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KCS: Theme 7 Communication > Oral Hygeine Advice > Flashcards

Oral Hygeine Advice Flashcards

1
Q

Biggest challenge with oral advice

A
  • tailoring advice to patient needs
  • including type of disease, patients ability/motivation
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2
Q

What diseases can we treat when giving advice?

A
  • gingivitis
  • periodontitis
  • caries
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3
Q

How does caries develop?

A
  • plaque and sugar and time
  • makes plaque acid
  • caries
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4
Q

Main principles of OHI

A
  • regular plaque removal and plaque delivery
  • think about major sites (occlusal, interproximal, tooth surfaces)
  • different tools for different sites
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5
Q

Methods of plaque control

A
  • mechanical control - tooth brushing, interdental aids, professional cleaning
  • chemical control - mouth rinses
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6
Q

Patients can only remove …, we need professional cleaning to remove …

A
  • plaque
  • calculus
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7
Q

Things to consider with toothbrushes

A
  • size
  • bristle hardness
  • price
  • smart tech
  • manual or electric (indication electrical is better but depends what patients do with it)
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8
Q

Which toothbrushing technique is most recommended for focusing on gingival sulcus?

A
  • bass
  • or modified bass
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9
Q

What is the bass technique of tooth brushing?

A
  • toothbrush at level of gingival margin
  • bristles angled at 45 degrees to long axis of tooth pointing apically
  • short back and forth strokes
  • bristles work subgingivally and interproximally
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10
Q

How is the modified bass technique different to the bass tehcnique?

A
  • same as bass
  • added vertical sweep in occlusal direction
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11
Q

Charter’s method of brushing

A
  • toothbrush on tooth
  • bristles 45 degrees to logn axis of tooth pointing coronally
  • short back and forth vibratory motion so side of bristles goes against gingival margins
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12
Q

What is Stillman’s/Modified Stillman’s method of brushing?

A
  • fairly similar to bass/modified bass
  • difference is slight movement in occlusal direction during horizontal strokes
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13
Q

Explain the scrub brushing method

A
  • bristles pointed horizontal at gingival margin
  • horizontal motions to scrub gingival crevice
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14
Q

Essentials of brushing

A
  • at least twice a day for 2 mins
  • systematic method of cleaning all surfaces/areas
  • tailor technique to patient
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15
Q

Where do interproximal cleaning aids target?

A
  • contact points
  • narrow interproximal spaces
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16
Q

Instructions for flossing

A
  • take 1/2 metre of floss
  • wrap around middle finger of each hand
  • 3-4 cm to stretch between forefingers of each hand
  • pass through contact point and subgingivally into both gingival crevices
17
Q

What is superfloss used for?

A
  • for braces
  • bridges
  • wider spaces
18
Q

Clean implants with … part of floss

A

spongy

19
Q

What to use single tufted toothbrushes on?

A
  • furcations
  • distal to 8s
  • spaces due to missing teeth
  • crowding
  • braces
  • restorative work e/g implants
  • periodontal patients e.g slimline interspace brush
20
Q

What is an airflosser?

A
  • uses compressed air and microdroplets of water to clean interdentally
21
Q

What’s a waterflosser or Waterpik?

A
  • hand held device which removes plaque by streams of water
22
Q

The best anti-plaque agent chemically is …

A

chlorhexidine

23
Q

Why is chlorhexidine so effective?

A
  • binds to bacterial cell walls and kills bacteria
  • significantly decreases oral microorganisms
24
Q

Other anti-plaque agents

A
  • essential oils and methyl salicylate
  • triclosan
  • sanguinarine
  • hydrogen peroxide
  • hexetidine
25
Q

Mouthwash should contain …% sodium fluoride

A

0.05%
- 225ppm fluoride

26
Q

Timing of mouthwash

A
  • different times to brushing
  • throughout the day
27
Q

Why does mouthwash need to be at a different time to brushing?

A
  • avoids rinsing away components of toothpaste e.g fluoride
  • increases numbers of exposure to fluoride
  • potential detrimental impact of SLS in toothpaste on effect of CHX
28
Q

High fluoride content toothpastes are available how?

A
  • on prescription
  • at 5000 ppm 16 plus
  • 2800 ppm for 10 plus
29
Q

Adults in toothpaste need at least … ppm fluoride

A

1350

30
Q

Desensitising agents in toothpaste

A
  • strontium chloride
  • potassium nitrate
  • arginine and calcium carbonate
31
Q

Anti-plaque agents in toothpaste

A
  • triclosan
32
Q

Whitening agents in toothpaste

A
  • abrasives
  • low-dose hydrogen peroxide
  • carbomide peroxide
33
Q

Behaviour change techniques

A
  • cues
  • reward
  • self-monitoring
  • goal-setting

KCS: Theme 7 Communication (3 decks)

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