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Dental Hygiene II > Module 5 > Flashcards

Module 5 Flashcards

1
Q

Many ortho patients are in what stage?

A

preteen years when gingivitis is high

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2
Q

Does the incicdence of perio infection increase from childhood to late teens

A

yes

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3
Q

What can complicate adult treatment?

A

medications or have a systemic issue

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4
Q

How does gingivitis present in orthodontic patients?

A
  • biofilm retention by appliances causes gingivitis
  • degree can vary
  • tissue can enlage and cover appliance
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5
Q

what are problems with ortho appliances?

A

retain biofilm and debris, appliances become detached

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6
Q

Teeth that are irregulary positioned are more suceptible to

A

the retention of bacterial deposits and are more difficult to clean

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7
Q

The patient who tries to maintain oral cleanliness even has difficulty. T?F

A

True

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8
Q

What kind of program is needed for orthodontic patients?

A

a rigid program for dental caries and perio disease control

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9
Q

What are general instructions for ortho patients?

A
  • give instructions before appliance is placed
  • preform brushing at mirror to increase accuracy
  • use a disclosing solution
  • Fl2 dentifrice
  • mouthrinse
  • sulcular brushing
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10
Q

What are the recommendations for a power toothbrush and ortho patients?

A

-soft filaments, light stroke, low speed

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11
Q

Are power toothbrushes very effective for ortho patients

A

yes

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12
Q

WHat are the manual toothbursh recommendations for ortho patients?

A

-soft, bilevel

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13
Q

What kinds of brushing should be used for ortho patients?

A

sulcular brushes

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14
Q

What should be included in a brushing procedure for ortho patients?

A

sulcular brushing, adapt for appliance, clean all surfaces, lingual and palatal

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15
Q

What interdental aids should be used for ortho patients?

A

floss threaders, tufted dental floss, interdental brush single tuft brush

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16
Q

What is helpful for biofilm under brackets?

A

rubber tip

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17
Q

What additional measures can ortho patients benefit from?

A

an oral irrigator

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18
Q

What can help clean around orthodontic brackets?

A

ultrasonic scaler, a/p polisher

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19
Q

what is a common finding after ortho treatmen?

A

white spots (demineralization)

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20
Q

What teeth tend to develop white spots?

A

teeth that have been banded or bonded

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21
Q

what contributes to demineralization from ortho appliances?

A

biofilm retention and difficulty of removal

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22
Q

What is important in the post-debonding perio evaluation?

A
  • complete exam w probing
  • calc removal
  • photographs
  • disclosing agent
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23
Q

-what is important in the post-debonding dental caries exam?

A
  • exam for demineralization

- composite resin may be left on tooth around bracket

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24
Q

What kind of fluoride therapy is recommended in post-debonding care?

A

-pt and professionally applied fluoride

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25
Q

What can the application of varnish immediately after bonding help?

A

reduce demineralization by up to 50%

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26
Q

What do self care procedures include

A

cleaning the prosthesis and remaining natural teeth

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27
Q

waht is a major factor in maintaining the long term health of abutment teeth

A

biofilm control

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28
Q

Is it more common for the hygienist or patient to remove the prosthesis?

A

the patient, they are familiar with insertion and removal

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29
Q

What 3 things should you do when you recieve a denture?

A
  • prevent cross contamination
  • rinse under slow running water
  • place in cleaning solution and in a ultrasonic container
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30
Q

When are the appliance and natural teeth cleaned?

A

after each mean and at bedtime

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31
Q

What is the objective for patients with dentures

A

to attain and maintain oral health and function

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32
Q

What is the objective for patients who retain natural teeth with dentures?

A

control biofilm for prevention of caries and perio

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33
Q

What are the basic daily self care objectives

A
  • remove all loose debris and biofilm

- disinfect to eliminate teethand oral tissue irritants that will eliminate malodor

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34
Q

Does rinsing remove biofilm?

A

no

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35
Q

What can resuld in bending or fracturing of clasps or bars of a denture?

A

too tight of a grasp on the partial denture

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36
Q

What types of brushes can be used on partial dentures?

A

-toothbrush, power brush, clasp brush, denture brush

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37
Q

What should you do before immersion?

A

cleaned by rinsing and brushing to remove biofilm and debris

38
Q

What should you avoid in immersion?

A

agents known to corrode or discolor

39
Q

What is used for a patient with a cleft palate?

A

an obturator

40
Q

What is the part of a denture that rests on the oral mucosa?

A

denture base

41
Q

what is the impression surface of a denture?

