Week 10 Flashcards

1
Q

What is oral irrigation

A

Direct and targeted application of a pulsated/steady stream of water for cleansing

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2
Q

Rinsing with water does not

A

Remove attached plaque

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3
Q

Rinsing may help return the mouth to a

A

Neutral pH following acid production

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4
Q

Irrigation helps with reaching

A

Periodontal lesions

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5
Q

Irrigation with antimicrobials is recommended as an adjunct for Trx of gingivitis and perio. What could you use?

A

Chlorhexidine
Listerine
Hydrogen peroxide

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6
Q

Example of a powered self irrigation device

A

Waterpik

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7
Q

Standard jet tip for waterpik reaches what % in 4-6mm pockets and what % for 7mm or greater

A

90%; 64%

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8
Q

What produces compression and decompression action to allow the solution to go Subgingivally

A

Hydro kinetic activity

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9
Q

A non powered irrigator attaches to

A

Water faucet or shower head (only delivers a steady flow not pulsating)

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10
Q

Benefits of oral irrigation

A

-Positive effect on clients with systemic diseases (diabetes)
-improvement of inflammation
-can reduce gingivitis, bleeding, pocket depth and MO’s

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11
Q

Irrigation does not improve

A

Attachment loss of the Junctional epithelium

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12
Q

Contraindications for oral irrigation

A

Not meant to treat active periodontitis

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13
Q

What are the objectives of tooth brushing

A

-To remove plaque &disturb reformation of plaque
-clean tooth of food debris and extrinsic stain
- stimulate ging tissues
-apply tp that delivers necessary ingredients

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14
Q

An effective toothbrush conforms to ?

A

individual patient requirements in size shape and texture

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15
Q

Effective toothbrush has what kind of filaments

A

Round ended

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16
Q

In regard to moisture and effective toothbrush is

A

Impervious to moisture

17
Q

How often should you replace toothbrush

A

2-3 months or when filaments look worn or splayed

18
Q

Are angled or vertical bristle tuft arrangements more efficient in plaque removal

A

Angled

19
Q

We should use what because they are less traumatic to tissues

A

Soft nylon brushes

20
Q

Texture is defined as a bristles resistance to pressure and is also referred to as

A

Firmness
Stiffness
Hardness

21
Q

Factors influencing stiffness of bristles

A

Thinner filaments are softer
Shorter filaments are stiffer
Increasing number of tufts increases stiffness

22
Q

Advantages of a soft nylon brush

A

-More effective in cleaning cervical areas (proximal and marginal)
-Less traumatic to gingival tissue
-Can be directed into sulcus and IP
-Prevention of tooth and gingival abrasion

23
Q

soft nylon brush is more effective use for sensitive gingival conditions such as

A

Necrotizing ulcerative gingivitis or severe gingivitis
-healing stages following scaling and debridement or perio surgery

24
Q

Influencing factors on toothbrush selection

A

Client
Gingiva
Position of teeth
Shape of teeth
Personal preference
Method of brushing

25
Q

What is the grasp for manual tooth brushing

A

Palm/thumb modified pen grasp

26
Q

How long should you brush your teeth

A

2mjnutes

27
Q

How frequent should you brush your teeth

A

2 times daily or after meals/snacks

28
Q

Each brush placement when brushing should/must ?

A

Overlap the previous one for thorough coverage

29
Q

On facial and lingual aspects of posterior teeth the toothbrush head is positioned

A

Parallel to the arch

30
Q

What is an easy tooth brushing method for children to learn

A

Fones

31
Q

Describe fones method

A

Teeth are closed and bristles moved in circular motion
Lingual and palatal tooth surfaces use an in and out strike
Occlusal surfaces are back and forth

32
Q

Describe bass technique

A

Angle is 45° places apically against the tooth into gingival sulcus. Vibratory to disturb plaque

33
Q

Bass technique is used on clients with

A

NO recession

34
Q

By adding the rolling stroke to the bass technique it becomes what method

A

Modified bass

35
Q

What technique is used for clients with recession

A

Stillmans /modified stillmans