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Dental Hygiene II > Module 5 > Flashcards

Flashcards in Module 5 Deck (90):
1

Many ortho patients are in what stage?

preteen years when gingivitis is high

2

Does the incicdence of perio infection increase from childhood to late teens

yes

3

What can complicate adult treatment?

medications or have a systemic issue

4

How does gingivitis present in orthodontic patients?

-biofilm retention by appliances causes gingivitis
-degree can vary
-tissue can enlage and cover appliance

5

what are problems with ortho appliances?

retain biofilm and debris, appliances become detached

6

Teeth that are irregulary positioned are more suceptible to

the retention of bacterial deposits and are more difficult to clean

7

The patient who tries to maintain oral cleanliness even has difficulty. T?F

True

8

What kind of program is needed for orthodontic patients?

a rigid program for dental caries and perio disease control

9

What are general instructions for ortho patients?

-give instructions before appliance is placed
-preform brushing at mirror to increase accuracy
-use a disclosing solution
-Fl2 dentifrice
-mouthrinse
-sulcular brushing

10

What are the recommendations for a power toothbrush and ortho patients?

-soft filaments, light stroke, low speed

11

Are power toothbrushes very effective for ortho patients

yes

12

WHat are the manual toothbursh recommendations for ortho patients?

-soft, bilevel

13

What kinds of brushing should be used for ortho patients?

sulcular brushes

14

What should be included in a brushing procedure for ortho patients?

sulcular brushing, adapt for appliance, clean all surfaces, lingual and palatal

15

What interdental aids should be used for ortho patients?

floss threaders, tufted dental floss, interdental brush single tuft brush

16

What is helpful for biofilm under brackets?

rubber tip

17

What additional measures can ortho patients benefit from?

an oral irrigator

18

What can help clean around orthodontic brackets?

ultrasonic scaler, a/p polisher

19

what is a common finding after ortho treatmen?

white spots (demineralization)

20

What teeth tend to develop white spots?

teeth that have been banded or bonded

21

what contributes to demineralization from ortho appliances?

biofilm retention and difficulty of removal

22

What is important in the post-debonding perio evaluation?

-complete exam w probing
-calc removal
-photographs
-disclosing agent

23

-what is important in the post-debonding dental caries exam?

-exam for demineralization
-composite resin may be left on tooth around bracket

24

What kind of fluoride therapy is recommended in post-debonding care?

-pt and professionally applied fluoride

25

What can the application of varnish immediately after bonding help?

reduce demineralization by up to 50%

26

What do self care procedures include

cleaning the prosthesis and remaining natural teeth

27

waht is a major factor in maintaining the long term health of abutment teeth

biofilm control

28

Is it more common for the hygienist or patient to remove the prosthesis?

the patient, they are familiar with insertion and removal

29

What 3 things should you do when you recieve a denture?

-prevent cross contamination
-rinse under slow running water
-place in cleaning solution and in a ultrasonic container

30

When are the appliance and natural teeth cleaned?

after each mean and at bedtime

31

What is the objective for patients with dentures

to attain and maintain oral health and function

32

What is the objective for patients who retain natural teeth with dentures?

control biofilm for prevention of caries and perio

33

What are the basic daily self care objectives

-remove all loose debris and biofilm
-disinfect to eliminate teethand oral tissue irritants that will eliminate malodor

34

Does rinsing remove biofilm?

no

35

What can resuld in bending or fracturing of clasps or bars of a denture?

too tight of a grasp on the partial denture

36

What types of brushes can be used on partial dentures?

-toothbrush, power brush, clasp brush, denture brush

37

What should you do before immersion?

cleaned by rinsing and brushing to remove biofilm and debris

38

What should you avoid in immersion?

agents known to corrode or discolor

39

What is used for a patient with a cleft palate?

an obturator

40

What is the part of a denture that rests on the oral mucosa?

denture base

41

what is the impression surface of a denture?

tissue or inner surface of the denture

42

What can be placed on the impression surface of a a denture

-long term material such as a liner
-denture adhesive

43

how often should denture adhesive be removed

during daily cleaning

44

What can be removed by rinsing and brushing

mucin and food debris on the denture surface

45

what is denture biofilm composed predominately of

gram positive cocci rods and filamentous forms of bacteria

46

what is biofilm also composed of?

