Toothbrushing Flashcards
What are the 4 factors necessary for caries?
- susceptible environment
- bacterial biofilm
- time
- fermentable carbohydrates
What guideleines for caries prevention are followed in children?
Sign 138
At what age can we start placing fluoride varnish?
18 months.
What are the 5 stages of motivational interviewing?
- explore current practice and attitudes using motivational interviewing.
- educational intervention.
- action planning
- encouraging habit formation
- repeat at each recall visit
What is an interviewing method of gaining empathy?
SOARS
- seek permission
- open questions
- affirmations
- reflective listening
- summarizing
How many dental packs (minimum) has childsmile given a child by the age of 5?
6 times.
- age 1 (1 pack) age 3 (2 packs), age 4 (2 packs), age 5 (1 pack).
What are 3 characteristics required for behavior change
KSA: knowledge, attitude, skiils
What toothpaste would you advise for children up to the age of 18 years with standard caries risk?
1000 to 1500 ppm
What toothpaste would you advise for children up to the age of 10 years with high caries risk?
1500ppm
What toothpaste would you advise for children from 10 to 16 years at high caries risk?
2,800ppm
What toothpaste would you advise for children over 16 years with high caries risk
2800ppm (can also consider 5000ppm).
What amount of toothpaste should be used in children under 3?
smear (0.1mL)
How much fluoride is contained in a smear of 1000ppm fluoride toothpaste?
0.1mg F
a smear = 0.1ml.
0.1ml x 1mg F/g = 0.1mg F
What amount of tooth should be used in children more than 3 to less than 7?
a pea size (0.25mL)
What index is used to measure dental plaque in children?
silness and loe
What does the silness and loe index measure? (+ give detail)
measures PLAQUE.
0: tooth surface clean
1: appears clean but dental black can be removed from GINGIVAL MARGIN
2: visible plaque along gingival margin.
3: tooth surface covered with abundant plaque
Note the WORST SITE in each sextant
Until what age is it recommended to supervise child toothrbushing?
under age 7/ cannot tie their own shoelaces
what is the blue and pink color after disclosing?
blue is old plaque, pink is newer plaque
are powered or manual toothbrushes recommended for children?
- NO EVIDENCE THAT POWERED TOOTHBRUSHES ARE MORE EFFECTIVE AT PREVENTING DENTAL CARIES IN CHILDREN COMPARED TO MANUL TOOTBRUSHES.
How do you do OHI on a child that cannot brush independently yet?
- is child under 7/ cannot tie shoelaces?
1. ask if they can see plaque.
2. lie them back and disclose teeth.
3. sit them up, rinse and spit.
4. watch the child brush and ensure they can reach all surfaces.
5. watch the parent brush the childs teeth and refer again to all sections and surfaces of teeth.
6. clinician should finish brushing to show child how clean teeth can get with good brushing.
what are two important features of first permanent molars? What should the parent be instructed to do to keep them clean?
- can take up to 2 years to fully come in occlusion.
- immature enamel makes them more caries prone.
- parent should pull the cheek back and do lateral brushing
how often should a worn toothbrush be replaced?
no evidence, typically recommend 3 times a month
for how long should teeth be brushed?
no evidence - recommended 2 minutes.
what is the recommended toothbrushing method? why?
modified bass technique - more effective at reducing gingivitis.
