Patient Care Flashcards
What is dental plaque?
- also called dental biofilm, dense non mineralized community of bacterial colony.
- Cannot be washed off by salivary or normal water flow.
*best removal is mechanical - Can be detected with disclosing solution
What is dental calculus?
- Also called tartar, mineralized dental plaque
In calculus what causes it to mineralize?
Calcium and phosphate with salvia
What is material Alba?
soft deposit that can be brushed off
What are the common cuases of stains?
- Fluorosis: caused by excessive fluoride, white milky, pitting and moltting.
- Tetracycline stain: yellow/brown and fluoresce under ultraviolet
- Pulp necrosis: create teeth that are dark
*Pulpitis : creates pink discoloration
What other antibiotic can create bluish gray stain?
Minocyclone (tetracycline derivative)
What are the different stains by color?
- Yellow: heavy biofilm
- Green: poor oral hygiene or Nasmyth membrane
- Pink: pulpitits
- Black: iron compounds, found in clean mouth
- Brown to Black: caused bu tobacco
- Orange: Chromogenic bacteria
- Tan to Dark brown: caused by food sych as red wine, tea, coffee
8.yellow, brown, grey: Cholrexidine - Gray-green: mary jay
10: Blue-grey: minocycline - White/brown spots: fluorosis
- Bands of dark color: Tetracycline
- Geberalized darkness of tooth: oulp necrosis
What are the differnet types of brushing techniques?
- Bass (B= base of the gumline): 45 degrees, into the the pocket
- Modified Bass: Add a sweeoing motion
*stillmans: 45 degree, at gum not in pocket
*modified Stillman: Add a roll and sweep - Charters method: Circular, away from gingiva for ortho, prosthesis and surgery areas.
*Fones: for children or physically impaired, circular motion
Who is fluoride recommended for?
A patient with high caries risk, xerostomia, ortho and patient undergoing cancer therapy. Works mainly on smooth surface remineralizations.
- sealants for pits
Describe fluoride varnishes?
Dries immediately upon contact with saliva.
- patient can eat or drink but must refain from brushing, rigorous rinsing , or eating abrasive food for 3 to 4 hours
- typically 1-5%
Fluoride gel is?
- Office application, also called foam.
- on a tray patients keeps in for 4 minutes application.
- Cannot drink for eat for at elast 30 minutes after
What is the most common type pf Fluoride gel?
1.23% Acidualted Phosphate Fluoride
2.0 % Neutral Sodium Fluoride
Stannous Fluoride is?
0.4% non-prescription gels are available
Extrinstic staining (in pt with no plaque control)
Acidualted Phosphate Fluoride (APF) is?
DO not use on composite, procelain and sealant materials can etch it
Also avoid root surfaces
What is the best agent of choice for a patient with cosmetic restorations, impant, root caries and reduced salivary flow?
Neutral sodium floride
When is it the safest trimester for dental treatment?
second trimester
During pregnancy caries and erosion may result from acid in?
Vomit
What typically causes pregnancy gingivitis?
- Elevated hormonal influences of estrogen and progesterone.
- Bacteria: Prevotellla Intermedia
Pyogenic granuloma is typically seen in which patient?
pregnant patients
What is the drug category for a pregnant person to recieve anthetics?
Category B (Lidocaine and Prilocaine)
What is a main contraindication for a pregnant patient?
general and nitrous. the gases interfeeres with absorption of vitamin b-12 and other nutrients.
Which group of individuals is ECC index used on?
Early childhood caries: presences of 1 or more decayed surfaces in a child younger than 6 years old.
Which group of individuals is S-ECC index used on?
Presence of decay in a child younger than 3 years of age.
What are some causes of erosion?
Anorexia nervosa: extreme loss of weight from self starvation, excessive excerside, self-induced vomiting and use of laxatives.
Bulimia nervosa: starvation, binging and purging.
