Chapter 25: Interdental and Supplemental Oral Self-Care Devices Flashcards
Removal of plaque biofilm from spaces
where toothbrushing does not reach is
important for following reasons:
- To prevent periodontal disease
- To prevent halitosis
Interdental devices include:
Interdental brushes, floss holders, power flossers
When are other methods of interdental cleaning needed?
When the interdental gingiva is reduced or missing and embrasures are open
The interdental gingival area favors mature bacterial biofilm growth that causes periodontal inflammation; therefore it is usually the first to show signs of host response. True or false?
True
Some clinical trials have shown that alternatives to manual floss like interdental brushes, floss holders, power flossers are as effective or more effective than dental floss at removing biofilm. True or false?
True
Expert opinion states that for patients with periodontal disease the recommended 2 minutes of brushing is insufficient, especially when adding interdental cleaning. True or false?
True
In patients with gingivitis, 1x daily interdental cleaning is recommended, along with use of antimicrobial plaque control agents. True or false?
True
What type of embrasure is completely occupied with healthy interdental papilla?
Type I
What type of embrasure is occupied 75% by the gingiva?
Type II
What type of embrasure is occupied 50% by the gingiva?
Type III
Today’s dental floss is made of what?
synthetic material monofilaments or multifilament (e.g. nylon)
What’s the benefit of a coated monofilament type of floss?
It slides easily between teeth and doesn’t fray
What’s the difference between the monofilament and the multifilament type of floss?
Multifilament allows for separation of the fibers and may fray
Recommendations of waxed or unwaxed floss are based on what?
The patient’s ease of use or preference (no studies show difference in effectiveness)
A ribbon wider and flatter than conventional dental floss. The flat-sided surface of this type of floss is preferred when the surface area to floss is large.
Dental tape
Variable-diameter dental floss has been found to be equally as effective as waxed dental floss for removing plaque biofilm.
Tufted dental floss
Is designed to have three continuous segments, length of waxed or unwaxed floss, shorter segment of cylindric, nylon meshwork, and a rigid nylon needle that can be threaded under bridges, ortho wires, etc.
Tufted dental floss
Has more surface area than traditional dental floss for collecting plaque and removing it from teeth, intended for cleaning larger embrasures or fixed prosthetic
Braided floss
Two primary methods of dental flossing are?
The spool method and the loop method
Typical method of flossing with 12-18 inch long piece of floss, thumb and index finger grasp floss firmly, use inch of floss between fingertips, etc.
Spool method
Use floss piece 8-10 inches long, tie two ends together in a knot, then follow same steps as the spool method
Loop flossing
Using a floss holder is just as effective at reducing gingivitis as string floss without a holder. True or false?
True
Produces compression and decompression action that allows the irrigant to reach subgingivally.
Hydrokinetic activity
A standard jet tip has been found to reach what percentage of pockets from 0 to 3mm.
71%
