OHI Flashcards

1
Q

What does establishing suitable oral hygiene habits require?

A

Communication
Motivation
Skills

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2
Q

What should oral hygiene techniques be?

A

Effective
Safe
Easy to learn
Inexpensive

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3
Q

How would you carry out OHI?

A

Diagnose
Educate
Illustrate
ID cleaning
Demonstrate
Assess ability

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4
Q

What is the recommended brushing technique?

A

The modified Bass Method.

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5
Q

When is a single tufted brush indicated?

A

Type II embrasures.
Fixed dental prosthesis.
Difficult to reach areas.
Persistent pockets

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6
Q

What does daily tongue cleaning achieve?

A

The removal of pathogenic bacteria.
Reduces bacteria in the saliva.
Improves taste.
Reduces halitosis.
Removes sulfur compounds.

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7
Q

What TBI would you give for a manual tooth brush?

A

5 degree angle.
Surfaces of all teeth.
2 minutes.
At night and on one other occasion daily.
Spit don’t rinse.

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8
Q

What are the 4 key steps to denture care?

A

Daily cleaning with toothbrush.
Daily soaking is denture-cleansing solution.
Remove at night.
Have a regular recall.

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9
Q

How would you advise a patient with ortho to take care of their oral hygiene?

A

Remove any elastics.
Use an orthodontic brush.
Use modified bass technique.
ID brushes to clean under archwire.

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10
Q

What products would you recommend for orthodontic appliances?

A

0.05% fluoride daily rinse.
0.2% fluoride weekly rinse.
Fluoride varnish 2.26% every 3/12

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11
Q

What diet advice would you give for orthodontic appliances?

A

Soft foods.
cut food into small pieces and chew on the back teeth.
Avoid hard foods.
avoid chewy foods.
Avoid sugary foods.
Avoid chewing on hard things such as pens/pencils/fingernails.

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12
Q

What is included in primary prevention?

A

Prevent disease.
Health education.
Action on determinants of health.

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13
Q

What is included in secondary prevention?

A

Early detection of disease.
Appropriate intervention.
Health education.

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14
Q

What is included in tertiary prevention?

A

Reduce the impact of the disease.
Promote quality of life through active rehabilitation.
Health education.

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15
Q

What is the maximum amount of sugar for 11 years +?

A

30 grams

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16
Q

What is the maximum amount of sugar for 7-10 year olds?

A

24 grams

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17
Q

What is the maximum amount of sugar for 4-6 year olds?

18
Q

What diet advice would you give for a baby?

A

Breast milk or infant formula
No solids before 6 months.
Wean from 6 months
Boiled cooled mains.
Tap water
No low fat, low calorie, high fibre advice.
No fruit juice before 6 months.

19
Q

What diet advice would you give for children?

A

Don’t add sugar to foods.
Don’t add sugar to bottles.
Don’t give honey.
Don’t dip a dummy in sweet foods.
Don’t give whole nuts.
No low fat/calorie/fibre advice.

20
Q

What are he dietary factors that affect the caries risk?

A

Frequency of food.
Amount of fermentable carbohydrates eaten.
Amount ofsugar.
Consistency of food.
Favourable components in diet.

21
Q

What is demineralisation affected by?

A

Is affected by the number and type of bacteria.
The saliva secretion rate.
Saliva buffering capacity.
The ability to eliminate foods.

22
Q

What will a high carbohydrate diet do?

A

It will encourage the proliferation of bacteria that metabolise carbohydrate and produce acid.

23
Q

What will a concentrated carbohydrate diet do?

A

Will clear more slowly from the mouth.

24
Q

What will a diet rich in sucrose do?

A

Will encourage proliferation of streptocoous mutans.

25
What may sugar be called in food?
Glucose Sucrose Maltose Corn syrup Honey Hydrolysed starch Invert sugar Fructose Molasses
26
What can affect the elimination of sugars from the mouth?
Age Saliva flow rate. Muscular activity. Food traps. Adhesive foods. Sugar concentration.
27
What diet advice would you give regarding sugars?
Reduce frequency and amount of free sugar intake. Avoid concentrated sugars. Restrict sugary foods/drinks to mealtimes. Restrict sugar one hour before bed. Limit foods and drinks with sugar to 4 times per day.
28
What are the causes of erosion?
Foods/drinks acidity and frequency. Gastric reflux. Vomiting Medication (Aspirin) Quantity and quality of saliva. Features of the pellicle. Timing Oral swishing toothbrushing after food intake.
29
What are the possible extrinsic sources of acid?
Drinks with citric acid Carbonated drinks Alcopops Cider Wine Fruit teas Sports drinks Fruit Pickles Vitamin C, Aspirin and iron.
30
What advice would you give to someone with erosion?
Fluoride tp Spit don't rinse fluoride mouth wash fluoride varnish. Don't brush immediately after eating/drinking/vomiting. Avoid frequent intake of acidic foods.
31
What habits may lead to attrition?
Grinding Bruxism Parafunction Alcoholism Biting pens/hairclips/nails Stress
32
What causes abrasion?
Poor brushing technique Abrasive toothpastes Abrasive food particles Nails biting Tobacco chewing
33
What are the signs and symptoms of gingivits?
Redness Swelling Bleeding Soft and spongey Loss of stippling Bulbous papillae Halitosis Increased probing depths
34
What are the clinical features of periodontitis?
Loss of gingival contour. Formation of pockets. Mobility Evidence of loss of bone. Loss of attachemnt.
35
What are the risk factors of periodontitis?
Smoking Systemic disease Genetics Medications Pregnancy Stress Obesity Diet
36
What diseases are associated with smoking?
Angina Asthma COPD TB Crohn's disease. Periodontitis Rheumatoid arthritis tooth loss Tooth discolouration
37
What are the oral health risks of smoking?
Oral cancer Leukoplakia ANUG Poor wound healing Smokers melanosis Smokers palate Oral candidosis Tooth staining Halitosis
38
What are the health benefits to smoking cessation?
Stabilisation of lung cancer risk. Heart disease risk declines. Accelerated decline in lung infections. Improved recovery from surgery. Improved reproductive health.
39
What are the symptoms of nicotine withdrawl?
Concentration problems. Agitation Light-headedness Cravings Restlessness Increased appetite Depression Mouth ulcers Coughing Constipation Decreased cortisol Decreased adrenaline.
40
What is the smoking cessation advice you will give to a smoker?
ASK - establish tobacco use, update in notes. ADVISE - Give VBA, advise the best way to stop though combination of medical and support. ACT - Give information of a referral to stop smoking service
41