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1

Denture Cleaners

Ban-A-Stain Liquid
Phosphoric Acid 25%

Dentu-Cream Paste
dicalcium phosphate dehydrate / calcium carbonate / aluminum silicate

Efferdent Plus Tablets
Sodium bicarb / perborate / potassium monopersulfate / detergents

2

TYPES of Detrifices

(toothpaste)

Caries Prevention / Treatment
sodium fluoride

Tartar Control
zinc chloride/citrate / soluble pyrophospates

Anti Plaque/Gingivitis
Triclosan (Colgage total) = only toothpaste accepted by the ADA for this indication

Whitening / Anti-Stain
Baking soda (mild abrasive) / titanium dioxide (pigment produces brightening)

3

Non-Rx DESENSITIZING Toothpastes

Colgate Sensitive Multi-Protection

Colgate Sensitive Enamel Protect

Crest Sensitivity
Clinical Sensitivity Relief Extra Whitening

Sensodyne Maximum Strength w/ Fluoride

4

Carmex Lip Balm

Ingredients / Indicaiton / Directions

Lip Balm = 1.7% CAMPHOR + 0.7% MENTHOL
Cold Sore Treatment: 10% BENZOCAINE

For the temporary relief of
Cold Sores & Chapped Lips

AAA PRN
do NOT put on cold sores for >14 days

5

Prevention of Caries

Control Dental Plaque
Mechanical Removal brush / floss

Chemical Management = Fluoride / products that remove / prevent plaque

Non-Pharmacological

DIETARY = AVOID CARIOGENIC FOODS
cariogenic food = >15% sugar --> clings to teeth -> remains in mouth

high water content is good, need to stimulate flow of saliva

 

6

Toothbrushing GUIDELINES

Brush after each meal or BID

Gentle back & forth motion, sweep AWAY from gums
45* angle @ gumline

>2 minutes covering all surfaces

Brush tongue to reduce plaque + bacteria

rinse + spit out water

7

Toothache

Cavitation or Decay present in tooth

Intermittent SHORT / SHARP pain on stimulation
may indicate reversible damage

Pain w/o stimulation
may indicate IRREVERSIBLE damage

Requires DENTAL CARE for resolution

8

Medications that --> XEROSTOMA

May Decrease blood flow

Anti Histamines / Decongestants

Anti Hypertensives / Diuretics

Anti Depressants / Anti Psychotics

Sedatives

9

DENTIN

HARD TISSUE
located beneath the Enamel

contains microscopic tubules
(small hollow tubes or canals)

when dentin loses its protective covering = enamel
then the tubules allow for heat+cold or Acid/sticky foods to 
stimulate nerves / cells INSIDE the tooth --> SENSITIVITY

10

Orajel

Indications

Toothaches or Teething
for temporary pain relief
Apply directly to gum area affecting the tooth

CANKER SORES
Denture Irritation
 / Mouth Ulcer / Other sores
AAA AD

11

Oral Health Tips

•Drink fluoridated water and brush with fluoride toothpaste.

•Practice good oral hygiene. Brush teeth thoroughly.

•Flossing is just as important! Even flossing 1-2 times per week  can make a difference!

Visit your dentist on a regular basis every 6 months,
and for severe pain ASAP

Do not use any tobacco products and limit alcohol

•Control diabetes

•Know if your medications can cause dry mouth- consider an
alternative treatment, or care for dry mouth.

•See your doctor or a dentist if you have
sudden changes in  taste and smell

12

Xerostoma

 

DRY MOUTH
Salivary flow is limited or completely stopped

Sjogren's Syndrome
autoimmune disorder where salivary glands are partly/completely disfunctional

DM / Depression / Crohn's
may also be prone to dry mouth
+medications

MINIMIZE = caffeine / acidic foods / alcohol / alcohol rinses

13

CHEMICAL Removal of Plaque

Fluoride
enhances development of fluoridated hydroxyapatite
resistant to De-mineralizing ACIDS
ALSO interferes w/ bacterial cariogenic process

Dentifrices (TOOTHPASTE)
enhances removel of dental plaque + stain
decreased incidence of dental caries + gum disease
less mouth odor & enhanced appreance

Mouth Rinses
Cosmetic + Therapeutic

14

Crown / Root

part of the tooth that is

VISIBLE IN THE MOUTH

 

Root is the
Part of the tooth that is

INSIDE THE BONE SOCKET

15

Recurrent APTHOUS STOMATITIS

(Canker Sore)

