Treatment Flashcards
what technique is used for OHI?
TIPPS
what is the first stage of TIPPS?
TALK
Plaque build up on teeth around gum margin - plaque is the sticky white substance
Bacteria in the plaque irritate gums - leads to redness, swelling and bleeding
If plaque is removed, gums will be healthy again
ASK QUESTIONS
- how long do you brush for?
- how often do you brush? change brush?
what is the second stage of TIPPS?
INSTRUCT
Importance of removing plaque from all surfaces especially around gums
*patient hold mirror and wear goggles
- 2 mins methodically
- tooth brush half on tooth half on gums
- 8-10 strokes in each section
- turn brush for anteriors
what is the third stage of TIPPS?
PRACTISE
- patient toothbrushes whilst looking in mirror
what is the fourth stage of TIPPS?
PLAN
when can you fit toothbrushing in?
*last thing at night, dont drink/eat after
what is the fifth stage of TIPPS?
SUPPORT
explain other methods
- floss
- interdental brushes
how can plaque be controlled?
OHI
mechanical plaque control
chemical plaque control
what is mechanical plaque control?
toothbrushing
- new brush monthly
- circular motions
fluoride toothpaste
chlorhexidine containing toothpastes
what is chemical plaque control?
mouthwashes - chlorhexidine
what are the non-surgical perio therapy options?
scaling and RSD
restorative treatment]
antibiotics and antiseptics
when would you use subgingival PMPR?
pockets >4mm
what is the aim for subgingival PMPR?
tight adaptation of pocket epithelium to root, creating long junctional epithelium
what antibiotics can be prescribed for periodontal abscess?
amoxicillin/ metronidazole
what antibiotics can be prescribed for necrotising perio disease?
metronidazole
what antibiotics can be prescribed for agressive periodontitis?
amoxicillin and metronidazole
