2 - Non-surgical Therapy - Mechanical Home Care Flashcards
Can plaque biofilm be completely eliminated?
no
What oral hygiene measures are used to manage plaque?
- proper diet
- brush teeth 2x/day w/ F toothpaste
- mouthwash
Why is mechanical control of plaque difficult?
- bad brushing technique,
- implants/crowns/braces,
- sensitive gingiva (post-surgery),
- low dexterity (geriatric)
3 self-performed plaque controls:
- toothbrush/paste
- mouth rinse
- interdental cleaning devices
Ideal toothbrush features:
- Handle size
- Head size: _____ head is better
- Filaments are made of ______ or _____, end is _____
- ______ bristles
- Bristle patterns that enhance _______ plaque removal
- small
- nylon, polyester, rounded
- soft
- interdental
Brushing Methods: _________ Method
- 30° angle with bristles toward gingiva
- movement in coronal direction, vibrating and rolling stroke
Stillman’s
Brushing Methods: _________ Method
- 30° angle with bristles pointing toward gingiva
- movement in coronal direction with a rolling stroke
Roll or Sweep (Modified Stillman)
Brushing Methods: ________ Method
- 45° angle with bristles pointing toward gingiva
- movement with vibratory, circular motion
- ______ ______ method has additional sweeping before other motions
Bass
Modified Bass
Brushing Methods: ________ Method
- 90° (perpendicular) to tooth and gingiva
- movement in small circulatory motions
Rotational Scrub
Brushing Methods: ________ Method
- 45° angle with bristles pointing toward occlusal surface
- back and forth circular motion
- good for _______ interproximal spaces
- most ______ to do correctly
- Charter’s Method
- open
- difficult
Brushing Methods: _______ Method
- 90° angle between brush and teeth
- movement horizontally
- used for _______ surfaces
- can cause both hard and soft tissue damage at ______ areas
- Horizontal Scrub
- occlusal
- cervical
Is there a difference in the efficacy of tooth brushing methods? If so, what?
No
What effect does brushing have on interproximal areas?
very little
Rather than force your patient to adopt a specific brushing pattern, how should you advise them?
Spend time to tell them areas they’re missing so they can focus on those places
(T/F) Interdental cleaning is not regularly practiced, but patients with periodontal treatment clean interdentally more.
T
(T/F) Plaque is more common and appears earlier in interproximal areas than lingual regions.
T - interproximal is most common
What 5 interdental cleaning tools were listed?
- dental floss
- dental tape
- interproximal brushes
- toothpicks
- electrically powered cleaning aids
(T/F) - Waxed floss is more effective at cleaning than unwaxed floss because it tears less often when contacting restorations.
F - they are equally effective, but the reason is true
Proxy brushes are used for (small/large) interproximal space cleaning. Looks like augur.
large
“Go-betweens” are used for (small/large) interproximal space cleaning. Resemble toothbrush.
small
(T/F) - Tooth brushing is equally effective to flossing and proxy brushes facially, but interproximally less effective than both.
T
(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.
F
Brushing too hard can lead to ________ _______ and abrasion in the _______ region of teeth.
- gingival recession/erosion
- cervical
Cut/angled bristles cause (less/more) damage than rounded bristles.
more
How often should toothbrushes be replaced? Interproximal (2 row) brushes?
- every 9 weeks/2 months
- every 2 weeks
Electric toothbrushes: _________
- counter-rotating bristle action
- has long and short bristles
- used for cleaning around braces/dental work
- _______ cannot be used with it
- Interplak (Connair)
- regular toothpaste
Electric toothbrushes: _________
- moves in and out (40,000x/min) and side-to-side (7,000x/min)
- color coded for replacement
- 2 min timer
Braun (Oral B)
Electronic toothbrushes: _________
- no rotation, but has 31,000 strokes/min, sonic waves
- 2 min timer
- 72% plaque reduction at 12 weeks
Sonicare
(T/F) - Powered toothbrushes with rotation/oscillation provide slightly better plaque removal and may be better protection against gingival inflammation than manual toothbrushes.
T
