OHI Flashcards by Aimee Nimmo

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

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TIPPS

talk 
instruct
practice 
plan 
support

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WHAT ARE SOME INDIVIDUAL BARRIERS TO OH

new ortho
gaps
xerostomia
diseases / disability

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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

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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

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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

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WHAT IS PLAQUE

a clear sticky film of bacteria over the teeth

builds up if not taken care of

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

30 mins

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WHAR CAN VIGOUROUS BRUSHING CAUSE

abrasion / gingival recession

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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

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WHY DONT WE RINSE OUR MOUTH AFTER TOOTHBRUSHING

washes away the residual fluoride from toothpaste

fluoride helps keep teeth strong

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POWERED TOOTHBRUSHING TECHNIQUE

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

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WHAT ARE PLAQUE DISCLOSING TABLETS

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

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WHAT AGE CAN A CHID BRUSH THIER OWN TEETH

still supervise tho

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FLUORIDE CONTENT OF TOOTHPASTE FOR A CHILD UNDER 3

1000ppm/F

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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