Plaque control and Dental caries Flashcards

1
Q

if see caries on this surface, it is very worrisome

A

facial/lingual surfaces of tooth

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2
Q

does mechanical action of brushing your teeth reduce caries rates

A

NO!

there is no evidence that supports that mechanical action of tooth brush reduces caries…it is the FLUORIDE in toothpaste that is responsible for the decrease in caries rate

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3
Q

what are two reasons as to why toothbrushing alone is not sufficient in reducing caries

A

bristles do not reach into caries prone areas (pits and fissures)

usually not done in a sufficient way (technique bad)

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4
Q

how often should we brush our teeth for reduction in caries rates; what about gingivitis?

A

caries rates decrease if brush 2x day with fluoridated toothpaste

evidence shows brushing every other day reduces gingivitis in patients

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5
Q

does amount of fluoride used to brush teeth matter?

A

NO

it is the concentration of fluoride that is significant

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6
Q

when is the best time throughout the day to brush

A

before bed

before meals: shown to reduce acid production from food

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7
Q

at what age should individuals start to brush their teeth?? beginning before what age shows reduction in caries rates

A

should brush as soon as first tooth erupts

beginning before 1 year of age can reduce caries rates

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8
Q

does the orientation of the bristles on the tooth brush matter in plaque removal and gingivitis?

A

yes, the bristles arranged at different heights and angles has proven to help remove plaque and reduce gingivitis

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9
Q

what action of powered toothbrush has been proven to be most effective

A

oscillating/rotating/pulsating

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10
Q

what is most important to emphasize when teaching patient how to brush teeth

A

emphasize reaching all surfaces

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11
Q

does flossing help reduce risk of caries

A

may help if technique is correct

hard to get people to self floss correctly

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12
Q

T/F: effect oral hygiene measures are probably more important for maintenance of periodontal health than reducing caries rate

A

True

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13
Q

what is the most effective agent against caries

A

fluoride

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14
Q

why can’t we use antibiotics for long term use to reduce bacterial load

A

antibiotic resistance

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15
Q

in the US chlorhexidine is found in two forms

A

rinse

varnish

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16
Q

what are the four side effects of chlorhexidine

A

staining
taste alteration
calculus
tissue irritation