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OSCE > OHI > Flashcards

OHI Flashcards

1
Q

ORDER OF OHI STATION

A 
introduce self 
ask why they're here 
look in mouth 
explain disease found 
toothbrushing 
interdental cleaning 
mouthwash
sugary snacks/drinks 
diet dairy 
plaque and bleeding scores 
conclusion
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2
Q

TIPPS

A 
talk 
instruct
practice 
plan 
support
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3
Q

WHAT ARE SOME INDIVIDUAL BARRIERS TO OH

A

new ortho
gaps
xerostomia
diseases / disability

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4
Q

CARIES DISEASE PROCESS EXPLAINATION

A

there has been a build up of plaque around the gingival margins / on your teeth which interacts with acids introduced to your mouth from sugary foods/drinks to cause damage to your teeth

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5
Q

EXPLAINING EROSION DISEASE PROCESS

A

ant = sugary food
post = reflux / eating disorder
acid into mouth via sugary foods which wears away the tooth outer protective layer
this is what is causing the pain, sensitivity and clearness of teeth

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6
Q

GINGIVITIS DISEASE PROCESS

A

plaque has built up at the gum line around your teeth which is causing the gums to become inflamed and to bleed

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7
Q

WHAT IS PLAQUE

A

a clear sticky film of bacteria over the teeth

builds up if not taken care of

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8
Q

HOW LONG SHOULD U WAIT AFTER EATING/DRINKING TO BRUSH TEETH

A

30 mins

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9
Q

WHAR CAN VIGOUROUS BRUSHING CAUSE

A

abrasion / gingival recession

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10
Q

MANUAL TOOTHBRUSHING INSTRUCTION

A 
pea size, dry brush 
angle brush half on tooth/gum 
split mouth into 4 - 30s each 
2 teeth at a time : 8-10 strokes
outside and inside 
spit don't rinse
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11
Q

WHY DONT WE RINSE OUR MOUTH AFTER TOOTHBRUSHING

A

washes away the residual fluoride from toothpaste

fluoride helps keep teeth strong

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12
Q

POWERED TOOTHBRUSHING TECHNIQUE

A

pea size
brush half on gum
no harsh brushing needed as power comes from rotary head / sonic bristle vibrations

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13
Q

WHAT ARE PLAQUE DISCLOSING TABLETS

A

colour plaque in mouth
darker = older
can get them to use then brush = areas missed

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14
Q

WHAT AGE CAN A CHID BRUSH THIER OWN TEETH

A

8

still supervise tho

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15
Q

FLUORIDE CONTENT OF TOOTHPASTE FOR A CHILD UNDER 3

A

1000ppm/F

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16
Q

FLUORIDE CONTENT OF TOOTHPASTE FOR A CHILD 4-16

A

1000-1500ppm/F

17
Q

FLUORIDE CONTENT OF TOOTHPASTE FOR A HIGH RISK CHILD UNDER 3

A

1500ppm/F (colgate total)

18
Q

FLUORIDE CONTENT OF TOOTHPASTE FOR A NORMAL ADULT

A

1500ppm/F (colgate total)

19
Q

FLUORIDE CONTENT OF TOOTHPASTE FOR A HIGH RISK CHILD 10-16

A

2800ppm/F (duraphat)

20
Q

FLUORIDE CONTENT OF TOOTHPASTE FOR A HIGH RISK ADULT

A

5000ppm/F

21
Q

HOW MUCH TOOTH PASTE FOR AN UNDER 3

A

smear

22
Q

HOW MUCH TOOTHPASTE FOR OVER 3S

A

pea size

23
Q

THREE LEVELS OF FLUORIDE TOXICITY

A 
<5mg/kg = milk
5-15mg/kg = milk, admit to hospital
>15mg = IV calcium gluconate, hosp ASAP
24
Q

WHICH CASES IS INTERDENTAL CLEANING MOST IMPORTANT

A 
gingival recession (LOA)
prosthesis
25
Q

FLOSS INTERDENTAL CLEANING INSTRUCTION

A

long length wrap it around your 2 fingers and floss it in between the teeth down to the gum line or just below
This may hurt a little / be comfortable / bleed at first due to the gingivitis but will go away as the gums get healthy again

26
Q

INTERDENTAL BRUSHES INSTRUCTION

A

snug fit but wire doesn’t touch your teeth/gum
8-10 back and forth strokes
this may hurt a little / be comfortable / bleed at first due to the gingivitis but will go away as the gums get healthy again

27
Q

FEATURES OF A GOOD MOUTHWASH

A

non alcoholic - dry out mouth/cancer risk

fluoridated

28
Q

WHEN WOULD A PATIENT NEED CHLORHEXIDINE

A

when their pain is too bad for manual brushing

infection(abcess)

29
Q

WHEN TO USE MOUTHWASH

A

between brushing / after mealtimes

not after brushing as washes away fluoride

30
Q

WHY IS FLUORIDE LEFTOVER FROM BRUSHING GOOD

A

reduces bacterias ability to stick to teeth

31
Q

WHAT AGE CAN CHILDREN START HAVING MOUTHWASH

A

6

cant spit properly before this

32
Q

SUGARY FOOD/DRINK RULES

A

reduce the frequency more important than reducing amount
food = cheese / fruit / savoury sandwich / crackers / bread sticks
drink = milk / water
drink through a straw
sugar alternatives good
mealtimes for sugary things
gum

33
Q

WHEN WOULD YOU DO A DIET DIARY

A

for erosion / caries

not gingivitis

34
Q

WHAT IS A DIET DIARY

A

3/4 days - 1 weekend
highlights which part of diet is causing caries/erosion
do this before advice / changes

35
Q

ADVICE FOR BABIES

A

breastfeeding is good
free flow spout cups > bottles (after 6 months) - never have this overnight
never use drinks with free sugars
soya milk cariogenic
sweetened drinks = avoid / mealtimes / dilute / straw
sugar free meds
anything with sugar substitute is better

36
Q

METHOD TO SHOW THEIR PROGRESS

A

plaque and bleeding scores

37
Q

WHICH GUM IS GOOD

A

sugar free

containing xylitol

38
Q

HOW TO END THE CHAT

A

ask if they understand / need to re-hear anything as it can be a lot of info
offer leaflet with advice written down
say we will make a follow up appointment to see how they get on with it

OSCE (14 decks)

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