package 2 and 3 Flashcards

1
Q

who created the bone and boar bristle brush

A

william addis

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2
Q

who created the tuft toothbrush

A

dr west

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3
Q

what type of brush is recommended

A

soft textured bristles that do not cause abrasion

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4
Q

what type of toothbrush bristles are the best

A

nylon bristles

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5
Q

what 10 factors go into choosing a toothbrush

A

-size
- shape
- texture
- technique
- ability to dry quickly
- dexterity of client
- motivation of client
- durable
- inexpensive
- repels moisture

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6
Q

why is a professional brush recommendation better

A
  • more effective at cleaning
  • causes less trauma to tissue
  • can’t be directed interproximally
  • can be used for ortho and children
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7
Q

toothbrush replacement time

A

on average every three months when the bristles start to splay

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8
Q

3 parts of a toothbrush

A

handle
shank
head

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9
Q

3 parts of the head of the toothbrush

A

toe
heel
bristles

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10
Q

handle of a toothbrush

A

plastic durable angled handles help patients get easier access to the mouth

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11
Q

shank of a toothbrush

A

connects handle to head
narrow
must be strong

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12
Q

head of a toothbrush

A

working end of the brush
holds bristles

using the heel or toe of the toothbrush is helpful for anterior or lingual

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13
Q

bristles of a toothbrush

A

natural or nylon

must be able to not harbour bacteria

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14
Q

powered brushing

A

removes plaque easier than manual

good for handicapped patients or patients with poor dexterity

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15
Q

what can occur with continued abrasion while brushing

A

cememtoenamel junction can be notched

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16
Q

what can occur with improper brushing

A

gingival trauma
abrasion
festooning
scuffed or red appearance

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17
Q

what is the first area to abrade when tooth brushing

A

cervical areas

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18
Q

what 3 things does improper brushing stem from

A

improper brushing
too hard a brush
too much pressure

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19
Q

how long should you brush for

A

1-3 minutes

2 minutes is ideal

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20
Q

when should you not brush

A

anug
after perio surgery
after extractions

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21
Q

what should a patient with traumatic lesions or oral inflammation do instead of brushing

A

warm salt water rinse

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22
Q

effective tooth brushing techniques include….

A

practice overlapping stroke developing a pattern
brush tongue

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23
Q

why is chlorohexidine not found on the shelf

A

chemotherapeutic agent

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24
Q

what tooth brushing method is used for children

A

basic rolling stroke or fonnes

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25
Q

how do you know if you are brushing your lingual anterior correctly

A

spit hits the mirror

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26
Q

what tooth brushing method of tooth brushing is good for perio clients

A

bass or modified bass or charters method

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27
Q

what toothbrushing method is best for ortho patients

A

charters

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28
Q

problem areas for brushing

A
  • rotated teeth
  • surface next to edentulous areas
  • lingually inclined
  • exposed root surfaces
  • distal of most posterior teeth
  • lingual of mandibular molars and buccal of maxillary molars
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29
Q

another word for toothpaste

A

dentifrices

30
Q

basic components of dentifrices

A
  • detergent; loosens debris
  • abrasive ; clean and polishes
  • binder; prevents separation
  • humectants; retains moisture
  • preservatives; helps bacterial growth
  • flavouring
  • fluoride; therapeutic agent
31
Q

why are anti- microbial in toothpaste’s

A

added into toothpaste to reduce plaque

32
Q

those of anti-microbial in toothpaste

A
  • triclosan
  • sanguinaria
  • zinc chloride
  • copper citrate
  • potassium nitrate
  • sodium citrate
33
Q

anti-tarter

A

contains pyrophosphates
helps reduce plaque and calculus build up

34
Q

anti sensitivity toothpaste

A

contains potassium nitrate

helps reduce root sensitivity

35
Q

how many papilla do your interdental gingiva consist of

A

2

facial and lingual

36
Q

col

A

depression between facial and lingual papilla under the contact area

37
Q

6 types of floss

A

unwaxed
bonded unwaxed
waxed
dental tape
super floss
flavoured or unflavoured

38
Q

2 floss techniques

A

spool method: most common wraps floss around fingers

circle or loop method creating a circle and holding good for kids

39
Q

3 signs of incorrect flossing

A
  • floss cuts; interdental papilla
  • floss clefts; cuts on gingiva
  • floss craters; cervical wear on proximal root surfaces
40
Q

what types of clients may need other dental aids

A
  • large interdental spaces
  • open furcations
  • irregularities of tooth position
41
Q