C.albicans

47

What is denture biofilm associate with?

breath malodor and denture stomatitis

48

Where does calculus form on a denture?

anywhere on denture same areas as natural teeth

49

What are frequent causes of stain in natural teeth

tobacco, red wine, coffee, tea

50

what should you do to prevent drying and disinfection after ultrasonic cleaning of a denture?

antimicrobial

51

What causes when a denture dries out?

it distorts

52

what do commercially available devices include?

ultrasoninc, magnetic, and agitating mechanisms wiht an immersion agent

53

What are mechanical irritants to tissue?

rough deposits,calculus, thick stains

54

what are chemical irritants to tissue?

products of putrification of food and bacterial metabolic products

55

When should you clean the dentures?

several times each day

56

What is a proprietary solution for cleanin denture?

available in powder or liquid form

57

What is the preparation of proprietary cleaners?

add measured warm water as directed

58

how long do you immerse a denture in a proprietary solution?

10 to 15 minutes

59

what is the effect of a proprietary solution?

only effective against loose debris

60

what is a hypocholorite solution for immersion of a denture?

household bleach and calgon

61

What is the length of immersion for a hypochlorite solution

10 to 15 minutes

62

what type of brush should be used for cleaning by brushing

denture brush

63

what other brushes should be used for cleaning dentures

hang brush, ordinary toothbrush (separarate brushes for natural and dentures)

64

What should you use precaution with brushing?

overzealous brushing and abrasive cleaning agent can damage fit of denture

65

What are requirements for a denture cleaner?

easy
bacterial and fungicidal
effective removal of deposits
nontoxic

66

What is the active ingredient in an alkaline peroxide

alkaline detergent with an oxygen liberating agent

67

what is the action of an alkaline peroxide

loosens debris and light stains by an oxygyn liberating mechanism

68

what are the disadvantages of an alkaline peroxide

-doesnt remove heavy stain or calc
-corrosion of metal

69

What is the active ingredient in a dilute acid

inorganic acid

70

what is the action of a dilute acid

dissolves inorganic components of denture deposits

71

What is an example of a dilute acid?

hydrochloric acid

72

what are the disadvantages of a dilute acid?

corrosion of metal parts

73

What is the action of enzymes?

break down biofilm protiens and polysaccharaides

74

What are disinfectants used for?

daily maintenence of denture to prevent inflammation

75

What is the commerically available product used for disinfection of dentures?

sodium hypochlorite

76

what should you do before disinfection?

rinse denture under runing water

77

What is the active ingredient in denture pastes, powders, and toothpastes

an abrasive such as calcium carbonate

78

what is the action of denture pastes powders and toothpastes?

mechanical removal of biofilm and stiains by brushing

79

what are the disadvantages of denture pastes, powders and toothpastes

can abrade plastic resin and teeth

80

What are the active ingredients in household agents to clean dentures?

detergent and or abrasive

81

what are examples of household agents used to clean dentures?

salt and bicarbonate of soda which are not very abrasive

82

the oral mucosa can be negatively affected by contact with a prosthesis which results in the common condition called

denture stomatitis

83

what should the patient rinse with when they remove their denture?

warm water or a mild salt solution

84

what should a patient do at least once daily to clean the oral mucosa?

soft toothbrush applied over the ridges in the vestibules using long straight strokes

85

why should a patient massage their oral mucosa

for stimulation of circulation and increased resistance to trauma

86

What are the 3 methods for massaging oral mucosa?

digital, soft toothbrush, power brush

87

What are the advantages of an overdenture?

help preserve bone
allow remaining teeth to bear occlusal pressure
improve stability and retention of denture

88

Should a patient be on a fluoide program if they have retained natural teeth with their overdenture

yes

89

_________ appointments are needed to check the health of gingival tissues in overdentures

true

90

what has shown effective in the prevention of dental caries of overdenture abutment teeth

sealants