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SP 16 - Perio Exam 1 > Non-surgical Therapy - Mechanical Home Care > Flashcards

Non-surgical Therapy - Mechanical Home Care Flashcards

1
Q

T/F - It is possible to completely eliminate plaque biofilm

A

False

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2
Q

What are ways to manage plaque biofilm?

A

Proper diet
Tooth-brushing 2x a day with ADA-accepted fluoride toothpaste
Interdental cleaning (for people missing teeth)
Use of ADA-accepted antimicrobial mouth rinse 2x a day

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3
Q

What are reasons mechanical plaque control can be difficult to achieve?

A 
Improper brushing and flossing technique
Insufficient time
Implants, crowns, braces, etc
Post surgical gingival sensitivity
Limited dexterity
Higher risk of developing gingivitis
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4
Q

Why is a patient higher risk of furthering gingivitis when they have gingivitis

A

Because the area will hurt and they will avoid brushing and flossing that area

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5
Q

What are the major forms of self-performed plaque control?

A

Toothbrush + toothpaste
Mouthiness
Interdental cleaning devices (not just floss)

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6
Q

What is the ideal handle size of a toothbrush?

A

Whatever’s comfortable

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7
Q

What is the ideal head size of a toothbrush?

A

Smaller heads are usually better - they can reach the gingival line and harder to reach areas

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8
Q

What is the ideal bristle material for a toothbrush?

A

End-rounded nylon OR Polyester filaments

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9
Q

What is the ideal bristle type for a toothbrush?

A

Soft, because harder bristles can lead to recession

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10
Q

What is the ideal bristle pattern for a toothbrush?

A

Patterns that enhance interdental plaque removal

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11
Q

What are the different types of Brushing Methods?

A 
Stillmann's method
Roll and sweep method (Modified Stillmann's)
Bass method
Rotational Scrub
Charters method
Horizontal Scrub
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12
Q

Stillmann’s Method

A

30’ angle with bristles pointing towards the gingiva

Movement in a coronal direction with a vibrating and rolling stroke

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13
Q

Roll and Sweep Method (modified stillmann’s)

A

30’ angle with bristles pointing towards the gingiva

Movement in a coronal direction with a rolling stroke

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14
Q

Bass Method

A

45’ angle with bristles pointing towards the gingiva (helps bristles get into sulci)
Movement with a vibratory and circular motion around the tooth
Modified: additional sweeping motion following vibratory, circular motion (if pt has never seen a toothbrush, tell them to use this method)

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15
Q

Rotational Scrub Method

A

Brush is positioned on the tooth surface - bristles are perpendicular to tooth and gingival surfaces
Movement in small circulatory motions

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16
Q

Charter’s Method

A

45’ angle with bristles pointing toward occlusal surfaces
Movement back and fourth (in and out) in a circular motion
Best method for patients with open inter proximal spaces and need to clean interdentally
Most difficult to do correctly

17
Q

Horizontal Scrub Method

A

90’ angle between brush and teeth
Movement in horizontal motion
This method should be used only for occlusal surfaces
Can cause both soft and hard tissue damage at cervical areas

18
Q

Which method of toothbrushing should be recommended?

A

There’s no difference in toothbrushing methods

Spend time to improve patient care where needed

19
Q

T/F - Interproximal plaque removal with a toothbrush is sufficient

A

False - it’s ineffective

20
Q

What area do plaque deposit appear earlier and most prevalent?

A

Interproximal/interdental areas (Col)

Toothbrushing alone cannot effectively control interdental plaque

21
Q

T/F - Interdental cleaning is regularly practiced

A

False

22
Q

Which patients are more prone to clean interdentally?

A

Patients treated for periodontitis

23
Q

What are different interdental cleaning tools?

A 
Dental floss
Dental tape
Inter proximal brushes
Toothpicks
Electrically powered cleaning aids
24
Q

What is the proper way to floss?

A

Go down to the gingival margin

Pull the floss to make sure it contours to the surface of the tooth

25
Q

Proxybrush

A

Brush to clean large inter proximal spaces
Some patients will try and substitute floss for this, but make sure they only use it if they have a large gap (can damage surfaces)

26
Q

T/F - Frequency matters when brushing

A

True - Mostly the more often the better, but there is little difference between brushing every 12 hours and every 48 hours?

27
Q

If there is little difference between brushing every 12 hours and every 48 hours, why do we tell patients to brush 2x a day?

A

Because they will always do it less often than we tell them

Plus, it’s rarely being done properly and the study that tells us this assumes proper brushing technique

28
Q

Sulcus brush

A

Specifically designed to clean sulcus

Can also be used for oath patients to get between brackets

29
Q

Tongue brushers or scrapers

A

For people with bad breath

Should brush tongue because we can get biofilm in soft tissues as well

30
Q

What are types of trauma that can occur from toothbrushing

A

Gingival erosion
Cervical abrasion
Gingival recession

31
Q

What should we recommend a patient do when using a new toothbrush?

A

Make sure the bristles are wet - this will reduce the likelihood of abrasion and other trauma

32
Q

Why do we want patients to use Rounded-end bristles?

A

Because they are shown to produce less trauma on gingival tissues than cut-end bristles

33
Q

How long should a tooth-brush be used? How long are they effective at plaque removal?

A

They’re effective at removing plaque for 2 months

Patients should consider replacing their toothbrush after 9 weeks of use

34
Q

Interplak (Connair)

A

Electric toothbrush with counter-rotating bristle action
Head of the brush has both long and short-tapered bristles
Promoted for cleaning around braces dental work
Cannot use regular toothpaste with it - has a special agent to use with it (that sucks)

35
Q

Oral-B Braun

A 
Electric toothbrush
Head moves in and out at ~40,000x/min
Head moves side to side at ~7,600x/min
Brush is color coded to remind of replacement
Has a 2min timer
36
Q

Sonicate Elite

A

Electric toothbrush
No rotating parts, but the head produces 31,000 strokes/min and sonic waves to remove plaque on teeth
Has 2 min timer
Shown to have a 72% plaque reduction in 12 weeks

37
Q

What conclusions can we draw in the argument of electric toothbrushes v manual toothbrushes?

A

Powered toothbrushes with a rotation oscillation action provide a slightly better plaque removal and may provide bettie protection against gingival inflammation

  • if patient is using proper brushing technique with a manual, they will survive
  • if patient just can’t stop inflammation, you should probably recommend an electric toothbrush

SP 16 - Perio Exam 1 (8 decks)

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