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Perio 2 > 2 - Non-surgical Therapy - Mechanical Home Care > Flashcards

2 - Non-surgical Therapy - Mechanical Home Care Flashcards

1
Q

Can plaque biofilm be completely eliminated?

A

no

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2
Q

What oral hygiene measures are used to manage plaque?

A
  • proper diet
  • brush teeth 2x/day w/ F toothpaste
  • mouthwash
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3
Q

Why is mechanical control of plaque difficult?

A
  • bad brushing technique,
  • implants/crowns/braces,
  • sensitive gingiva (post-surgery),
  • low dexterity (geriatric)
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4
Q

3 self-performed plaque controls:

A
  • toothbrush/paste
  • mouth rinse
  • interdental cleaning devices
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5
Q

Ideal toothbrush features:

  1. Handle size
  2. Head size: _____ head is better
  3. Filaments are made of ______ or _____, end is _____
  4. ______ bristles
  5. Bristle patterns that enhance _______ plaque removal
A
  1. small
  2. nylon, polyester, rounded
  3. soft
  4. interdental
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6
Q

Brushing Methods: _________ Method

  • 30° angle with bristles toward gingiva
  • movement in coronal direction, vibrating and rolling stroke
A

Stillman’s

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7
Q

Brushing Methods: _________ Method

  • 30° angle with bristles pointing toward gingiva
  • movement in coronal direction with a rolling stroke
A

Roll or Sweep (Modified Stillman)

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8
Q

Brushing Methods: ________ Method

  • 45° angle with bristles pointing toward gingiva
  • movement with vibratory, circular motion
  • ______ ______ method has additional sweeping before other motions
A

Bass

Modified Bass

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9
Q

Brushing Methods: ________ Method

  • 90° (perpendicular) to tooth and gingiva
  • movement in small circulatory motions
A

Rotational Scrub

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10
Q

Brushing Methods: ________ Method

  • 45° angle with bristles pointing toward occlusal surface
  • back and forth circular motion
  • good for _______ interproximal spaces
  • most ______ to do correctly
A
  • Charter’s Method
  • open
  • difficult
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11
Q

Brushing Methods: _______ Method

  • 90° angle between brush and teeth
  • movement horizontally
  • used for _______ surfaces
  • can cause both hard and soft tissue damage at ______ areas
A
  • Horizontal Scrub
  • occlusal
  • cervical
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12
Q

Is there a difference in the efficacy of tooth brushing methods? If so, what?

A

No

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13
Q

What effect does brushing have on interproximal areas?

A

very little

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14
Q

Rather than force your patient to adopt a specific brushing pattern, how should you advise them?

A

Spend time to tell them areas they’re missing so they can focus on those places

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15
Q

(T/F) Interdental cleaning is not regularly practiced, but patients with periodontal treatment clean interdentally more.

A

T

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16
Q

(T/F) Plaque is more common and appears earlier in interproximal areas than lingual regions.

A

T - interproximal is most common

17
Q

What 5 interdental cleaning tools were listed?

A
  • dental floss
  • dental tape
  • interproximal brushes
  • toothpicks
  • electrically powered cleaning aids
18
Q

(T/F) - Waxed floss is more effective at cleaning than unwaxed floss because it tears less often when contacting restorations.

A

F - they are equally effective, but the reason is true

19
Q

Proxy brushes are used for (small/large) interproximal space cleaning. Looks like augur.

A

large

20
Q

“Go-betweens” are used for (small/large) interproximal space cleaning. Resemble toothbrush.

A

small

21
Q

(T/F) - Tooth brushing is equally effective to flossing and proxy brushes facially, but interproximally less effective than both.

A

T

22
Q

(T/F) - Brushing for 4 minutes will give the patient a better cleaning than if they brush for 2, because more plaque will be removed.

A

F

23
Q

Brushing too hard can lead to ________ _______ and abrasion in the _______ region of teeth.

A
  • gingival recession/erosion

- cervical

24
Q

Cut/angled bristles cause (less/more) damage than rounded bristles.

A

more

25
Q

How often should toothbrushes be replaced? Interproximal (2 row) brushes?

A
  • every 9 weeks/2 months

- every 2 weeks

26
Q

Electric toothbrushes: _________

  • counter-rotating bristle action
  • has long and short bristles
  • used for cleaning around braces/dental work
  • _______ cannot be used with it
A
  • Interplak (Connair)

- regular toothpaste

27
Q

Electric toothbrushes: _________

  • moves in and out (40,000x/min) and side-to-side (7,000x/min)
  • color coded for replacement
  • 2 min timer
A

Braun (Oral B)

28
Q

Electronic toothbrushes: _________

  • no rotation, but has 31,000 strokes/min, sonic waves
  • 2 min timer
  • 72% plaque reduction at 12 weeks
A

Sonicare

29
Q

(T/F) - Powered toothbrushes with rotation/oscillation provide slightly better plaque removal and may be better protection against gingival inflammation than manual toothbrushes.

A

T

Perio 2 (15 decks)

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