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Dental Hygiene 1 > Costley Module 13 ch 27 > Flashcards

Costley Module 13 ch 27 Flashcards

1
Q

The composition of a tooth brush handle is most often ______ or ________

A

single plastic type

combination of polymers

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2
Q

What are tufts

A

the bristles of the toothbrush

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3
Q

The length of tufts may be _____ long and _____row wide. They can be arranged in what fashion?

A

5-12 tufts
3-4
consistent shape or varied

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4
Q

Tufts that are spaced wide allow for _______ and those spaced close allow for ______

A

easy cleaning

filaments to support each other

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5
Q

Most current toothbrushes have ______ filaments

A

nylon (synthetic)

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6
Q

Natural bristles are relatively ___, and their _______ can’t be standardized

A

unsanitary

physical qualifications

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7
Q

Filaments are also called?

A

bristles

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8
Q

Toothbrush selection factors:

Patient _______ and ______ ________

A

Age

Manual Dexterity

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9
Q

Toothbrush selection factors:
Status of ______/______ health and the
______ _______ of the gingiva

A

Gingiva/Perio

Anatomic Configuration

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10
Q

Toothbrush selection factors: (Position)

_____ contacts and _____ teeth

A

Open

Crowded

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11
Q

Toothbrush selection factors:

Patient ______ of a toothbrush may make them_________ change

A

preference

resist

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12
Q

A _______ end- _______ brush is the best

A

soft

rounded

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13
Q

Soft End-rounded brushes are more effective in cleaning the _____ areas, both ____ and _______

A

cervical
proximal
marginal

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14
Q

Soft End-rounded brushes cause less trauma to the ______ and can be directed into the _________ and into ______ areas for cleaning.

A

gingival tissue
sulcus
interproximal

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15
Q

Soft End-rounded brushes are applicable around fixed ________ and _____.

A 
orthodontic appliances 
fixation appliance (broken jaw)
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16
Q

The _____ size of a soft end-rounded brush makes it ideal for what age group

A

small

young children

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17
Q

Tooth ________ and/or gingival ________ can be prevented by using a soft end-rounded brush

A

abrasion

recession

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18
Q

Start brushing from ______ and end ______

A 
one molar
same molar (lingual)
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19
Q

What is the most difficult side for a R-handed brusher to clean

A

right side

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20
Q

The number of strokes and length of time spent on brushing depends on?

A

Pt ability and efficiency in removing bio-film

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21
Q

For many patients use of the _____ system and the _____ system together works best in removing bio-film

A

count (count to 10 slowly or 6 strokes each position)

clock (brush for 3-4 min.)

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22
Q

Sulcular Brushing Method is also called?

A

Bass Method

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23
Q

The Bass/Sulcular brushing method is widely used for biofilm removal adjacent to and directly beneath the?

A

gingival margin

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24
Q

BASS Method:
direct fillaments ______
First position sides of filaments _____
Then turn brush head toward gingival margin at a ______ angle and brush into sulcus

A

apically
parallel with long axis of tooth
45

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25
Q

BASS method:

Press _______ and vibrate brush with at least ______,very _____ strokes

A

lightly
10
short

26
Q

The Roll or Rolling Stroke Method doesn’t emphasize?

A

Sulcular cleaning

27
Q

The ROLL method:

Used for ______ or when a _____technique seems too complicated

A

children

sulcular

28
Q

The ROLL method

Meant for _____ cleaning in conjunction with?

