ORAL HYGIENE INSTRUCTIONS OSCE

Question 1

what does TIPPS model stand for?

Answer 1

• talk
• instruct
• practise
• plan
• support

Question 2

what does the «talk» portion of TIPPS involve?

Answer 2

explain what plaque is, why its bad, why gums bleed because of this, how it can be managed

Question 3

what does the «instruct» portion of TIPPS involve?

Answer 3

demonstrate

Question 4

what does the «practise» part of TIPPS include?

Answer 4

Let the patient try out toothbrushing with a handheld mirror. Give advice and encourage them on things they could be doing differently.

Question 5

what does the «plan» part of TIPPS include?

Answer 5

Talk to the patient about implementing a consistent oral hygiene regime into their daily lives

• brush twice a day (morning and night)
• interdental clean once per day

Question 6

what does the «support» portion of TIPPS include?

Answer 6

Going forward how best can you help the patient and maintain their oral hygiene.
- set goals for future appointments to help motivate the patient

Question 7

what do healthy gingivae look like?

Answer 7

• pink stippled gingivae
• absence of bleeding on brushing/probing
• no inflammation

Question 8

what are the clinical signs of gingivitis?

Answer 8

• red, swollen gingivae
• bleeding on brushing/probing
• may see signs of plaque presence on the gingival margin

Question 9

what are the clinical signs of periodontitis?

Answer 9

• loss of attachment, gingival recession, BOP
• radiographic bone loss
• inflamed tissues

Question 10

what is the definition of Gingivitis?

Answer 10

plaque induced gingivitis is an inflammatory response of the gingival tissues resulting from bacterial plaque accumulation located at the gingival margin

Question 11

what is the definition of periodontitis?

Answer 11

inflammatory disease initiated by bacteria which causes severe inflammation and loss of attachment & bone surrounding the teeth

Question 12

A patient comes into the clinic complaining that they have bad breath and there is sometimes blood in their saliva when they brush their teeth, they are also pregnant. What is your suspected diagnosis?

Answer 12

Pregnancy-induced gingivitis

Question 13

You suspect that a patient has a high sugar diet upon examination of their teeth, what would you ask them to do before the next follow up appointment?

Answer 13

Create a diet diary

• patient records their meals throughout the week
• ensure one of these days is a weekend

Question 14

what toothpaste strength should be used upon eruption of the first tooth in standard risk kids?

Answer 14

1000ppm

Question 15

what toothpaste strength should standard risk 4-16 year olds be using?

Answer 15

1000ppm-1500ppm

Question 16

what toothpaste strength should high risk kids under 10 years old be using?

Answer 16

1500ppmF

Question 17

what strength of toothpaste should high risk kids between ages 10-15 be using?

Answer 17

2800ppmF

Question 18

what strength of toothpaste should high risk people aged 16 and over be using?

Answer 18

5000ppmF

Question 19

what toothbrush head size should children be using?

Answer 19

20mm x 10mm

Question 20

what size toothbrush head should adults be using?

Answer 20

22-28mm X 10-13mm

Question 21

what toothbrushing technique should you encourage your patients to carry out?

Answer 21

the Modified Bass Technique

Question 22

what are the steps of the Modified Bass Technique?

Answer 22

• place toothbrush at a 45 degree angle to your gum line
• brush each tooth using a gentle circular motion
• ensure that you are reaching every tooth surface by performing in a methodical manner