Mod 8 Test 2 Flashcards
what is oral irrigation
targeted application of water or other irrigation for preventative or theraputic use
what kinds of streams are there for oral irrigators
pulsated or steady stream
what are the 2 types of applications of oral irrigation
professional applied or home use
what is used in the 2 types of oral irrigaton
stannous fl2, peridex, listerine
what kinds of people should be using home oral irrigation
-chronic gingivitis
dont like to floss
poor home care
what are qualities of power driven irrigators
intermittent/pulsating jet
adjustable flow and pressure
attached to a resivoir
what are qualities of non power driven irrigators
non pulsating
attaches to water faucet or shower
cant control flow or pressure
what range should the patients have their power driven irrigator at
mid range
what kind of irrigating syringes are there
disposable syringe
pre-sterilized cannula
how long do pre sterilized cannulas work
one time use
how long does a disposable irrigating syringe last
2-3 months
what do you need to make sure of when sending a patient home with a disposable irrigating syringe
make sure they have dexterity, compliance and good instruction
what are the advantages of patient applied irrigation
- removal of LOOSELY attached gingiva
- special needs areas (braces)
- decompression phase of pulsating stream
what are the disadvantages of patient applied irrigaton
- dexterity issues
- limited reach
- possible tissue trauma
- pt compliance
what angle do you want to the tissue w/ mechanical irrigaton
90 degree
what are the 3 types of professional subgingival irrigation
- disposable hand syringe
- specially designed jet irrigator
- air driven irrigation
what are the uses of professionally delivered irrigation
- post root debridement during non surgical perio therapy
- perio maint appt
- acute perio infections
what are the agents used for professionally delivered subging irrigation
- CHX
- water
- stannous fluoride
- listerine
- herbal solution
what are examples of of CHX
peridex, perioguard
what is the substantivity of CHX
8-12 hrs
what is almost as effective as CHX if it is used every day
water
what is an example of a irrigator that is an essential oil
listerine
what is the substantivity of listerine
2 hrs
what are the uses of chemotheraputic mouth rinses
- pre tx rinse to control microorganisms in aerosols
- biofilm control
- reduce inflammation
- dental caries prevention
- remineralize
what are the advantages of oral rinsing
easy
more effective for anterior teeth than posterior
conrols malodor
what are the disadvantages of oral rinsing
little effect subgingivally (irrigation better)
high alcohol content
dont assume pt knows how to rinse correctly
give instructions
what should you present to your pt PRIOR to therapy*
- taste alteration
- staining
- alcohol content
- length of use
- expense
- availability
when should you eat when you are rinsing
you should eat before because of taste alteration
how long should a pt rinse when they are rinsing to fight caries (high risk)
2 weeks on 2 weeks off
how long should a pt rinse when they are using it for inflammation
2x a day
what is closis used for
dry mouth
what are good products for pts with gingivitis
listerine, CHX
what are good products to use for caries
ACT, fluoride listerine
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
what is an important drug interaction with antabuse
a pt will have nausea with any alcohol
what rinses have alcohol
listerine, scope
what needs to be included in documentation
- where when why and length of tx
- drug/product used
- method
- compliance
- instructions given to pt
what instructions should be given with a mouth rinse
follow the manufacturers directions
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
what are examples of preventative and theraputic agents
-fl2 CHX phenolic-related essential oils (listerine) quaternary ammonium products (CPC) oxygenating agents (hydrogen peroxide)
What is the mechanism of action of stannous fluoride
F ion deposited on enamel, interferes with cell metabolism , antimicrobial effect
what is the mechanism of action of sodium fluoride
deposits ion on carious leison
what is the efficacy of fluoride
-reduces caries when used in a dentifrice, gel or rinse
which fluoride helps reduce gingivitis
stannous fluoride
does stannous fluoride stain
yes, comes of with prophy
what is the mechanism of action of CHX
-broad spectrum antibacterial
-binds to hard and soft tissues and released over time*
-causes cell lysis
-
what is the efficacy of CHX
effects biofilm, reduces S. mutans, caries, gingivitis
what is the mechanism of phenolic related essential oils
disrupts cell wall, inhibits bacterial enzymes
decreases biofilm effects
what is listerine a combination of
thymol, eucalyptol, menthol
what is the efficacy of phenolic related essential oils
low substantivity, good reduction of biofilm and gingivits
what is cetylpyridinuim choloride (CPC)
ammonia
what is the mechanism of action of CPC
ruptures cell walls, decreases ablility of bacteria to attach to pellicle
what is the efficacy of CPC
reduces gingivitis (limited, not as good as other products)
reduces biofilm
poor substantivity
what are examples of CPC
scope, breath rx, crest prohealth, colagate, oral-b
what are the mechanisms of action of oxygenating agents
alters cell membrane, increases permeability
release of oxygen helps to debride area
what is the efficacy of oxygenating agents
questionable
poor substantivity
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
what should you eval with mouthrinses at follow up appts
document: results, pt compliance, and whether you are continuing or stopping use
