Patient Education Flashcards
manual toothbrushes characteristics
patient needs: size, shape, texture
bristles: synthetic have rounded ends which are ideal when compared to natural
access: easy to use, easy to clean, durable, inexpensive
CDA/ADA seal: approval of design
parts of a manual toothbrush
handle: where toothbrush is grasped
head: working end, has the bristles
shank: connects the head and handle
size of parts of a manual toothbrush
length of the head should cover 2-3 posterior teeth and the width should be the occlusal surface of the first molar
powered toothbrushes effectiveness
10-20% reduction in plaque, 10% reduction in gingivitis
powered toothbrush heads
Phillips: sonic motion, teardrop head
Oral-B: rotational/oscillating motion, round head
how long/frequent should you brush
two minutes for a patient with 28 teeth, about 4 seconds per tooth
two times a day
plaque cycle: 6 hours to settle
methods of toothbrushing
bass method
stillman method
charters method
fones method
other: rolling, horizontal, vertical
tongue cleaning why/how
papilla provide a rough surface for bacteria to attach
light pressure, brush forward to tip of the tongue, repeat 3-4 times
adverse effects of toothbrushing
gingival abrasion: gingival recession from brushing too hard
dental abrasion: wedge shaped lesions on the cervical 1/3 of teeth
bacteremia: can cause bacteria to enter the bloodstream, important for compromised immune system individuals
replacing and storage
replace brush every 3 months
do not store in a closed container
documentation
type of brush, when they brush, how they brush, if new technique was shown
healthy or class one interdental aids
string floss
floss picks
soft picks
how to use string floss
thumb and finger, index fingers
work floss slowly between the teeth in a short sawing motion
curve floss around the tooth in a C shape
press floss firmly against tooth, move beneath gingiva
begin with the distal surface of the most posterior tooth
larger embrasure spaces interdental aids
interdental brushes
rubber tip
end-tuft brush
how to choose interdental aids
what do they already use?
dental and gingival anatomy
assess plaque
assess personal factors
documentation of interdental aids
what they are already using
what you find during assessment
what suggestions you make
edentulous
patient is missing teeth
complete: no teeth
partial: missing at least one tooth
history of tooth loss
poor oral self-care
carious lesions
periodontal infections
trauma
residual ridge
where the alveolar ridge used to be
oral mucosa
lines the ridge, three types
masticatory mucosa
covers ridges and hard palate
lining mucosa
floor of the mouth, vestibules, and cheeks
specialized mucosa
dorsal surface of tongue
why replace teeth
occlusion, eat better foods, restore facial contour, aesthetics, have better speech
removable partial denture
rests on oral mucosa, replaces teeth, clasps onto abutment teeth, can be implant or tooth supported
complete denture
rests on edentulous ridge and replaces all teeth
bridges
abutment and pontic
obturator
covers cleft on hard palate
removable denture home care
remove denture
clean denture with warm water, above the sink, with a towel in the sink
clean with denture brush and dish soap
put back in OR store in water overnight
fixed denture home care
brush with non-abrasive toothpaste
use interdental aide like floss threader, SuperFloss, Soft Picks, or water flosser to clean abutment teeth
in-office care
clean in ultrasonic if removable
remove buildup from prostheses
do not forget abutment teeth/implants when completing debridement
causes of denture related lesions
ill-fitting denture
reaction to cleaner
improper home care
xerostomia
types of denture related oral mucosal lesions
traumatic ulcers
denture stomatitis
angular cheilitis
tissue hyperplasia
