Module 5 Flashcards
Many ortho patients are in what stage?
preteen years when gingivitis is high
Does the incicdence of perio infection increase from childhood to late teens
yes
What can complicate adult treatment?
medications or have a systemic issue
How does gingivitis present in orthodontic patients?
- biofilm retention by appliances causes gingivitis
- degree can vary
- tissue can enlage and cover appliance
what are problems with ortho appliances?
retain biofilm and debris, appliances become detached
Teeth that are irregulary positioned are more suceptible to
the retention of bacterial deposits and are more difficult to clean
The patient who tries to maintain oral cleanliness even has difficulty. T?F
True
What kind of program is needed for orthodontic patients?
a rigid program for dental caries and perio disease control
What are general instructions for ortho patients?
- give instructions before appliance is placed
- preform brushing at mirror to increase accuracy
- use a disclosing solution
- Fl2 dentifrice
- mouthrinse
- sulcular brushing
What are the recommendations for a power toothbrush and ortho patients?
-soft filaments, light stroke, low speed
Are power toothbrushes very effective for ortho patients
yes
WHat are the manual toothbursh recommendations for ortho patients?
-soft, bilevel
What kinds of brushing should be used for ortho patients?
sulcular brushes
What should be included in a brushing procedure for ortho patients?
sulcular brushing, adapt for appliance, clean all surfaces, lingual and palatal
What interdental aids should be used for ortho patients?
floss threaders, tufted dental floss, interdental brush single tuft brush
What is helpful for biofilm under brackets?
rubber tip
What additional measures can ortho patients benefit from?
an oral irrigator
What can help clean around orthodontic brackets?
ultrasonic scaler, a/p polisher
what is a common finding after ortho treatmen?
white spots (demineralization)
What teeth tend to develop white spots?
teeth that have been banded or bonded
what contributes to demineralization from ortho appliances?
biofilm retention and difficulty of removal
What is important in the post-debonding perio evaluation?
- complete exam w probing
- calc removal
- photographs
- disclosing agent
-what is important in the post-debonding dental caries exam?
- exam for demineralization
- composite resin may be left on tooth around bracket
What kind of fluoride therapy is recommended in post-debonding care?
-pt and professionally applied fluoride
What can the application of varnish immediately after bonding help?
reduce demineralization by up to 50%
What do self care procedures include
cleaning the prosthesis and remaining natural teeth
waht is a major factor in maintaining the long term health of abutment teeth
biofilm control
Is it more common for the hygienist or patient to remove the prosthesis?
the patient, they are familiar with insertion and removal
What 3 things should you do when you recieve a denture?
- prevent cross contamination
- rinse under slow running water
- place in cleaning solution and in a ultrasonic container
When are the appliance and natural teeth cleaned?
after each mean and at bedtime
What is the objective for patients with dentures
to attain and maintain oral health and function
What is the objective for patients who retain natural teeth with dentures?
control biofilm for prevention of caries and perio
What are the basic daily self care objectives
- remove all loose debris and biofilm
- disinfect to eliminate teethand oral tissue irritants that will eliminate malodor
Does rinsing remove biofilm?
no
What can resuld in bending or fracturing of clasps or bars of a denture?
too tight of a grasp on the partial denture
What types of brushes can be used on partial dentures?
-toothbrush, power brush, clasp brush, denture brush
What should you do before immersion?
cleaned by rinsing and brushing to remove biofilm and debris
What should you avoid in immersion?
agents known to corrode or discolor
What is used for a patient with a cleft palate?
an obturator
What is the part of a denture that rests on the oral mucosa?
denture base
what is the impression surface of a denture?
tissue or inner surface of the denture
What can be placed on the impression surface of a a denture
- long term material such as a liner
- denture adhesive
how often should denture adhesive be removed
during daily cleaning
What can be removed by rinsing and brushing
mucin and food debris on the denture surface
what is denture biofilm composed predominately of
gram positive cocci rods and filamentous forms of bacteria
what is biofilm also composed of?
C.albicans
What is denture biofilm associate with?
breath malodor and denture stomatitis
Where does calculus form on a denture?
anywhere on denture same areas as natural teeth
What are frequent causes of stain in natural teeth
tobacco, red wine, coffee, tea
what should you do to prevent drying and disinfection after ultrasonic cleaning of a denture?
antimicrobial
What causes when a denture dries out?
it distorts
what do commercially available devices include?
ultrasoninc, magnetic, and agitating mechanisms wiht an immersion agent
What are mechanical irritants to tissue?
rough deposits,calculus, thick stains
what are chemical irritants to tissue?
products of putrification of food and bacterial metabolic products
When should you clean the dentures?
several times each day
What is a proprietary solution for cleanin denture?
available in powder or liquid form
What is the preparation of proprietary cleaners?
add measured warm water as directed
how long do you immerse a denture in a proprietary solution?
10 to 15 minutes
what is the effect of a proprietary solution?
only effective against loose debris
what is a hypocholorite solution for immersion of a denture?
household bleach and calgon
What is the length of immersion for a hypochlorite solution
10 to 15 minutes
what type of brush should be used for cleaning by brushing
denture brush
what other brushes should be used for cleaning dentures
hang brush, ordinary toothbrush (separarate brushes for natural and dentures)
What should you use precaution with brushing?
overzealous brushing and abrasive cleaning agent can damage fit of denture
What are requirements for a denture cleaner?
easy
bacterial and fungicidal
effective removal of deposits
nontoxic
What is the active ingredient in an alkaline peroxide
alkaline detergent with an oxygen liberating agent
what is the action of an alkaline peroxide
loosens debris and light stains by an oxygyn liberating mechanism
what are the disadvantages of an alkaline peroxide
- doesnt remove heavy stain or calc
- corrosion of metal
What is the active ingredient in a dilute acid
inorganic acid
what is the action of a dilute acid
dissolves inorganic components of denture deposits
What is an example of a dilute acid?
hydrochloric acid
what are the disadvantages of a dilute acid?
corrosion of metal parts
What is the action of enzymes?
break down biofilm protiens and polysaccharaides
What are disinfectants used for?
daily maintenence of denture to prevent inflammation
What is the commerically available product used for disinfection of dentures?
sodium hypochlorite
what should you do before disinfection?
rinse denture under runing water
What is the active ingredient in denture pastes, powders, and toothpastes
an abrasive such as calcium carbonate
what is the action of denture pastes powders and toothpastes?
mechanical removal of biofilm and stiains by brushing
what are the disadvantages of denture pastes, powders and toothpastes
can abrade plastic resin and teeth
What are the active ingredients in household agents to clean dentures?
detergent and or abrasive
what are examples of household agents used to clean dentures?
salt and bicarbonate of soda which are not very abrasive
the oral mucosa can be negatively affected by contact with a prosthesis which results in the common condition called
denture stomatitis
what should the patient rinse with when they remove their denture?
warm water or a mild salt solution
what should a patient do at least once daily to clean the oral mucosa?
soft toothbrush applied over the ridges in the vestibules using long straight strokes
why should a patient massage their oral mucosa
for stimulation of circulation and increased resistance to trauma
What are the 3 methods for massaging oral mucosa?
digital, soft toothbrush, power brush
What are the advantages of an overdenture?
help preserve bone
allow remaining teeth to bear occlusal pressure
improve stability and retention of denture
Should a patient be on a fluoide program if they have retained natural teeth with their overdenture
yes
_________ appointments are needed to check the health of gingival tissues in overdentures
true
what has shown effective in the prevention of dental caries of overdenture abutment teeth
sealants
