Lecture 3- Seminar on Prev. and control of perio diseases Flashcards
… is the extent in which an intervention does more good than harm under ideal circumstances
efficacy
…. is the extent in which an intervention does more good than harm when provided under usual circumstances of health care practice
effectiveness
supragingival and subgingival (….) instrumentation is necessary to accomplish baseline health for …. reduction
(if indicated)
plaque biofilm
how often should visits be for plaque biofilm reduction?
based on factors/indicators: poor OH hx perio dz CAL Furcation smoking diabetes
steps to deal with dentin sensitivity
toothpaste
gel/varnish/mouthwash
soft tissue surgery
root canal
does SRP causes sensitivity
yes 1 week
what is the problem with interdental flossing
technique sensitive
some evidence that reduces gingivitis as adjunct to brushing
low compliance
T/F interdental brushes remove plaque better than flossing
true (but cant use when healthy b/c not enough space)
powered interdental devices are good for
implants
does it matter if a patient uses water vs. mouthwash
matters for specific patients (caries, gingivitis)
do we need to rinse to control plaque accumulation
depends on the case
what is the etiology of halitosis
intra-oral
extra-oral
pseudo
transient
can we treat halitosis with mouthrinses
by iteself no, mechanical needed as well
motivational interviews vs. traditional OHI- difference?
OARS (open-ended question, affirmations, reflections and summary) allows you to let the patient do the talking and discover what is important to them. Then you have the chance to link this finding to their oral health
vs.
something is wrong with you and i’m going to fix it