A

general

vibratory technique

29
Q

The Roll method is useful for preparatory instruction for the ______ method

A

modified Stillman

30
Q

ROLL method: Procedure
direct filaments _______ while holding the brush so the bottom is lined up with the ____ surface of the tooth
Press filaments against ______ and roll brush slowly over the teeth _____ times

A

apically
occlusal
gingiva
5

31
Q

ROLL method: Limitations
Brushing too high can lacerate ______
Quick, sweeping strokes results in no brushing of the ______ area of tooth
If filaments are directed into gingiva ___ can occur

A

alveolar mucosa
cervical 1/3 and interproximal
punctate lesions

32
Q

The Stillman Method was designed for ___ and _____ as well as for cleaning the _____areas

A

massage
stimulation
cervical

33
Q

The filaments were half on _____ and ______ in the Stillman Method

A

gingiva

cervical areas

34
Q

The Modified Stillman incorporates a _____ with the vibratory_____ phase

A

roll

rotary

35
Q

The CHARTERS method: Purpose

Massage and stimulate ___ and ___ gingiva

A

marginal

interdental

36
Q

The Charters method: Positon of Brush

The filaments are directed toward the ___ at a _____ degree angle

A

occlusal/incisal

45

37
Q

The Charters method: Limitations
Brush ends do not engage the _____
It is more _____ because you may have to use a different method for hard to reach areas.

A

gingival sulcus

complex/high dexterity needed

38
Q

What 3 methods are used most often

A

Roll
Bass
Modified Stilman

39
Q

The Fones Technique:

Brush with teeth ______ using fast, wide, ______ motion with _____ pressure

A

closed
circular
light

40
Q

The Fones method is great for _____ but can be detrimental to ______

A

first technique for kids

adults who brush vigorously

41
Q

What two strokes are acceptable for cleaning occlusal surfaces?

A

circular (vibratory) for a count of 10

sharp quick strokes (10 times)

42
Q

The man foci for oral microorganisms are:
_____Of tongue
Gingival ____ and _____
Dental _____ on all teeth

A

Dorsum
sulci
pockets
biofilm

43
Q

Microorganisms from saliva are principally from the______

A

tongue

44
Q

What type of papillae on the tongue trap microorganisms easier

A

fungiform

45
Q

When a person has a acute oral inflammation or a traumatic lesion what changes in OHI

A

brush all areas except affected area….rinse with warm saline solution to encourage healing.

46
Q

You want to avoid ____, ____ brushing of an area after periodontal surgery so as to not displace______

A

direct
vigorous
dressings

47
Q

Lack of oral cleanliness is a major contributing factor to acute stages of ______

A

necrotizing ulcerative gingivitis

48
Q

Acute Alterations of gingiva are usually ______ or _____

A

lacerations

ulcerations

49
Q

Appearance of Acute Alterations of gingiva include _____ epi surface with _____ underlying connective tissues.
____ lesions (red pinpoint spots)
_____ redness and _______ attached gingiva

A 
scuffed
denuded
punctate
diffuse
denuded
50
Q

Chronic alterations of the gingiva deal with changes in the gingival _______

A

contour

51
Q

Examples of types of Chronic Alterations to the Gingiva?

A

McCall’s Festoon gingiva (rolled)

Stillman’s cleft gingiva (slit-like)

52
Q

The location of chronic alterations of the gingiva are usually on the ______ gingiva and frequently ______ related to the right/left handedness

A

facial

inversely

53
Q

Recession is when the gingival margin moves________ exposing ________

A

apically

root surface

54
Q

Abrasion is the wearing away of tooth structure due to ______ forces

A

mechanical

55
Q

Most common cause of Tooth Abrasion

A

incorrect brushing with abrasive tooth-paste

56
Q

Abrasion is primarily on _____ surfaces, especially of ___, _____, and sometimes ____

A

facial
canines
premolars
first molars

57
Q

Bacteremia can be produced by _____ and _____

A

scaling

toothbrushing

58
Q

Tooth brushes should be replaced every ______ months

A

2-3

59
Q

Brush contaminations occurs with every use and has the potential for causing __ or __ infection

A

localized

systemic

60
Q

Rotational power brushes move in a ___ motion

A

360 degree circular

61
Q

The tongue can be cleaned by ______ or __ methods

A

brushing

tongue scrapper

Dental Hygiene 1 (26 decks)

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