Likely causes are: Stress + Local Trauma
chemical irriatation / biting inside of cheek/lips
injury from brushing or braces

can NOT be cured, products only provide symptomatic relief

Minor Presentation
oval / flat ulcer / erythematous tissue around ulcer / usually 1 lesion

Major presentation
oval / ragged / grey or yellow ulcers / several lesions

16

MEDICATIONS

that INCREASE the risk of GINGIVITIS

Calcium Channel Blockers = CCBs

Cyclosporine

Phenytoin
can cause HYPERtrophy of gums

AntiCholinergics / AntiDepressants
reduces salivary flow

17

Orajel Products

Ingredients

Regular Strength Gel
10% benzocaine

Severe Toothache Pain Cream
20% benzocaine + 0.25% menthol

Canker Sore Gel
benzocaine 15% + menthol 2%

Mouth Sore Rinse
1.5% hydrogen peroxide

Mouth Sore GEL
benzalkonium CL 0.13% + benzocaine + zinc chloride

 

18

Mouth Rinses

Rince with plaque / calcus control properties
indicated as ADJUNCT to proper flossing / brushing w/ fluoride toothpaste

COSMETIC - freshens breath & cleans debris

Plaque control ingredients:
Aromatic Oils = Antibacterial / Local Anesthetic
4* Ammonium Compounds = Antimicrobial

Listerine
1st mouth rinse accepted by ADA as non-RX Anti-plaque/gingivitise RINSE

19

Pulp Chamber

Space INSIDE the tooth

for the

Nerve + Blood Vessels

20

Herpes Simplex Labialis

SYMPTOMS 

Cold Sores or Fever Blisters

Burning / Itching / Tingling / Numbness
@
Junction of Oral Mucosa & Skin of LIP/NOSE
several number of lesions

Red / Fluid-Filled Vesicles 
that may coalese, crusted when mature

Pustules or Pus under crust, may indicate secondary bacterial infection
needs to be further evaluated

21

ABREVA

Ingredients / Indecation / Direction

DOCOSANOL 10%

Treatment of Cold Sores or Fever Blisters
on the face or lips by shortening healing time & duration
of the tingling/pain/burning /itching

Directions:
AAA on face or lips @ the first sign of cold-sore/fever blister
Use 5x per day until healed

do NOT use for >10 days or if symptoms worsen

22

EX-ST

for COLD SORES / Fever Blisters

Tooth Aches / Loose Teeth
Broken / knocked out teeth

Severe Tooth Pain
hot / cold / chewing

Mouth soreness

Fever / Swelling

Bleeding Gums w/o trauma

Trauma to Mouth
bleeding / swelling / soreness

23

FLUORIDE PRODUCTS!!

ACT Anticavity Flouride Rinse
(0.05% sodium fluoride)

•Gel-Kam Gel
(0.4% stannous fluoride)

•Crest Pro-Health For me Anticavity Flouride Rinse
(0.022%  fluoride rinse)

24

NonRX - Mouth Rinses

Therapeutic
Crest PRO-Health (cetylpriindium chloride)

Botanical
Listerine

Tom's of Maine

25

Denture Problems

HYYGIENE RELATED

Pain UNDER Dentures
usually result of poor denture cleaning

Dentures can accumulate:
Plaque / Stain / Calculi simular to natural teeth

Chronic Atrophic Candidiasis
most common issue, often caused by candida albicans
that adheres to dental base

26

Biotene Oral Balance

Indication / Ingredients / Directions

Use as needed for DRY MOUTH = Xerostoma

Use 15 ml
rinse for 30 sec --> SPIT

Glucose Oxidase / Lysozyme / Lactoperoxidase

27

Special Population Considerations

Infants
20 primary teath, need to remove plaque + milk resedue

Advanced Age
some medications that affect oral health

Diabetes + Smokers
increased risk for oral health problems

28

Fluoride Products

ACT
Anticavity Fluoride Rinse

Gel-Kam Gel
0.4% stannous fluoride

Crest Pro-health
0.022% fluoride rinse

29

Guidelines

for using Topical Fluoride

ONLY ONCE A DAY

brush teeth with fluoride dentifrice FIRST
rinse-measured amount vigorously for ONE MINUTE

GEL 
brush gel onto teeth & remain for 1 minute
SPIT OUT after 1 minute, do not drink/eat for 30 minutes

30

SELECTED PRODUCTS 
Detrifices
(toothpaste)

Caries Prevention / Treatment
FLUORIDE = Crest Cavity Protection

Tartar Control
Colgate Tartar Protection

Anti Plaque/Gingivitis
Colgate TOTAL / Crest Multicare

Whitening / Anti-Stain
Aquafresh Whitening Gel
Rembrant PLUS Premium whitening