Chapter 21 Flashcards
Oral Hygiene
aspiration
breathing in fluid / vomitus / foreign object into lungs
dentures
removable replacement for missing teeth
hygiene
cleanliness practices that promote health / prevent disease
oral hygiene
practices promote healthy tissue / structure of the mouth; mouth care
main 3 parts of tooth
- crown; outer enamel
- neck; part surrounded by gums
- root; part fitting into the jaw bone
3 layers of the tooth
- enamel; hard outer layer
- dentin; softer layer
- nerves / blood vessels
purpose of oral hygiene
- reduce risk of tooth decay (cavities) and periodontal (gum) disease
- reduce plaque / tartar build-up
periodontal diease
disease of the gums; hums are inflamed / swollen and can loosed teeth leading to tooth loss
what information do you need before giving oral hygiene care ?
- what kind of care (denture, unconscious, etc.)
- if flossing is needed
- equipment needed
- how often / when care is needed
observations to report / record
- inflamed / swollen / blistered lips
- odor
- irritation redness sores / white patches
- bleeding
- loose teeth / painful areas
- loose / chipped dentures
- discomfort
why do you follow Bloodborne Pathogen Standard when giving care ?
- gums may bleed during care
- mouth contains many microbes
flossing
- clean in-between teeth
- prevent gum disease
ADA recommends AT LEAST once a day
equipment needed to give care to aware / awake person ?
- soft bristle toothbrush
- toothpaste
- floss, etc.
- mouthwash, etc.
- kidney basin
- water cup
- tissue / towel
- gloves
- straw
who do you give oral care to ?
- weak
- cannot move / use arms
- too confused to brush teeth
mouth care for unconscious person ?
1) position person on their side
2) use small amount of fluid at a time
3) do not insert dentures
care at least every 2 hours
how to use sponge swabs for unconscious person ?
- sponge pad is tight to avoid falling off and causing aspiration
- pressing the sponge against the side of cup to squeeze out excess solution
complete (full) denture
false teeth: denture replaces entire upper / lower jaw
partial denture
false teeth; dentures places only some missing teeth
how to remove dentures ?
1) grasp dentures w/ pointer finger and thumb using gauze
2) wriggle up and down until seal is broken
3) gently remove and place dentures in kidney basin
how to clean dentures properly ?
1) rinse denture container
2) line sink w/ towel and fill half w/ water
3) rinse under cool / warm water NEVER hot water
4) brush dentures w/ cleaning solution in kidney basin
5) put dentures back in denture container and fill with cool / warm water
what will you never do when cleaning dentures ?
- never use hot water to clean
- never carry them in your hand; only use containers
- never rinse in the filled sink water; ALWAYS running water
how to apply dentures ?
1) apply denture adhesive; follow manufacturer instructions on how much
2) hold using index finger and thumb
3) pull back lip
4) gently insert dentures
5 press on denture w/ index finger to make sure it is in place
what parts of dentures will you clean w/ brush ?
- inner / outer chewing surface
- surface that touches gums (rim??)
