Initial periodontal therapy Mechanical and chemical plaque control Flashcards
What happens if plaque biofilm control procedures are stopped?
A: Gingivitis develops in every person within 7 to 21 days.
Q: How long does it take for gingivitis to reverse after resuming plaque control practices?
A: About 7 days.
Q: What additional cleaning method after brushing should be used once per day to prevent gingivitis?
A: Floss or other interdental cleaners.
Q: Where does plaque biofilm formation begin?
A: On the interproximal surfaces, where the toothbrush does not reach.
Q: Where do masses of biofilm first develop in the mouth?
A: In the molar and premolar areas.
Q: After molar and premolar areas, where does biofilm develop next?
A: On the proximal surfaces of anterior teeth and the facial surfaces of molars and premolars.
what are 2 plaque control methods?
- Mechanical plaque control.
Mechanical plaque control methods involve, physically removing plaque from teeth and gums through tooth brushing, flossing, interdental dental cleaning agents and water flossers. - Chemical plaque control
Chemical plaque control involves through usage of mouth washes containing antimicrobial agents which kills bacteria and fluoride, and antiplaque tooth pastes, plaque disclosing tablets or solution.
Mechanical plaque control is done via any 4?
1.Tooth brushing
2.interdental cleaning agents
. Dental floss
. Interdental brushes,
. Rubber tips
. Wooden or plastic tips
3.gingival massage
4.Water flossers
Types Of toothbrushes?
1.Manual
2.Electric
Two types of bristle material are used in toothbrushes:
1.Natural bristles from hogs
2. Artificial filaments made of nylon
3 Causes Of Abrasion?
(1) the use of hard toothbrushes
(2) vigorous horizontal brushing
(3) the use of extremely abrasive dentifrices
Toothbrushes become worn due to wear and should be replaced about every
3 to 4 mts
Electric toothbrushes are recommended for?
(1) children and adolescents;
(2) people with physical or mental disabilities;
(3) hospitalized patients, including older adults who require the assistance of caregivers for hygiene; and
(4) patients with fixed orthodontic appliances
Contents of dentrifice?
“A Wise Hero Saves Friendly Teeth”
A – Abrasives (Silicon oxides, aluminum oxides, polyvinyl chlorides)
W – Water
H – Humectants
S – Soap or detergent
F – Flavoring, Sweetening, Coloring agents
T – Therapeutic agents (Fluoride, Pyrophosphates)
. “Calculus control” toothpastes, also referred to as “tartar control” toothpastes, contain
Pyrophosphates
To prevent caries ——– containing toothpaste is used
Flouride
To control calculus or plaque ——- containing toothpaste is used ?
Pyrophosphates
Tooth brushing methods according to Pattern of motion?
1.Roll: Roll or modified Stillman
2. Vibratory: Stillman, Charters, Bass techniques.
3. Circular: Fones technique
4. Vertical: Leonard technique
5. Horizontal: Scrub technique
The method most often recommended is the ——- technique because it emphasizes the placement of the bristles at this most important area in periodontal disease
BASS
Common aids for interdental hygiene are
. Dental floss,
. Interdental brushes
. Rubber tips
. Wooden or plastic tips
Flossing technique
Start
➝ Take 12-18 inches of floss and secure it around fingers/tie in a loop.
Stretch Floss
➝ Hold tightly between thumb & forefinger or both forefingers.
Insert Floss
➝ Gently slide through each contact area with a firm back-and-forth motion.
Wrap & Clean
➝ Wrap floss around one tooth’s proximal surface, slip under marginal gingiva, move firmly up & down, slide across interdental gingiva, and repeat on the adjacent tooth.
Continue
➝ Repeat for the whole dentitio
Interdental brushes rather than dental floss are used in furcation areas because?
Furcation areas, are usually not cleaned efficiently with dental floss
What is the preferred cleaning method for interproximal embrasures with no gingival recession?
A: Dental floss is adequate for cleaning embrasures with no gingival recession.
Q: What cleaning tool is recommended for larger interproximal spaces with exposed root surfaces?
A: An interproximal brush is recommended for larger spaces with exposed root surfaces.
———— are used in mouth rinses and paste to kill bacteria that helps in plaque formation
Hydrogen peroxide or carbamide peroxide
Helps to reduce sensitivity caused by gum recession or enamel erosion the ingredients are
Potassium nitrate or strontium chloride
