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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
Q

what are the advantages of oral rinsing

A

easy
more effective for anterior teeth than posterior
conrols malodor

26
Q

what are the disadvantages of oral rinsing

A

little effect subgingivally (irrigation better)

high alcohol content

27
Q

dont assume pt knows how to rinse correctly

A

give instructions

28
Q

what should you present to your pt PRIOR to therapy*

A
  • taste alteration
  • staining
  • alcohol content
  • length of use
  • expense
  • availability
29
Q

when should you eat when you are rinsing

A

you should eat before because of taste alteration

30
Q

how long should a pt rinse when they are rinsing to fight caries (high risk)

A

2 weeks on 2 weeks off

31
Q

how long should a pt rinse when they are using it for inflammation

A

2x a day

32
Q

what is closis used for

A

dry mouth

33
Q

what are good products for pts with gingivitis

A

listerine, CHX

34
Q

what are good products to use for caries

A

ACT, fluoride listerine

35
Q

what should you think about when choosing an oral rinse

A

-allergies or hypersensitivities?
-long term use of alcohol products?
-drug interactions?
-pt preferences
prescriptions
dexterity

36
Q

what is an important drug interaction with antabuse

A

a pt will have nausea with any alcohol

37
Q

what rinses have alcohol

A

listerine, scope

38
Q

what needs to be included in documentation

A
  • where when why and length of tx
  • drug/product used
  • method
  • compliance
  • instructions given to pt
39
Q

what instructions should be given with a mouth rinse

A

follow the manufacturers directions

40
Q

why should you document what product is used

A

if there is a problem with the product you can go back and see what you used

41
Q

what are examples of preventative and theraputic agents

A 
-fl2
CHX
phenolic-related essential oils (listerine)
quaternary ammonium products (CPC)
oxygenating agents (hydrogen peroxide)
42
Q

What is the mechanism of action of stannous fluoride

A

F ion deposited on enamel, interferes with cell metabolism , antimicrobial effect

43
Q

what is the mechanism of action of sodium fluoride

A

deposits ion on carious leison

44
Q

what is the efficacy of fluoride

A

-reduces caries when used in a dentifrice, gel or rinse

45
Q

which fluoride helps reduce gingivitis

A

stannous fluoride

46
Q

does stannous fluoride stain

A

yes, comes of with prophy

47
Q

what is the mechanism of action of CHX

A

-broad spectrum antibacterial
-binds to hard and soft tissues and released over time*
-causes cell lysis
-

48
Q

what is the efficacy of CHX

A

effects biofilm, reduces S. mutans, caries, gingivitis

49
Q

what is the mechanism of phenolic related essential oils

A

disrupts cell wall, inhibits bacterial enzymes

decreases biofilm effects

50
Q

what is listerine a combination of

A

thymol, eucalyptol, menthol

51
Q

what is the efficacy of phenolic related essential oils

A

low substantivity, good reduction of biofilm and gingivits

52
Q

what is cetylpyridinuim choloride (CPC)

A

ammonia

53
Q

what is the mechanism of action of CPC

A

ruptures cell walls, decreases ablility of bacteria to attach to pellicle

54
Q

what is the efficacy of CPC

A

reduces gingivitis (limited, not as good as other products)
reduces biofilm
poor substantivity

55
Q

what are examples of CPC

A

scope, breath rx, crest prohealth, colagate, oral-b

56
Q

what are the mechanisms of action of oxygenating agents

A

alters cell membrane, increases permeability

release of oxygen helps to debride area

57
Q

what is the efficacy of oxygenating agents

A

questionable

poor substantivity

58
Q

what should you record in the chart about recommended mouth rinses

A

brand name, agent and percentage

directions: how long, how many x day, at what time

59
Q

what should you eval with mouthrinses at follow up appts

A

document: results, pt compliance, and whether you are continuing or stopping use

Dental Hygiene III (11 decks)

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