Costley Module 13 ch 27

Question 1

The composition of a tooth brush handle is most often ______ or ________

Answer 1

single plastic type

combination of polymers

Question 2

What are tufts

Answer 2

the bristles of the toothbrush

Question 3

The length of tufts may be _____ long and _____row wide. They can be arranged in what fashion?

Answer 3

5-12 tufts
3-4
consistent shape or varied

Question 4

Tufts that are spaced wide allow for _______ and those spaced close allow for ______

Answer 4

easy cleaning

filaments to support each other

Question 5

Most current toothbrushes have ______ filaments

Answer 5

nylon (synthetic)

Question 6

Natural bristles are relatively ___, and their _______ can’t be standardized

Answer 6

unsanitary

physical qualifications

Question 7

Filaments are also called?

Answer 7

bristles

Question 8

Toothbrush selection factors:

Patient _______ and ______ ________

Answer 8

Age

Manual Dexterity

Question 9

Toothbrush selection factors:
Status of ______/______ health and the
______ _______ of the gingiva

Answer 9

Gingiva/Perio

Anatomic Configuration

Question 10

Toothbrush selection factors: (Position)

_____ contacts and _____ teeth

Answer 10

Open

Crowded

Question 11

Toothbrush selection factors:

Patient ______ of a toothbrush may make them_________ change

Answer 11

preference

resist

Question 12

A _______ end- _______ brush is the best

Answer 12

soft

rounded

Question 13

Soft End-rounded brushes are more effective in cleaning the _____ areas, both ____ and _______

Answer 13

cervical
proximal
marginal

Question 14

Soft End-rounded brushes cause less trauma to the ______ and can be directed into the _________ and into ______ areas for cleaning.

Answer 14

gingival tissue
sulcus
interproximal

Question 15

Soft End-rounded brushes are applicable around fixed ________ and _____.

Answer 15

orthodontic appliances 
fixation appliance (broken jaw)

Question 16

The _____ size of a soft end-rounded brush makes it ideal for what age group

Answer 16

small

young children

Question 17

Tooth ________ and/or gingival ________ can be prevented by using a soft end-rounded brush

Answer 17

abrasion

recession

Question 18

Start brushing from ______ and end ______

Answer 18

one molar
same molar (lingual)

Question 19

What is the most difficult side for a R-handed brusher to clean

Answer 19

right side

Question 20

The number of strokes and length of time spent on brushing depends on?

Answer 20

Pt ability and efficiency in removing bio-film

Question 21

For many patients use of the _____ system and the _____ system together works best in removing bio-film

Answer 21

count (count to 10 slowly or 6 strokes each position)

clock (brush for 3-4 min.)

Question 22

Sulcular Brushing Method is also called?

Answer 22

Bass Method

Question 23

The Bass/Sulcular brushing method is widely used for biofilm removal adjacent to and directly beneath the?

Answer 23

gingival margin

Question 24

BASS Method:
direct fillaments ______
First position sides of filaments _____
Then turn brush head toward gingival margin at a ______ angle and brush into sulcus

Answer 24

apically
parallel with long axis of tooth
45

Question 25

BASS method: | Press _______ and vibrate brush with at least ______,very _____ strokes

Answer 25

lightly 10 short

Question 26

The Roll or Rolling Stroke Method doesn't emphasize?

Answer 26

Sulcular cleaning

Question 27

The ROLL method: | Used for ______ or when a _____technique seems too complicated

Answer 27

children | sulcular

Question 28

The ROLL method | Meant for _____ cleaning in conjunction with?

