Dentrifices/Dentinal Hypersensitivity/ Oral Hygiene Aids (FINAL REVIEW) Flashcards
All ADA accepted toothpastes contain:
fluoride
No ADA accepted toothpastes contain:
sugar
Therapeutic dentrifices may include what types of toothpaste?
- Anti-cavity
- Anti-hypersensitivity
- Anti-gingivitis
Anit-caries toothpaste will contain:
fluoride
What types of fluoride might we find in anti-caries toothpaste?
Sodium Fluoride (NaF) - 0.22% at 1100 ppm
Sodium Monofluorophosphate (MFP) - 0.76% at 1000 ppm
Stannous Fluoride (SnF2) - 0.4% at 1000 ppm
Most OTC toothpastes are ___ ppm
1000 ppm
What ingredients are found in anti-hypersensitivity toothpastes?
Potassium nitrate & stannous fluoride
What is the function of potassium nitrate in anti-hypersensitivity toothpastes?
Penetrates thought length of dentinal tubules
When potassium nitrate penetrates through the length of dentinal tubules:
it demoralizes 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-gingivitis toothpaste?
stannous fluoride
Stannous fluoride has reported activity against:
- caries
- plaque (antimicrobial)
- gingivitis (gingival bleeding)
- calculus control
- sensitivity
Baking soda toothpastes contain what ingredients?
- sodium bicoarbonate
- 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 newer ingredient that is lab generated, non-toxic, biocompatible. May be used in conjunction with fluoride, and often paired with xylitol:
Hydroxyapatite
In toothpaste, hydroxyapatite is often paired with:
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 (tartar control toothpaste)
Is the ADA seal awarded for anti-calculus claims?
No
In may of 1998 guidelines for ___ products were implemented
whitening products
Whitening toothpastes control stain via:
- physical methods (abrasives)
- chemical mechanisms (surfaces active agents or bleaching/oxidizing agents)
Polishing or chemical agents that remove stain in whitening toothpastes include:
- hydrated silica
- titanium dioxide
- hydrogen peroxide
- carbide peroxide
Label whether the ADA accepts the following claims:
- Anti-caries toothpaste (with fluoride)
- Anti-hypersensitivity toothpaste (with potassium nitrate and stannous fluoride)
- Anti-gingivitis toothpaste (with stannous fluoride)
- Baking soda toothpaste (due to baking soda)
- Anti-calculus toothpaste (Crystalline growth inhibitors & soluble pyrophosphates)
- Yes
- Yes
- Yes (we think)
- No
- No
The purpose of flossing is to:
remove interproximal plaque
(NOT to dislodge food wedged between teeth)
What type of floss is being describe?
Indications: Embrasures- II & III; Loose contact; Large surface area
Advantages: tear resistant
Disadvantages: Difficult for tight contacts
waxed dental tape
What type of floss is being describe?
Indications: Embrasure -I; around rough tooth surfaces and restorations
Advantages: strength/durable; shred resistant; prevents tissue trauma
Disadvantages: Patient comfort
Waxed dental floss
What type of floss is being describe?
Indications: Embrasure-I
Advantages: easy to insert into embrasure space
Disadvantages: tears easily on contact with calculus and defective restorations
Unwaxed round floss
What type of floss is being describe?
Indications: Embrasure- II & III; fixed bridge; ortho appliances; implant prosthesis
Advantages: covers more surface area; stiff end; easier to insert
Disadvantages: requires coordination and can get caught on rough surfaces
Super floss
What type of floss is being describe?
Indications: Visual cue for plaque/debris; beginners or individuals with weak eye sight
Advantages: Motivational & educational; increases compliance
Disadvantages: None indicated
Colored floss
What type of floss is being describe?
Indications: Patients lacking motivation
Advantages: Motivational
Disadvantages: None indicated
Flavored floss
Floss holders are recommended for patients with:
- physical disabilities
- poor manual dexterity
- limited mouth opening
- large hands
- sensitive gag reflex
- difficult with manual flossing
Floss threaders are her floss is threaded through a loop and are used to carry floss:
interproximally
floss threaders are ideal for:
- abutment teeth
- beneath pontics
- ortho appliances
- teeth that are splinted together
- tight contact
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 of a platypus ortho flosser?
bracket brush
Ideal for plaque removal under poetics or ortho appliances:
super floss
Interdental brushes may also be called:
proxybrush
Interdental brushes (proxy brush) are used for:
- large embrasures
- teeth with concavities
- around fixed appliances
- ortho appliances
- furcations (class III & IV)
Rubber tip stimulators are primarily used for:
gingival massage
Describe the effects of a rubber-tipped stimulator on plaque removal:
Limited use for removing place from:
1. exposed furactions
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 gumline
Describe the bristles of a sulus brush:
soft bristles for inflamed gums
Trace along gingival margins to remove plaque in 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 attached or unattached supra/subgingival plaque:
oral irrigators
Oral irrigation is not indicated for patients who have:
effective homeware or no inflammation
T/F: Irrigation alone is effecting reducing inflammation
false
The best benefits of oral irrigation is seen:
when combined with toothbrushing
What patients might benefit from oral irrigation?
Patients with ortho appliances, bridges, or implants
What is seen in the following image?
floss holder
What is seen in the following image?
floss threaders
What is seen in the following image?
superfloss
What is seen in the following image?
platypus super floss
What is seen in the following image?
Interdental brushes (Proxybrush)
What is seen in the following image?
soft picks
Contain soft, flexible bristles; tapered to work around appliances; easy to use for patients who find flossing cumbersome; latex free:
Soft picks
Device that may help with patient motivation; helpful for patients who need handle with larger diameter:
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 is seen in the following image?
end-tuft toothbrush
What is seen in the following image?
sulcus brush
What is seen in the following image?
toothpick holders (Perio-Aid; DE-PLAK-R)
