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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
What can the application of varnish immediately after bonding help?
reduce demineralization by up to 50%
26
What do self care procedures include
cleaning the prosthesis and remaining natural teeth
27
waht is a major factor in maintaining the long term health of abutment teeth
biofilm control
28
Is it more common for the hygienist or patient to remove the prosthesis?
the patient, they are familiar with insertion and removal
29
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
30
When are the appliance and natural teeth cleaned?
after each mean and at bedtime
31
What is the objective for patients with dentures
to attain and maintain oral health and function
32
What is the objective for patients who retain natural teeth with dentures?
control biofilm for prevention of caries and perio
33
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
34
Does rinsing remove biofilm?
no
35
What can resuld in bending or fracturing of clasps or bars of a denture?
too tight of a grasp on the partial denture
36
What types of brushes can be used on partial dentures?
-toothbrush, power brush, clasp brush, denture brush
37
What should you do before immersion?
cleaned by rinsing and brushing to remove biofilm and debris
38
What should you avoid in immersion?
agents known to corrode or discolor
39
What is used for a patient with a cleft palate?
an obturator
40
What is the part of a denture that rests on the oral mucosa?
denture base
41
what is the impression surface of a denture?
tissue or inner surface of the denture
42
What can be placed on the impression surface of a a denture
- long term material such as a liner | - denture adhesive
43
how often should denture adhesive be removed
during daily cleaning
44
What can be removed by rinsing and brushing
mucin and food debris on the denture surface
45
what is denture biofilm composed predominately of
gram positive cocci rods and filamentous forms of bacteria
46
what is biofilm also composed of?
C.albicans
47
What is denture biofilm associate with?
breath malodor and denture stomatitis
48
Where does calculus form on a denture?
anywhere on denture same areas as natural teeth
49
What are frequent causes of stain in natural teeth
tobacco, red wine, coffee, tea
50
what should you do to prevent drying and disinfection after ultrasonic cleaning of a denture?
antimicrobial
51
What causes when a denture dries out?
it distorts
52
what do commercially available devices include?
ultrasoninc, magnetic, and agitating mechanisms wiht an immersion agent
53
What are mechanical irritants to tissue?
rough deposits,calculus, thick stains
54
what are chemical irritants to tissue?
products of putrification of food and bacterial metabolic products
55
When should you clean the dentures?
several times each day
56
What is a proprietary solution for cleanin denture?
available in powder or liquid form
57
What is the preparation of proprietary cleaners?
add measured warm water as directed
58
how long do you immerse a denture in a proprietary solution?
10 to 15 minutes
59
what is the effect of a proprietary solution?
only effective against loose debris
60
what is a hypocholorite solution for immersion of a denture?
household bleach and calgon
61
What is the length of immersion for a hypochlorite solution
10 to 15 minutes
62
what type of brush should be used for cleaning by brushing
denture brush
63
what other brushes should be used for cleaning dentures
hang brush, ordinary toothbrush (separarate brushes for natural and dentures)
64
What should you use precaution with brushing?
overzealous brushing and abrasive cleaning agent can damage fit of denture
65
What are requirements for a denture cleaner?
easy bacterial and fungicidal effective removal of deposits nontoxic
66
What is the active ingredient in an alkaline peroxide
alkaline detergent with an oxygen liberating agent
67
what is the action of an alkaline peroxide
loosens debris and light stains by an oxygyn liberating mechanism
68
what are the disadvantages of an alkaline peroxide
- doesnt remove heavy stain or calc | - corrosion of metal
69
What is the active ingredient in a dilute acid
inorganic acid
70
what is the action of a dilute acid
dissolves inorganic components of denture deposits
71
What is an example of a dilute acid?
hydrochloric acid
72
what are the disadvantages of a dilute acid?
corrosion of metal parts
73
What is the action of enzymes?
break down biofilm protiens and polysaccharaides
74
What are disinfectants used for?
daily maintenence of denture to prevent inflammation
75
What is the commerically available product used for disinfection of dentures?
sodium hypochlorite
76
what should you do before disinfection?
rinse denture under runing water
77
What is the active ingredient in denture pastes, powders, and toothpastes
an abrasive such as calcium carbonate
78
what is the action of denture pastes powders and toothpastes?
mechanical removal of biofilm and stiains by brushing
79
what are the disadvantages of denture pastes, powders and toothpastes
can abrade plastic resin and teeth
80
What are the active ingredients in household agents to clean dentures?
detergent and or abrasive
81
what are examples of household agents used to clean dentures?
salt and bicarbonate of soda which are not very abrasive
82
the oral mucosa can be negatively affected by contact with a prosthesis which results in the common condition called
denture stomatitis
83
what should the patient rinse with when they remove their denture?
warm water or a mild salt solution
84
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
85
why should a patient massage their oral mucosa
for stimulation of circulation and increased resistance to trauma
86
What are the 3 methods for massaging oral mucosa?
digital, soft toothbrush, power brush
87
What are the advantages of an overdenture?
help preserve bone allow remaining teeth to bear occlusal pressure improve stability and retention of denture
88
Should a patient be on a fluoide program if they have retained natural teeth with their overdenture
yes
89
_________ appointments are needed to check the health of gingival tissues in overdentures
true
90
what has shown effective in the prevention of dental caries of overdenture abutment teeth
sealants

Dental Hygiene II (19 decks)

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