Dentrifices/Dentinal Hypersensitivity/ Oral Hygeine Aids (Final Review) Flashcards
All ADA accepted toothpastes contain:
fluoride
No ADA accepted toothpaste contains:
sugar
Therapeutic denitrifices may include what types of toothpastes?
- anti-cavity
- anti-hypersensitivty
- anti-gingivitis
Anti-caries toothpastes will contain:
fluoride
What types of fluoride might we find in anti-caries toothpastes?
Sodium fluoride (NaF) - 0.22% at 1,1000 ppm
Sodium monofluorophosphate (MFP)- 0.76% at 1,000 ppm
Stannous fluoride (SnF2)- 0.4% at 1000 ppm
Most OTC toothpastes are ____ ppm
1,000
What ingredients are found in anti-hypersensitive toothpastes?
Potassium nitrate & Stanous fluoride
What is the function of potassium nitrate in anti-hypersensitivity toothpastes?
Penetrates through the length of the dentinal tubules
When potassium nitrate penetrates through the length of the dentinal tubules, it:
depolarizes sensory nerve endings
What is the function of stannous fluoride in anti-hypersensitivity toothpastes?
Blocking of exposed dentinal tubules
What can be found on toothpastes that function in anti-hypersensitivity?
ADA seal
What ingredient can be found in anti-gingitivis toothpastes?
Stannous fluoride
Stannous fluoride has reported activity against:
- caries
- plaque (antimicrobial)
- gingivitis (gingival bleeding)
- calculus control
- sensitivity
Baking soda toothpastes contain what ingredients?
- sodium bicarbonate
- silicate
- fluoride
Will baking soda toothpastes have the ADA seal?
Maybe - but NOT due to baking soda effects
T/F: Baking soda toothpastes are no more effective than regular toothpastes
True
A new ingredient that is lab generated, nontoxic and biocompatible. Maybe used in conjunction with fluoride and often paired with Xylitol:
Hydroxyapatite
Hydroxyapatite is often paired with _____ in toothpastes
Xylitol
In tartar control (anti-calculus) toothpastes, what interrupts the process of mineralization?
Crystalline growth inhibitors
Soluble pyrophosphates are found in what type of toothpaste?
Anti-calculus toothpastes
Is the ADA seal awarded for anti-calculus claims?
no
In may of 1998 guidelines for ____ products where implemented
whitening
Whitening toothpaste control stain via:
- physical methods (abrasive)
- chemical mechanisms (surface active agents or bleaching/oxidizing agents)
Polishing or chemical agents that remove stain in whitening toothpastes include:
- hydrated silica
- titanium dioxide
- hydrogen peroxide
- carbamide peroxide
Label whether the ADA accepts the following claims:
- Anti-caries toothpastes (with fluoride)
- Anti-hypersensitivity toothpastes (with potassium nitrate & stannous fluoride)
- Anti-gingivitis toothpastes (with stannous fluoride)
- Baking soda toothpastes (due to baking soda)
- Anti-calculus toothpastes (Crystalline growth inhibitor & soluble pyrophosphates)
- yes
- yes
- yes (we think)
- no
- no
The purpose of flossing is to:
remove interpoximal plaque
(NOT to dislodge food wedged between teeth)
What type of floss is being described?
Indications: Embrasures-II & II; Loose contact; Large surface area
Advantages: Tear resistant
Disadvantages: Difficult for tight contact
Waxed dental tape
What type of floss is being described?
Indications: Embrasure-I; Around rough tooth surfaces & restorations
Advantages: Strength/durable; Shred resistant; Prevents tissue trauma
Disadvantages: Patient comfort
Waxed dental floss
What type of floss is being described?
Indications: Embrasure-I
Advantages: Easy to insert into embrasure space
Disadvantages: Tears easily on contact with calculus & defective restorations
Unwaxed round floss
What type of floss is being described?
Indications: Embrasure-II & III; Fixed bridge, ortho appliances, implant prosthesis
Advantages: Covers more surface area; Stiff end; Easier to insert
Disadvantages: Requires coordination & can get caught on rough surfaces
Super floss
What type of floss is being described?
Indications: Visual cue for plaque/debris; Beginners or individuals with weak eyesight
Advantages: Motivational & education; Increases compliance
Disadvantages: None indicated
Colored floss
What type of floss is being described?
Indications: Patients lacking motivation
Advantages: Motivational
Disadvantages: None indicated
Flavored floss
Floss holders are recommended for patents with:
- physical disabilities
- poor manual dexterity
- limited mouth opening
- large hands
- sensitive gag reflex
- difficulty with manual flossing
Floss threaders are when floss is threaded through a loop & are used to carry floss:
interproximally
Floss threaders are ideal for:
- abutment teeth
- beneath pontics
- ortho appliances
- teeth that are splinted together
- tight contacts
Created to floss around orthodontic brackets:
Platypus ortho flosser
In a platypus ortho flosser, floss is spread between:
two spatula ends
What is on the opposite end of a platypus ortho flosser?
Bracket brush
Ideal for plaque removal under pontics or ortho appliances:
super floss
Interdental brushes may also be called:
Proxybrush
Interdental bruses (Proxybrush) are used for:
- large embrasures
- teeth with concavities
- around fixed appliances
- ortho appliances
- furcations (class III & IV)
Rubber-tipped stimulator is primarily used for:
gingival massage
Describe the effects of a rubber-tipped stimulator on plaque removal:
Limited use for removing plaque from:
1. exposed furcations
2. along gingival margins
3. open embrasures
End-tuft toothbrushes are useful for:
Difficult to reach places
End-tuft toothbrushes are used for difficult to reach places including:
- around ortho appliances
- around pontics
- lingual of crowded anterior teeth
- distal of most posterior teeth
- wide embrasure spaces
- exposed furcations
Describe a sulcus brush:
A more narrowed brush head to fit along the gum line
Describe the bristles of a sulcus brush:
soft bristles for inflamed gums
Trace along the gingival margins to remove plaque in the sulcus/pockets:
Toothpick holders (Perio-aid & D-PLAK-R)
What are examples of toothpick holders:
Perio-aid & D-Plak-R
Toothpick holders may be used along:
- crown margins
- accessible furcations
- concave proximal surfaces
- ortho appliances
Can result in disruption of loosely attache or unattached supra/subgingival plaque:
Oral irrigators
Oral irrigators are not indicated for patient who have:
effective home care or no inflammation
T/F: irrigation alone is effective in reducing inflammation
false
The best benefits of oral irrigation is seen when:
combined with toothbrushing
What patients may benefit from oral irrigation?
Patients with ortho appliances, bridges or implants
What can be seen in the following image?
Floss holders
What can be seen in the following image?
Floss threaders
What can be seen in the following image?
Super floss
What can be seen in the following image?
Platypus ortho flossers
What can be seen in the following image?
Interdental brushes (Proxybrush)
What can be seen in the following image?
Softpicks
Contain soft, flexible bristles; tapered to work around appliances; easy to use for patients who find flossing cumbersome; latex free:
Softpicks
Device that may help with patient motivation; helpful for patient who need larger diameter handle:
automated flosser
What can be seen in the following image?
Automated flosser
What can be seen in the following image?
Rubber-tipped gum stimulator
What can be seen in the following image?
End-tuft toothbrush
What can be seen in the following image?
Sulcus brush
What can be seen in the following image?
Toothpick holders (Perio-aid, D-PLAK-R)