OHI Flashcards
ORDER OF OHI STATION
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
TIPPS
talk instruct practice plan support
WHAT ARE SOME INDIVIDUAL BARRIERS TO OH
new ortho
gaps
xerostomia
diseases / disability
CARIES DISEASE PROCESS EXPLAINATION
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
EXPLAINING EROSION DISEASE PROCESS
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
GINGIVITIS DISEASE PROCESS
plaque has built up at the gum line around your teeth which is causing the gums to become inflamed and to bleed
WHAT IS PLAQUE
a clear sticky film of bacteria over the teeth
builds up if not taken care of
HOW LONG SHOULD U WAIT AFTER EATING/DRINKING TO BRUSH TEETH
30 mins
WHAR CAN VIGOUROUS BRUSHING CAUSE
abrasion / gingival recession
MANUAL TOOTHBRUSHING INSTRUCTION
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
WHY DONT WE RINSE OUR MOUTH AFTER TOOTHBRUSHING
washes away the residual fluoride from toothpaste
fluoride helps keep teeth strong
POWERED TOOTHBRUSHING TECHNIQUE
pea size
brush half on gum
no harsh brushing needed as power comes from rotary head / sonic bristle vibrations
WHAT ARE PLAQUE DISCLOSING TABLETS
colour plaque in mouth
darker = older
can get them to use then brush = areas missed
WHAT AGE CAN A CHID BRUSH THIER OWN TEETH
8
still supervise tho
FLUORIDE CONTENT OF TOOTHPASTE FOR A CHILD UNDER 3
1000ppm/F
FLUORIDE CONTENT OF TOOTHPASTE FOR A CHILD 4-16
1000-1500ppm/F
FLUORIDE CONTENT OF TOOTHPASTE FOR A HIGH RISK CHILD UNDER 3
1500ppm/F (colgate total)
FLUORIDE CONTENT OF TOOTHPASTE FOR A NORMAL ADULT
1500ppm/F (colgate total)
FLUORIDE CONTENT OF TOOTHPASTE FOR A HIGH RISK CHILD 10-16
2800ppm/F (duraphat)
FLUORIDE CONTENT OF TOOTHPASTE FOR A HIGH RISK ADULT
5000ppm/F
HOW MUCH TOOTH PASTE FOR AN UNDER 3
smear
HOW MUCH TOOTHPASTE FOR OVER 3S
pea size
THREE LEVELS OF FLUORIDE TOXICITY
<5mg/kg = milk 5-15mg/kg = milk, admit to hospital >15mg = IV calcium gluconate, hosp ASAP
WHICH CASES IS INTERDENTAL CLEANING MOST IMPORTANT
gingival recession (LOA) prosthesis
FLOSS INTERDENTAL CLEANING INSTRUCTION
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
INTERDENTAL BRUSHES INSTRUCTION
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
FEATURES OF A GOOD MOUTHWASH
non alcoholic - dry out mouth/cancer risk
fluoridated
WHEN WOULD A PATIENT NEED CHLORHEXIDINE
when their pain is too bad for manual brushing
infection(abcess)
WHEN TO USE MOUTHWASH
between brushing / after mealtimes
not after brushing as washes away fluoride
WHY IS FLUORIDE LEFTOVER FROM BRUSHING GOOD
reduces bacterias ability to stick to teeth
WHAT AGE CAN CHILDREN START HAVING MOUTHWASH
6
cant spit properly before this
SUGARY FOOD/DRINK RULES
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
WHEN WOULD YOU DO A DIET DIARY
for erosion / caries
not gingivitis
WHAT IS A DIET DIARY
3/4 days - 1 weekend
highlights which part of diet is causing caries/erosion
do this before advice / changes
ADVICE FOR BABIES
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
METHOD TO SHOW THEIR PROGRESS
plaque and bleeding scores
WHICH GUM IS GOOD
sugar free
containing xylitol
HOW TO END THE CHAT
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
