Fixed appliances

Question 1

Fixed appliances

Answer 1

every tooth is incorporated so a lot of stagnation areas + potential for oral damage. Routine twice daily brushing alone is insufficient to maintain adequate standards + special instructions + techniques are recommended

Question 2

The nurse should

Answer 2

give following advice to pt + parent or guardian as they will be responsible for supervising oral hygiene techniques + necessary diet control between appts.
can demo on model with fixed appliance + allow pts to follow actions in their mouth

Question 3

1.

Answer 3

careful manual toothbrushing should be carried out after each meal - should not be vigorous scrubbing as likely to dislodge parts of the appliance
good quality electric toothbrushes such as sonicare + oral B may be safely used instead

Question 4

2.

Answer 4

Fluoridated toothpaste must always be used

as well as fluoride mouth wash daily, to minimise risk of decalcification

Question 5

3.

Answer 5

daily use of interdental brushes to clean around each bracket individually
avoidance of cariogenic + acidic foods + drinks for the full period of trt
avoidance of sticky foods

Question 6

4.

Answer 6

Regular use of disclosing tablets, to highlight problematic areas where plaque is being retained + thus minimise risk of decalcification