Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Patient Care 3 > Plaque Control and Oral Hygiene Aids > Flashcards

Plaque Control and Oral Hygiene Aids Flashcards

1
Q

Plaque – primary agent in development of:
(2)

A

 Dental Caries
 Periodontal Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Plaque Control leads to:
(2)

A

 Resolution of gingival inflammation in the early stages
 Reduction of calculus formation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Oral health can neither be attained or preserved without

A

plaque control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

To have effective plaque control,
have to

A

get your patients attention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Plaque Control Depends
on

A

YOU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Plaque Control Depends
on YOU
(3)

A

 Educate the patient
 Show patient disease in his/her
own mouth
 Utilize disclosing agent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Show patient disease in his/her
own mouth
(3)

A

 Bleeding points
 Periodontal probing
 Red, bleeding gums

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Utilize disclosing agent
(2)

A

 Educational tool
 Motivational tool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Home care instructions
(2)

A

 Need to be effective/personalized
 Be non-traumatic when cleaning the teeth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Home care instructions
Consider the following:
(5)

A

 Areas of plaque accumulation
 Restorative dentistry
 Anatomical features
 Patient’s dexterity
 Patient’s motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

 Areas of plaque accumulation

A

 Interproximal, buccal, lingual, occlusal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

 Restorative dentistry

A

 Crowns, bridges, overhangs, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

 Anatomical features

A

 Embrasure spaces, furcation involvement, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Toothbrushes
 Most important features:
(3)

A

 Able to reach all areas to be cleaned
 Size of head is appropriate for patient
 No tissue trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Toothbrush Bristles
 Natural
(4)

A

 Made of wild boar or hog hair
 Bristles vary greatly in each
filament
 Absorbs water, bristles soften
 Hollow bristles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

 Bristles vary greatly in each
filament

A

 Varies texture, size, flexibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

 Hollow bristles

A

 May harbor bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Toothbrush Bristles
 Nylon
(4)

A

 Flex 10x’s more before breaking
 Do not split or abrade
 Easier to clean and dry more
rapidly
 Shape, stiffness of bristles more
standardized

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

 Shape, stiffness of bristles more
standardized

A

 Manufactured according to federal
specifications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Bristle Shape
 End rounded vs. blunt cut
(3)

A

 Researched determined:
 Rounded, tapered, or smooth bristles
were less abrasive
 Rounded bristle tips are recommended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Bristle Texture
(3)

A

 Bristle resistance to pressure
 Firmness, stiffness, hardness
 Thinner filaments = softer,
more resilient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Thinner filaments = softer,
more resilient
 Soft:
 Medium:
 Hard:

A

.007-.009 inches
.010-.012 inches
.013-.015 inches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Toothbrush Replacement
(3)

A

 Average life of toothbrush – 3 months
 Signs of bristles splaying
 Consider replacing after illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

ADA’s position –

A

“brush regularly”

25
Q

Patients rarely completely remove

A

plaque

26
Q

Patients over-estimate time they brush

A

 Spend most of time on the facial surfaces

27
Q

Importance of:
(3)

A

 Daily fluoride use
 Routine brushing pattern
 Emphasis on all areas

28
Q

Toothbrushing Techniques

A

 Bass (modified)*
 Rolling
 Stillman
 Charters
 Fones (circular)*
 Leonard
 Horizontal
 Smith-Modified

IMPORTANT
 Bass (modified)*
 Fones (circular)*

29
Q

skipped - kind of
Bass (modified)
(10)

A

 Angle bristles toward gingival
margin (approximately 45o
angle)
 Gently press bristles to enter
sulcus and/or embrasures
 Subgingival cleansing, gingival
stimulation
 Vibrate brush (or use small
strokes) without disengaging
bristles
 ‘Roll’ the instrument toward
the incisal/occlusal
 Replace and repeat on next 2
or 3 teeth
Turn brush lengthwise
 Place ‘heel’ of brush
along gingival margin
 Vibrate to dislodge
plaque
 ‘Roll’ the toothbrush to
cleanse the lingual
surface

30
Q

Fone’s (circular)
(4)

A

 90 Degrees to tooth
 Larger circles over teeth and gingiva
 Easy for children to pick up
 Option for those with limited
dexterity

31
Q

Improper Toothbrushing
(4)

A

 Hard toothbrush
 Horizontal scrubbing
 Excessive pressure
 Toothpaste too abrasive

32
Q

 Toothpaste too abrasive
(2)

A

 Gingival recession
 Cervical abrasion

33
Q

skipped
ADA guidelines for acceptance
of powered toothbrushes
(4)

A

 Laboratory evidence of electrical
safety
 Clinical evidence of hard/soft tissue
safety under unsupervised conditions
 Clinical evidence of plaque and
gingivitis efficacy when compared to
other ADA accepted toothbrush
 Evidence of proper labeling and
advertising claims

34
Q

Mechanical action of brush
(2)

