Oral Health Promotion And Diease Prevention Flashcards
What is periodontitis?
The inflammation of supporting structures of the tooth
Successful dental education for who and how?
Communication skills patient to understand
Age groups all different
Patient motivation assist them for good oral hygiene
General Health as some medical conditions affect the ability to perform good oral hygiene
Causative Factors of dental caries
Diet-non milk extrinsic sugars
Poor oral hygiene
Action of bacteria on NME’s acids and demineralisation
Stagnation areas
Causative factors of gingivitis and periodontitis
Poor oral hygiene gingival crevice periodontal pockets
Stagnation areas pocket of the tooth
Failure treating gingivitis inflamed-leading to periodontal disease-periodontitis
Role of saliva protects against?
Caries promotes remineralisation
Periodontal disease by cleaning as a antibacterial
Prevention of dental caries?
Increase the tooth resistant to acid attack incorporate fluoride for the enamel structure
Modify the diet include fewer sugary drinks etc
and reduce frequency of the intake
Control the buildup of bacterial plaque by brushing teeth and good oral hygiene techniques
Prevention of periodontal disease?
Control the buildup of plaque by good oral hygiene techniques
Modify other factors that contribute for example smoking
Control the host response so going to dental appointments frequently
Controlling bacterial plaque
Toothbrushing with a recommended tooth paste
Interdental cleaning
Using suitable mouthwash
Facts about toothbrushes
Small head and multi medium nylon bristles are the best
Egg timer for two minutes
Clean all surfaces thoroughly don’t move on until done
Parents help children until eight years old
Toothpaste facts
High fluoride toothpaste adults with high caries or high risk-2800ppm and 5000ppm
Some toothpastes to slow down calculus
Antiseptic plaque suppressant-triclosan with zinc
Whitening toothpastes removes surface staining -biological enzyme systems
Acid erosion-pro enamel toothpaste
Interdental cleaning techniques
Dental floss or tape interdental plaque removal
Flossette-style dental pick we have good for posterior teeth
Interdental brushes fixed orthodontic appliances
Woodsticks-dislodge food least effective
Mouthwashes facts
Sodium fluoride-provides topical fluoride application
Triclosan-chemical suppresses the formation of plaque in mouth
Some for inflamed tissues hydrogen peroxide eliminate anaerobic bacteria
Specialised for acute and chronic periodontal infections-chlorhexidine which is a antiseptic plaque suppressant
Other methods plaque removal
After meals eat detergent foods raw firm fruit veg
Or piece of cheese stimulates saliva
Or sugar free gum
How to help a acid attack fluoride?
Topical fluoride application there is health products for that
Systemic fluoride application taken with food or drink products
Topical fluoride
Topical fluoride toothpaste this for patients-1000ppm up to 5000pm high risk caries
Brush 2 times
Don’t rinse after
Fluoride mouthwash
Dental floss with fluoride
Dental team
Fluoride gels children special needs hameophilla heart defects
First polish washed dry not rinse or eat 30 mins
Fluoride varnish applied individual teeth previous acid attack or periodontal surgery or roots exposed by gingival rescission
Systematic fluorides
Water fluoride 1ppm drinking water
Add fluoride table salt
Fluoride drops and tablets children during tooth development age+local water supple
Medical conditions physical suffer caries
Enamel fluorosis
When Excessive Fluoride is ingesting during a enamel formation
White marks on enamel
That’s why children below a should be supervised and toothpaste kept twice a day spit then swallow and prescribed and know local water fluoridation
Good snacks
Non citrus fruits apples peaches pears Raw vegetables Unflavoured crips Low fat cheese Un sweetens yogurt
Bad snacks
Sweets
Fizzy drink
Pure fruit juice
Tea and coffee with sugar
Hidden sugars
Cooking sauce
some breakfast cereals
Soup energy drinks ready process meals savoury crackers biscuits tinned fish and meat in tomato sauce jams chutneys
Advice on dietary
Limit cariogenic foods to meal times Avoid fruit juices on meal times Follow good snacks Diet sheets for hidden sugars Advise on sugar free medication
Prevention periodontal disease
factors in patients life (Modify the contributory factors) Smoking,stress,hormonal imbalance affects the tissues,lip posture that allows gingival tissues to dry up,Radiotherpy, medicatical conditions that find it hard to fight off infections ginvial hyperplas meidcations cause-drugs for epilepsy drugs for cancer,drugs refuse transplant rejection, dry mouth antidepressent drugs TOOTH CROWDING-latrogenic factors dental problems like restorations poorly designed dentures or so
Prevention of periodontal disease control the host response?
Genetic reasons, high level of support
Scaling and subgingival debridement
Advice on calculus
Gingival hyperplasia given gingivectmony procedure
Eradicate bacteria periodontal pockets may have an antibiotic gel
Periodontal infection may turn into a extraction
Best referee to a periodontal specialist
Communication skills OHI
Verbally and Non verbally Talking face to face or telephone Written explanation then give verbal Information leaflets or posters read and discussed Body language friendly open Eye contact Facial expressions Touching
Communication ethnic groups
Hindus
Vegetarian fasting saturated fats
Sikhs
Dairy vegetarian avoid pork and beef
Muslims
Rich in fish
No alcohols or pork
2 years breastfeeding low nutritional value
Adults motivation
Smoking alcohol oral cancer and periodontal disease
Stop smoking aids
Diet discuss
No jargon Listen to differculties Referral to another member if needed Eye contact leaflets
Young people motivation
Require evidence
Alcohol and smoking
Rely on parents
Children motivation
Parental support Early age Reinforced at home Suitable vocabulary friendly Do not threaten Must be fun Disclosing agents Develop relevance to games tv
Elderly changes
Less fat elasticity
Soft tissue trauma and then bruising post op
Bone brittle jaw rail of fracture
Osteoporosis women nay have to go referral tooth extraction
Oral mucosa
Thinner less tolerate to dentures
Root caries risk gingival recession
Salivary glands Dry mouth Certain drugs Increase caries Swallowing problems
Teeth
Darkening colour
Narrowing pulp chambers
Sensitivity
Effects of general health on oral
Eating disorder bulimia
Diabetes poor wound oral infections
Smoking respiratory and heart
NME Sugars processed meals risk of obesity heart disease
Excessive alcohol consumption liver disease periodontal disease dental trauma falls
Saliva reducing flow- antihypertensives
Antidepressants
Gingival hyperplasia
Phenytoin epileptic
Nifedipine control heart
Ciclosporin organ rejection
