Preventive Procedures - OHI Flashcards
Types of Dental Floss:
Waxed
Unwaxed
PTFE
Dental Tape
Super floss
Waxed Dental Floss
Useful for: Individuals with tightly spaced teeth
Waxed dental floss is coated with a thin layer of wax, which makes it easier to slide between teeth. Wax coating also helps prevent the floss from fraying or breaking during use.
- comes in various flavours
Unwaxed Dental Floss
Unwaxed dental floss is a thinner, more flexible option compared to waxed floss. It is made of nylon and can fit into tighter spaces between teeth.
Useful for: individuals who prefer a more natural feeling while flossing.
Downside: it is more prone to fraying and breaking, especially if used too aggressively. Despite this, many people prefer unwaxed floss for its simplicity and effectiveness in removing plaque & food particles
PTFE Dental Floss
Made from polytetrafluoroethylene - a material that is highly resistant to shredding and breaking. This type of floss is extremely smooth and can easily glide between teeth.
Useful for: individuals with very tight dental contacts
PTFE floss is known for its durability, allowing for a more thorough cleaning without the need for frequent replacements. However, it is generally more expensive than other types of flosses which may be a consideration for some users.
Dental Tape floss
- is a broader, flatter type of floss. Is designed to cover more surface area between teeth. The wider design also helps to remove more plaque and debris in a single pass
Useful for: individuals with larger gabs between their teeth.
While dental tape is easier to handle for some people, it may be too thick to fit comfortably between very tight spaces. Despite this, it remains a popular choice for those looking for a more comprehensive cleaning experience.
Super Floss
- is a specialized type of loss designed for cleaning around braces, bridges, and wide gaps. It consists of three components: a stiffed-end threader, a spongy floss, and regular floss. This is combination allows for versatile cleaning in various dental situations.
The stiffened-end threader helps guide the floss under appliances, while the spongy floss cleans around them. The regular floss is then used to remove plaque from the gum line.
Useful for: individuals with complex dental needs
Modified/Bass Method
This method is useful for all types of dental conditions, especially periodontal diseases & POCKETS. With bristles. Pointed at a 45-degre angle into the gingival sulcus, the brush is vibrated gently back and forth about 10 times. The brush is then moved forward and the vibrations repeated. Do rolling stroke as well (to make it modified)
Rolling Stroke Method
This method is useful for removing biofilm without reaching the sulcus. Stimulation of gingiva.. Beneficial for older children. The brush is placed above the free gingiva with the bristles pointed toward the apices. Light pressure is exerted and the brush is drawn toward the occlusal surface using a rolling stroke.
Charters
This method is useful for patients with severe loss of interdental papilla height, fixed prosthetic appliances and previous gingival surgery. The rolling stroke method is completed first. Then the bristle tips are directed toward the occlusal or incisal surface. The handle is rotated, flexing the bristles and bringing them into contact with the interdental tissue and exposed proximal surfaces. The handle of the brush is vibrated with a slow, circular motion.
Modified/Stillman Method
This method is useful for patients for cleaning cervical areas, and for stimulation and massage of the gingiva. It works well in areas of recession and proximal RECESSiON. The brush ends are placed partly on the ginigva and partly on the cervical area of the tooth and directed slightly apically and angled 45 degrees. The bristles are vibrated in a rotary motion over the gingiva and rolled over the tooth making some bristles reach interproximally. Do rolling stroke as well (to make it modified)
Fones Method
This method is useful for small children or others with poor manual dexterity. The teeth are occluded.
Then, lightly press the bristles against the posterior teeth and the gingiva. The brush is moved in a circular motion, using circles of large diameter. The circular motion is continued, and the brush is
slowly motioned toward the anterior until all facial surfaces have been brushed. With the mouth open, use an in and out stroke on the maxillary and mandibular lingual surfaces.
Sulcus Brush
2 ended - small tuffs
Cleaning around the gums and between teeth
Hold the Sulcabrush at a 45-degree angle to your gums.
Gently brush back and forth, targeting the area between your teeth and gums.
Don’t forget the inner sides of your teeth; flip the brush and repeat.
(can do little circles in interproximal)
Gum Stimulator
Rubber pointed tip. Gum stimulators can help clean between your teeth, especially for those with wide gaps or missing teeth.
Massaging your gum tissue, helping to avoid gum disease or prevent it from worsening. Helping to clean between your teeth, removing food matter and plaque to prevent gum disease and cavities.
Place at 45 degree angle into gum line and run across the sulcus – side to side.
Interproximal Brush
Different Sizes - great for use with brace/dental appliances
brush under need wire of brace
Interdental cleaning
for cleaning interproximal surfaces
- put between teeth - brush on each proximal surface
- back and forth 3-4 times