7 types of auxiliary aids

A
  • floss holder/threader
  • interproximal brush
  • wedge simulator
  • single tufted brush
  • tongue cleaner
  • oral agitator
  • power brushes
42
Q

tongue cleaners

A

used to brush and scrape debris and plaque off your tongue

good for smokers and deep fissure patients

43
Q

positives of interdental care

A

reduces plaque accumulation
promotes circulation
cleans proximal surfaces and allows access to for fluoride while facilitating remineralization

44
Q

effects of cleaning your tongue

A

reduces number of microorganisms
reduces halitosis
contributes to overall cleanliness
slows dental biofilm formation and total biofilm accumulation

45
Q

oral irrigation

A

an effective alternative for the reduction of bleeding and gingivitis for patients who cannot or will not floss

46
Q

how does oral irrigation work

A

by directing a stream of water through a nozzle to the tooth surface

47
Q

two types of oral irrigators

A

power driven
non power driven

48
Q

power driven oral irrigation

A

reservoir container with a pulsating jet of fluid

49
Q

non power driven oral irrigation

A

attaches to faucet has no pressure control

50
Q

benefits of oral irrigation

A

reduction of gingivitis and bleeding
reduce biofilm
sungingival access
delivery of microbial agents
removal of bacteria

51
Q

monojet

A

single stream

52
Q

how deep can the oral irritation system go

A

2mm subgingivally

53
Q

negatives to oral irrigation

A
  • bacteria can be forced into sulcus
  • excessive water pressure can disrupt dentogingival attachment
  • expensive
  • does not replace brushing or flossing
  • patients with healthy gingiva don’t need it
54
Q

purpose and uses of mouth rinse

A

used prior to dental treatment to reduce internal microorganisms

oral self care for biofilm causes prevention

55
Q

2 classes of mouth rinses

A

cosmetic
therapeutic

56
Q

cosmetic mouth wash

A

over the counter mouthwash to help remove oral debris or after brushing as well as bad breath and diminish bacteria in the mouth

57
Q

therapeutic mouth rinse

A

have the same benefits as cosmetic but contain an added active ingredient that helps protect against oral disease

regulated by the FDA

58
Q

characteristic s of an effective mouth rinse

A
  • non toxic
  • no or limited absorption
  • substantively of chemotherapeutic agents is referring to staying power
  • bacterial specificity
  • low induced drug resistance
59
Q

ingredients of mouthwash

A

water- largest single ingredients
alcohol- enhances flavour (11-27%)
flavouring
colouring
sweetening agent
active ingredients- astringent for slight tissue shrinkage
buffering and deodorizing agents like baking soda or chlorophyl

60
Q

astringent

A

shrinks tissue

61
Q

anodyne

A

alleviates pain

62
Q

oxygenating agents in mouth rinse purpose

A

cleansing

63
Q

buffering agents in mouth rinse purpose

A

reduces oral acidity

64
Q

deodorizing agents in mouth rinse purpose

A

neutralize odor

65
Q

home prepared mouth rinse

A

sodium chloride
sodium bicarbonate
hydrogen peroxide

good for patients who have discomfort after oral or periodontal surgery

66
Q

components of saline solution rinse

A

1/2 tsp salt + 8oz water

67
Q

components of a strong saline solution rinse

A

1/2 tsp salt + 4 oz water

68
Q

components of sodium bicarbonate

A

1/2 tsp baking soda + 8oz water

69
Q

6 therapeutic agents in mouthwash

A
  • chlorhexidine
  • stannous fluoride
  • sanguinarine
  • quaternnary ammonium compounds
  • prebrushing rinses
  • oxygenating agents
70
Q

chlorhexidine

A

the most effective anti-gingivitis and anti-plaque chemotherapeutic agent
prevent pellicle formation
can cause brown staining

71
Q

what type of mouth wash should xerostomia patients use

A

mouth wash containing fluoride

72
Q

what type of mouth wash should be used for patients with cementum exposure

A

one with a pH of 5 or more