A

tissue or inner surface of the denture

42
Q

What can be placed on the impression surface of a a denture

A
  • long term material such as a liner

- denture adhesive

43
Q

how often should denture adhesive be removed

A

during daily cleaning

44
Q

What can be removed by rinsing and brushing

A

mucin and food debris on the denture surface

45
Q

what is denture biofilm composed predominately of

A

gram positive cocci rods and filamentous forms of bacteria

46
Q

what is biofilm also composed of?

A

C.albicans

47
Q

What is denture biofilm associate with?

A

breath malodor and denture stomatitis

48
Q

Where does calculus form on a denture?

A

anywhere on denture same areas as natural teeth

49
Q

What are frequent causes of stain in natural teeth

A

tobacco, red wine, coffee, tea

50
Q

what should you do to prevent drying and disinfection after ultrasonic cleaning of a denture?

A

antimicrobial

51
Q

What causes when a denture dries out?

A

it distorts

52
Q

what do commercially available devices include?

A

ultrasoninc, magnetic, and agitating mechanisms wiht an immersion agent

53
Q

What are mechanical irritants to tissue?

A

rough deposits,calculus, thick stains

54
Q

what are chemical irritants to tissue?

A

products of putrification of food and bacterial metabolic products

55
Q

When should you clean the dentures?

A

several times each day

56
Q

What is a proprietary solution for cleanin denture?

A

available in powder or liquid form

57
Q

What is the preparation of proprietary cleaners?

A

add measured warm water as directed

58
Q

how long do you immerse a denture in a proprietary solution?

A

10 to 15 minutes

59
Q

what is the effect of a proprietary solution?

A

only effective against loose debris

60
Q

what is a hypocholorite solution for immersion of a denture?

A

household bleach and calgon

61
Q

What is the length of immersion for a hypochlorite solution

A

10 to 15 minutes

62
Q

what type of brush should be used for cleaning by brushing

A

denture brush

63
Q

what other brushes should be used for cleaning dentures

A

hang brush, ordinary toothbrush (separarate brushes for natural and dentures)

64
Q

What should you use precaution with brushing?

A

overzealous brushing and abrasive cleaning agent can damage fit of denture

65
Q

What are requirements for a denture cleaner?

A

easy
bacterial and fungicidal
effective removal of deposits
nontoxic

66
Q

What is the active ingredient in an alkaline peroxide

A

alkaline detergent with an oxygen liberating agent

67
Q

what is the action of an alkaline peroxide

A

loosens debris and light stains by an oxygyn liberating mechanism

68
Q

what are the disadvantages of an alkaline peroxide

A
  • doesnt remove heavy stain or calc

- corrosion of metal

69
Q

What is the active ingredient in a dilute acid

A

inorganic acid

70
Q

what is the action of a dilute acid

A

dissolves inorganic components of denture deposits

71
Q

What is an example of a dilute acid?

A

hydrochloric acid

72
Q

what are the disadvantages of a dilute acid?

A

corrosion of metal parts

73
Q

What is the action of enzymes?

A

break down biofilm protiens and polysaccharaides

74
Q

What are disinfectants used for?

A

daily maintenence of denture to prevent inflammation

75
Q

What is the commerically available product used for disinfection of dentures?

A

sodium hypochlorite

76
Q

what should you do before disinfection?

A

rinse denture under runing water

77
Q

What is the active ingredient in denture pastes, powders, and toothpastes

A

an abrasive such as calcium carbonate

78
Q

what is the action of denture pastes powders and toothpastes?

A

mechanical removal of biofilm and stiains by brushing

79
Q

what are the disadvantages of denture pastes, powders and toothpastes

A

can abrade plastic resin and teeth

80
Q

What are the active ingredients in household agents to clean dentures?

A

detergent and or abrasive

81
Q

what are examples of household agents used to clean dentures?

A

salt and bicarbonate of soda which are not very abrasive

82
Q

the oral mucosa can be negatively affected by contact with a prosthesis which results in the common condition called

A

denture stomatitis

83
Q

what should the patient rinse with when they remove their denture?

A

warm water or a mild salt solution

84
Q

what should a patient do at least once daily to clean the oral mucosa?

A

soft toothbrush applied over the ridges in the vestibules using long straight strokes

85
Q

why should a patient massage their oral mucosa

A

for stimulation of circulation and increased resistance to trauma

86
Q

What are the 3 methods for massaging oral mucosa?

A

digital, soft toothbrush, power brush

87
Q

What are the advantages of an overdenture?

A

help preserve bone
allow remaining teeth to bear occlusal pressure
improve stability and retention of denture

88
Q

Should a patient be on a fluoide program if they have retained natural teeth with their overdenture

A

yes

89
Q

_________ appointments are needed to check the health of gingival tissues in overdentures

A

true

90
Q

what has shown effective in the prevention of dental caries of overdenture abutment teeth

A

sealants

Dental Hygiene II (19 decks)

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