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Dental Hygiene III > Mod 8 Test 2 > Flashcards

Mod 8 Test 2 Flashcards

1
Q

what is oral irrigation

A

targeted application of water or other irrigation for preventative or theraputic use

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2
Q

what kinds of streams are there for oral irrigators

A

pulsated or steady stream

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3
Q

what are the 2 types of applications of oral irrigation

A

professional applied or home use

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4
Q

what is used in the 2 types of oral irrigaton

A

stannous fl2, peridex, listerine

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5
Q

what kinds of people should be using home oral irrigation

A

-chronic gingivitis
dont like to floss
poor home care

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6
Q

what are qualities of power driven irrigators

A

intermittent/pulsating jet
adjustable flow and pressure
attached to a resivoir

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7
Q

what are qualities of non power driven irrigators

A

non pulsating
attaches to water faucet or shower
cant control flow or pressure

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8
Q

what range should the patients have their power driven irrigator at

A

mid range

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9
Q

what kind of irrigating syringes are there

A

disposable syringe

pre-sterilized cannula

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10
Q

how long do pre sterilized cannulas work

A

one time use

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11
Q

how long does a disposable irrigating syringe last

A

2-3 months

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12
Q

what do you need to make sure of when sending a patient home with a disposable irrigating syringe

A

make sure they have dexterity, compliance and good instruction

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13
Q

what are the advantages of patient applied irrigation

A
  • removal of LOOSELY attached gingiva
  • special needs areas (braces)
  • decompression phase of pulsating stream
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14
Q

what are the disadvantages of patient applied irrigaton

A
  • dexterity issues
  • limited reach
  • possible tissue trauma
  • pt compliance
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15
Q

what angle do you want to the tissue w/ mechanical irrigaton

A

90 degree

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16
Q

what are the 3 types of professional subgingival irrigation

A
  • disposable hand syringe
  • specially designed jet irrigator
  • air driven irrigation
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17
Q

what are the uses of professionally delivered irrigation

A
  • post root debridement during non surgical perio therapy
  • perio maint appt
  • acute perio infections
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18
Q

what are the agents used for professionally delivered subging irrigation

A
  • CHX
  • water
  • stannous fluoride
  • listerine
  • herbal solution
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19
Q

what are examples of of CHX

A

peridex, perioguard

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20
Q

what is the substantivity of CHX

A

8-12 hrs

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21
Q

what is almost as effective as CHX if it is used every day

A

water

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22
Q

what is an example of a irrigator that is an essential oil

A

listerine

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23
Q

what is the substantivity of listerine

A

2 hrs

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24
Q

what are the uses of chemotheraputic mouth rinses

A
  • pre tx rinse to control microorganisms in aerosols
  • biofilm control
  • reduce inflammation
  • dental caries prevention
  • remineralize
25
what are the advantages of oral rinsing
easy more effective for anterior teeth than posterior conrols malodor
26
what are the disadvantages of oral rinsing
little effect subgingivally (irrigation better) | high alcohol content
27
dont assume pt knows how to rinse correctly
give instructions
28
what should you present to your pt PRIOR to therapy*
- taste alteration - staining - alcohol content - length of use - expense - availability
29
when should you eat when you are rinsing
you should eat before because of taste alteration
30
how long should a pt rinse when they are rinsing to fight caries (high risk)
2 weeks on 2 weeks off
31
how long should a pt rinse when they are using it for inflammation
2x a day
32
what is closis used for
dry mouth
33
what are good products for pts with gingivitis
listerine, CHX
34
what are good products to use for caries
ACT, fluoride listerine
35
what should you think about when choosing an oral rinse
-allergies or hypersensitivities? -long term use of alcohol products? -drug interactions? -pt preferences prescriptions dexterity
36
what is an important drug interaction with antabuse
a pt will have nausea with any alcohol
37
what rinses have alcohol
listerine, scope
38
what needs to be included in documentation
- where when why and length of tx - drug/product used - method - compliance - instructions given to pt
39
what instructions should be given with a mouth rinse
follow the manufacturers directions
40
why should you document what product is used
if there is a problem with the product you can go back and see what you used
41
what are examples of preventative and theraputic agents
``` -fl2 CHX phenolic-related essential oils (listerine) quaternary ammonium products (CPC) oxygenating agents (hydrogen peroxide) ```
42
What is the mechanism of action of stannous fluoride
F ion deposited on enamel, interferes with cell metabolism , antimicrobial effect
43
what is the mechanism of action of sodium fluoride
deposits ion on carious leison
44
what is the efficacy of fluoride
-reduces caries when used in a dentifrice, gel or rinse
45
which fluoride helps reduce gingivitis
stannous fluoride
46
does stannous fluoride stain
yes, comes of with prophy
47
what is the mechanism of action of CHX
-broad spectrum antibacterial -binds to hard and soft tissues and released over time* -causes cell lysis -
48
what is the efficacy of CHX
effects biofilm, reduces S. mutans, caries, gingivitis
49
what is the mechanism of phenolic related essential oils
disrupts cell wall, inhibits bacterial enzymes | decreases biofilm effects
50
what is listerine a combination of
thymol, eucalyptol, menthol
51
what is the efficacy of phenolic related essential oils
low substantivity, good reduction of biofilm and gingivits
52
what is cetylpyridinuim choloride (CPC)
ammonia
53
what is the mechanism of action of CPC
ruptures cell walls, decreases ablility of bacteria to attach to pellicle
54
what is the efficacy of CPC
reduces gingivitis (limited, not as good as other products) reduces biofilm poor substantivity
55
what are examples of CPC
scope, breath rx, crest prohealth, colagate, oral-b
56
what are the mechanisms of action of oxygenating agents
alters cell membrane, increases permeability | release of oxygen helps to debride area
57
what is the efficacy of oxygenating agents
questionable | poor substantivity
58
what should you record in the chart about recommended mouth rinses
brand name, agent and percentage | directions: how long, how many x day, at what time
59
what should you eval with mouthrinses at follow up appts
document: results, pt compliance, and whether you are continuing or stopping use

Dental Hygiene III (11 decks)

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