A

 Uses the motion of the bristles to
remove plaque and debris
Rotation oscillation

35
Q

Sonic action of toothbrush

A

 Emits soundwaves in addition to
the movement of the brush
filaments

36
Q

Ionic action of toothbrush
(3)

A

 Temporarily reverses the negative ionic
charge of a tooth to positive
 Portion of toothbrush that is also positively
charge “attracts” the plaque and food
particles away from the tooth
 Allows bristles the brush the loosened
particles away

37
Q

Plain language summary:
 The evidence produced shows benefits in using a powered
toothbrush when compared with a manual toothbrush
(4)

A

 11% reduction in plaque at 1-3 months
 21% reduction in plaque after 3 months
 6% reduction in gingivitis at 1-3 months
 11% reduction in gingivitis after 3 months

38
Q

Choose Interproximal Aid based on:
(4)

A

 Size of interdental spaces
 Presence of furcation(s)
 Ortho or fixed appliance
 Tooth alignment

39
Q

Flossing
 The purpose of flossing is to

A

remove interproximal plaque….not to
dislodge food wedged between the teeth.

40
Q

skipped
Flossing

A

Tear off an adequate amount of
dental floss
 Wrap floss around middle fingers
Floss is maneuvered between
thumb and index finger
 The ‘spool’ method may be
easier for someone with less
dexterity.**
The floss is moved back and
forth until it is through the
contact- See-saw motion
 Do NOT ‘pop’ the floss
 Adapt to each interproximal surface by making C-shape.
 Floss should be placed into sulcus area
Once the floss is below the contact
area and wrapped around the tooth,
it should be moved “up and down”
against the tooth

41
Q

Floss Holders
 Recommended for patient’s with:
(6)

A

 Physical disabilities
 Poor manual dexterity
 Limited mouth opening
 Large hands
 Sensitive gag reflex
 Difficulty with manual flossing

42
Q

Floss Swords/Daily Flossers
(2)

A

 Plastic toothpick on one end, floss
on the other
 Disadvantage: floss cannot be
changed as it gets used

43
Q

Automated Flossers
(2)

A

 May help with patient motivation
 Helpful for patients who need handle with
larger diameter

44
Q

Floss Threaders
(2)

A

 Floss is threaded through loop
 Used to carry floss interproximally

45
Q

Floss Threaders
Ideal for:
(5)

A

 abutment teeth
 beneath pontics
 ortho appliances
 teeth that are splinted together
 tight contact

46
Q

Super Floss

A

 Ideal for plaque removal under
pontics and ortho appliances

47
Q

Platypus Ortho Flosser
(3)

A

Created to floss around orthodontic brackets
- Floss spread between two “spatula” ends
- Bracket brush on the opposite end

48
Q

Interdental Brushes
(Proxybrush)
 Used for:
(5)

A

 large embrasures
 teeth with concavities
 around fixed appliances
 ortho appliances
 Furcations ( Class III, IV)

49
Q

Soft Picks
(4)

A

 Soft, flexible bristles
 Tapered to work around appliances
 Easy to use for patients who find flossing cumbersome
 Latex free

50
Q

Rubber-tipped stimulator
(2)

A

 Primary use is for gingival
massage
 Limited use for removing plaque
from exposed furcation(s), along
gingival margins, and open
embrasures

51
Q

End-tuft toothbrush
 Useful for difficult to reach places:
(6)

A

around ortho appliances
around pontic(s)
lingual of crowded lower anterior teeth
distal of most posterior teeth
wide embrasure spaces
exposed furcation(s)

52
Q

Sulcus Brush
(3)

A

More narrowed brush head
Fits along the gumline
Softer bristles for inflamed gums

53
Q

Toothpick Holders
(Perio-aid; D-PLAK-R)

A

 Trace along gingival margins to remove
plaque in sulcus/pockets

54
Q

Toothpick Holders
(Perio-aid; D-PLAK-R)
May be used along:
(4)

A

crown margins
accessible furcations
concave proximal surfaces
orthodontic appliances

55
Q

Wooden or Plastic Triangular Sticks
(Stim-U-Dent)
(4)

A

 Balsa or birchwood most common
 Triangular in cross-section
 Stick is inserted from the facial, with
flat surface resting on gingiva
 Moved from buccal to lingual

56
Q

Other aids
(3)

A

 Pipe cleaners
 Yarn
 Gauze

57
Q

Oral Irrigators
 Can result in disruption of
 Irrigation not indicated for pts who have
 Irrigation alone is
 Best benefit is seen when irrigation is
combined with
 Pts with

A

loosely attached
or unattached supra/subgingival plaque
effective OH or no inflammation
ineffective in reducing
inflammation
toothbrushing
ortho appliances, bridges, or
implants

58
Q

Irrigation with antimicrobials
(2)

A

 Some clinical and microbial improvements noted in gingivitis patients
 Irrigation with chlorhexidine vs irrigation with water

59
Q

Preventive Philosophy
(4)

A

 Must be promoted by all staff members, but your role is most significant
 Treat your patients as individuals
 Provide accurate information
 Reinforce; don’t assume your patient understood everything

Patient Care 3 (25 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions