oral health and prevention Flashcards
periodontal disease
poor plaque control resulting in irritated, inflamed and bleeding gingivae. over time, the bacteria can progress subgingivally and this forms deep pockets causing loss of attachment, tooth mobility, and bone loss.
prevalence of periodontal disease increases with age, smoking, diabetes and immunosuppression
important information to relay to patients regarding tooth brushing
bristles should reach gingival margins at 45 degree angle
replace every three months
systemic approach to cover all surfaces of the teeth
use of mouthwash
- short term chlorhexidine can reduce plaque levels, recommended when gingival inflammation is present
- prolonged use can cause taste disturbances and discolouration of the teeth
fissure sealant use
placed to fill in the grooves on the surfaces of teeth where food debris and plaque can collect
resin or glass ionomer based, depending on cooperation and moisture control achieved
5As approach for oral health advice to patients who smoke
ask
assess
advice
assist
arrange