remove plaque + milk resedue **_Advanced Age_** some medications that affect oral health **_Diabetes**_ + _**Smokers_** increased risk for oral health problems
28
**Fluoride Products**
* *_ACT_** * *Anticavity Fluoride Rinse** * *_Gel-Kam Gel_** 0. 4% stannous fluoride * *_Crest Pro-health_** 0. 022% fluoride rinse
29
**Guidelines** for using **Topical Fluoride**
**ONLY ONCE A DAY** brush teeth with **fluoride dentifrice FIRST** rinse-measured amount **vigorously for ONE MINUTE** **GEL** brush gel onto teeth & **remain for 1 minute** SPIT OUT after 1 minute, **do not drink/eat for 30 minutes**
30
**SELECTED PRODUCTS Detrifices (toothpaste)**
Caries Prevention / Treatment **FLUORIDE** = **Crest Cavity Protection** Tartar Control **Colgate Tartar Protection** Anti Plaque/Gingivitis **Colgate TOTAL / Crest Multicare** Whitening / Anti-Stain **Aquafresh Whitening Gel Rembrant PLUS Premium whitening**
31
**Enamel**
**HARD - OUTER** covering of a tooth **covers the dentin** *dentist can care for damage*, since **non-living cells**
32
**Flossing Guidelines**
Pull **18in** of floss, wrap **MOST** around **middle finger** wrap remaining around **middle finger of other hand** **curve floss into C-SHAPE** gently scrabe tooth w/ floss in **up/down motion** REMINDER = **Floss behind LAST MOLARS** can cause bleeding / discomfort, but will *lessen w time & better gum health*
33
**Gingiva = Gums**
**Soft Tissue** portion of the supporting structures **protect the roots** of your teeth & **cover the teeth that have NOT yet erupted**
34
**SELECTING a toothbrush**
``` # Choose based on patient factors: **Manual Dexterity** / **Oral anatomy** / **Oral Health** ``` **SOFT** bristols are preferred, *do not damage enamel /gum* * *Electronic = Constant efficiency** * especially for disabled / advanced age w/ difficult dexterity* **REPLACE Q3 months** due to **wear + bacteria**
35
**Oral Irrigating Devices** **(WaterPIK)**
_***NOT A SUBSTITUTE** for*_ **TOOTHBRUSHING OR FLOSS** **Adjunc****t**to maintain**good oral hygiene**
36
**Herpes Simplex Labialis** **Caused by what?** **How is it spread?**
**Cold Sores** or **Fever Blisters** caused by **_HSV1_** **Contagious**, spread by **DIRECT CONTACT** kissing / sharing utensils / drinks Can be **REACTIVATED** once virus has infected host by **cold / stress / windburn / fatigue**
37
**Gum Chewing**
Indicated to **CONTROL PLAQUE** Benefits: Increased **SALIVA** **buffers acids** in mouth can be helpful for pts with **dry mouth** **recommend sugar-free** **Chew 2 Pieces of gum QD AFTER EATING**
38
What is **Gingivitis?**
**Inflammation of GUMS**, found in 20% of pop Is the **MILDEST form of PERIODONTAL DISEASE** *reversible and affects nearly everyone* May progress to significant bone loss Is from **accumulation of SUPRAGINGIVAL BACTERIAL PLAQUE** can be prevented in the same wasy as **caries**
39
**Tooth CARIES** **Definition / Risk Factors**
an **infectious disease** that affects **_calcified tissues_** of the teeth **Plaque** **bacteria** --\> acid -\> **demineralizes ENAMEL + DENTIN** = CARIES Risk factors: **Orthodontic Appliences** / **Dry Mouth** / **Gum Recession / TOBACCO** *incedence is in a decline due to* **_Fluoride_**
40
**ANBESOL** **Ingredients / Indication / Directions**
**_BENZOCAINE_** Gels or liquids ~ 10-20% benz cold sore therapy = 20% benz + 1% allntoin + 3% camphor **Temporary Pain Relief** of: **Toothache** / Teething / Braces / Denture irritation Sore gums / **Cold + Canker Sores** **/ Fever Blisters** **AAA** on or around **lips or wihthin mouth** do NOT use for **\>2 days**, *except under physician direction*
41
**Halitosis** **Bad Breath**
**90%** of cases related to **oral cause** dental caries / periodontal disease / infections / mucosal ulcers * *Prevention** * *prope**r **oral hygiene** to prevent tooth/gum problems **_Zinc Salts**_ + _**Chloride Dioxide_** most effective in **chemical prevention** of malolder **Smart-Mouth / CloSYS**
42
**Tooth HYPERSensitivity**
**Dentin becomes exposed** & **tubules become OPEN** to the oral cavity Patient experiences **pain** from: **hot/cold** + **sweet/sour** + **temperature air** Can be **PREVENTED** by: **brushing LESS vigorously** + *AVOIDING* **hypersensitivity stimuli** **_POTASSIUM NITRATE 5%_** most widely used ingredient for teeth sensitivity **Fluoride dentrifices + Supplementation** can help *contineu to use product until problem resolves*