Answer 28

general | vibratory technique

Question 29

The Roll method is useful for preparatory instruction for the ______ method

Answer 29

modified Stillman

Question 30

ROLL method: Procedure direct filaments _______ while holding the brush so the bottom is lined up with the ____ surface of the tooth Press filaments against ______ and roll brush slowly over the teeth _____ times

Answer 30

apically occlusal gingiva 5

Question 31

ROLL method: Limitations Brushing too high can lacerate ______ Quick, sweeping strokes results in no brushing of the ______ area of tooth If filaments are directed into gingiva ___ can occur

Answer 31

alveolar mucosa cervical 1/3 and interproximal punctate lesions

Question 32

The Stillman Method was designed for ___ and _____ as well as for cleaning the _____areas

Answer 32

massage stimulation cervical

Question 33

The filaments were half on _____ and ______ in the Stillman Method

Answer 33

gingiva | cervical areas

Question 34

The Modified Stillman incorporates a _____ with the vibratory_____ phase

Answer 34

roll | rotary

Question 35

The CHARTERS method: Purpose | Massage and stimulate ___ and ___ gingiva

Answer 35

marginal | interdental

Question 36

The Charters method: Positon of Brush | The filaments are directed toward the ___ at a _____ degree angle

Answer 36

occlusal/incisal | 45

Question 37

The Charters method: Limitations Brush ends do not engage the _____ It is more _____ because you may have to use a different method for hard to reach areas.

Answer 37

gingival sulcus | complex/high dexterity needed

Question 38

What 3 methods are used most often

Answer 38

Roll Bass Modified Stilman

Question 39

The Fones Technique: | Brush with teeth ______ using fast, wide, ______ motion with _____ pressure

Answer 39

closed circular light

Question 40

The Fones method is great for _____ but can be detrimental to ______

Answer 40

first technique for kids | adults who brush vigorously

Question 41

What two strokes are acceptable for cleaning occlusal surfaces?

Answer 41

circular (vibratory) for a count of 10 | sharp quick strokes (10 times)

Question 42

The man foci for oral microorganisms are: _____Of tongue Gingival ____ and _____ Dental _____ on all teeth

Answer 42

Dorsum sulci pockets biofilm

Question 43

Microorganisms from saliva are principally from the______

Answer 43

tongue

Question 44

What type of papillae on the tongue trap microorganisms easier

Answer 44

fungiform

Question 45

When a person has a acute oral inflammation or a traumatic lesion what changes in OHI

Answer 45

brush all areas except affected area....rinse with warm saline solution to encourage healing.

Question 46

You want to avoid ____, ____ brushing of an area after periodontal surgery so as to not displace______

Answer 46

direct vigorous dressings

Question 47

Lack of oral cleanliness is a major contributing factor to acute stages of ______

Answer 47

necrotizing ulcerative gingivitis

Question 48

Acute Alterations of gingiva are usually ______ or _____

Answer 48

lacerations | ulcerations

Question 49

Appearance of Acute Alterations of gingiva include _____ epi surface with _____ underlying connective tissues. ____ lesions (red pinpoint spots) _____ redness and _______ attached gingiva

Answer 49

``` scuffed denuded punctate diffuse denuded ```

Question 50

Chronic alterations of the gingiva deal with changes in the gingival _______

Answer 50

contour

Question 51

Examples of types of Chronic Alterations to the Gingiva?

Answer 51

McCall's Festoon gingiva (rolled) | Stillman's cleft gingiva (slit-like)

Question 52

The location of chronic alterations of the gingiva are usually on the ______ gingiva and frequently ______ related to the right/left handedness

Answer 52

facial | inversely

Question 53

Recession is when the gingival margin moves________ exposing ________

Answer 53

apically | root surface

Question 54

Abrasion is the wearing away of tooth structure due to ______ forces

Answer 54

mechanical

Question 55

Most common cause of Tooth Abrasion

Answer 55

incorrect brushing with abrasive tooth-paste

Question 56

Abrasion is primarily on _____ surfaces, especially of ___, _____, and sometimes ____

Answer 56

facial canines premolars first molars

Question 57

Bacteremia can be produced by _____ and _____

Answer 57

scaling | toothbrushing

Question 58

Tooth brushes should be replaced every ______ months

Answer 58

2-3

Question 59

Brush contaminations occurs with every use and has the potential for causing __ or __ infection

Answer 59

localized | systemic

Question 60

Rotational power brushes move in a ___ motion

Answer 60

360 degree circular

Question 61

The tongue can be cleaned by ______ or __ methods

Answer 61

brushing | tongue scrapper