13 - Oral Health Care Flashcards
Denture Cleaners
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
TYPES of Detrifices
(toothpaste)
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)
Non-Rx DESENSITIZING Toothpastes
Colgate Sensitive Multi-Protection
Colgate Sensitive Enamel Protect
Crest Sensitivity
Clinical Sensitivity Relief Extra Whitening
Sensodyne Maximum Strength w/ Fluoride
Carmex Lip Balm
Ingredients / Indicaiton / Directions
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
Prevention of Caries
- *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
Toothbrushing GUIDELINES
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
Toothache
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
Medications that –> XEROSTOMA
May Decrease blood flow
Anti Histamines / Decongestants
Anti Hypertensives / Diuretics
Anti Depressants / Anti Psychotics
Sedatives
DENTIN
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
Orajel
Indications
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
Oral Health Tips
- 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
Xerostoma
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
CHEMICAL Removal of Plaque
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
Crown / Root
part of the tooth that is
VISIBLE IN THE MOUTH
Root is the
Part of the tooth that is
INSIDE THE BONE SOCKET
Recurrent APTHOUS STOMATITIS
(Canker Sore)
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
MEDICATIONS
that INCREASE the risk of GINGIVITIS
Calcium Channel Blockers = CCBs
Cyclosporine
- *Phenytoin**
- can cause HYPERtrophy of gums*
- *AntiCholinergics / AntiDepressants**
- reduces salivary flow*
Orajel Products
Ingredients
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
Mouth Rinses
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
Pulp Chamber
Space INSIDE the tooth
for the
Nerve + Blood Vessels
Herpes Simplex Labialis
SYMPTOMS
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
ABREVA
Ingredients / Indecation / Direction
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
EX-ST
for COLD SORES / Fever Blisters
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
FLUORIDE PRODUCTS!!
•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)
NonRX - Mouth Rinses
- *Therapeutic**
- *Crest PRO-Health** (cetylpriindium chloride)
- *Botanical**
- *Listerine**
Tom’s of Maine