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Dental Nursing England UK > Oral Health Promotion And Diease Prevention > Flashcards

Oral Health Promotion And Diease Prevention Flashcards

1
Q

What is periodontitis?

A

The inflammation of supporting structures of the tooth

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2
Q

Successful dental education for who and how?

A

Communication skills patient to understand
Age groups all different
Patient motivation assist them for good oral hygiene
General Health as some medical conditions affect the ability to perform good oral hygiene

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3
Q

Causative Factors of dental caries

A

Diet-non milk extrinsic sugars
Poor oral hygiene
Action of bacteria on NME’s acids and demineralisation
Stagnation areas

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4
Q

Causative factors of gingivitis and periodontitis

A

Poor oral hygiene gingival crevice periodontal pockets
Stagnation areas pocket of the tooth
Failure treating gingivitis inflamed-leading to periodontal disease-periodontitis

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5
Q

Role of saliva protects against?

A

Caries promotes remineralisation

Periodontal disease by cleaning as a antibacterial

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6
Q

Prevention of dental caries?

A

Increase the tooth resistant to acid attack incorporate fluoride for the enamel structure

Modify the diet include fewer sugary drinks etc
and reduce frequency of the intake

Control the buildup of bacterial plaque by brushing teeth and good oral hygiene techniques

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7
Q

Prevention of periodontal disease?

A

Control the buildup of plaque by good oral hygiene techniques

Modify other factors that contribute for example smoking

Control the host response so going to dental appointments frequently

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8
Q

Controlling bacterial plaque

A

Toothbrushing with a recommended tooth paste

Interdental cleaning

Using suitable mouthwash

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9
Q

Facts about toothbrushes

A

Small head and multi medium nylon bristles are the best

Egg timer for two minutes

Clean all surfaces thoroughly don’t move on until done

Parents help children until eight years old

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10
Q

Toothpaste facts

A

High fluoride toothpaste adults with high caries or high risk-2800ppm and 5000ppm

Some toothpastes to slow down calculus

Antiseptic plaque suppressant-triclosan with zinc

Whitening toothpastes removes surface staining -biological enzyme systems

Acid erosion-pro enamel toothpaste

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11
Q

Interdental cleaning techniques

A

Dental floss or tape interdental plaque removal

Flossette-style dental pick we have good for posterior teeth

Interdental brushes fixed orthodontic appliances

Woodsticks-dislodge food least effective

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12
Q

Mouthwashes facts

A

Sodium fluoride-provides topical fluoride application

Triclosan-chemical suppresses the formation of plaque in mouth

Some for inflamed tissues hydrogen peroxide eliminate anaerobic bacteria

Specialised for acute and chronic periodontal infections-chlorhexidine which is a antiseptic plaque suppressant

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13
Q

Other methods plaque removal

A

After meals eat detergent foods raw firm fruit veg

Or piece of cheese stimulates saliva

Or sugar free gum

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14
Q

How to help a acid attack fluoride?

A

Topical fluoride application there is health products for that

Systemic fluoride application taken with food or drink products

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15
Q

Topical fluoride

A

Topical fluoride toothpaste this for patients-1000ppm up to 5000pm high risk caries

Brush 2 times
Don’t rinse after
Fluoride mouthwash
Dental floss with fluoride

Dental team
Fluoride gels children special needs hameophilla heart defects

First polish washed dry not rinse or eat 30 mins

Fluoride varnish applied individual teeth previous acid attack or periodontal surgery or roots exposed by gingival rescission

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16
Q

Systematic fluorides

A

Water fluoride 1ppm drinking water
Add fluoride table salt
Fluoride drops and tablets children during tooth development age+local water supple
Medical conditions physical suffer caries

17
Q

Enamel fluorosis

A

When Excessive Fluoride is ingesting during a enamel formation

White marks on enamel
That’s why children below a should be supervised and toothpaste kept twice a day spit then swallow and prescribed and know local water fluoridation

18
Q

Good snacks

A 
Non citrus fruits apples peaches pears
Raw vegetables 
Unflavoured crips
Low fat cheese
Un sweetens yogurt
19
Q

Bad snacks

A

Sweets
Fizzy drink
Pure fruit juice
Tea and coffee with sugar

20
Q

Hidden sugars

A

Cooking sauce
some breakfast cereals
Soup energy drinks ready process meals savoury crackers biscuits tinned fish and meat in tomato sauce jams chutneys

21
Q

Advice on dietary

A 
Limit cariogenic foods to meal times 
Avoid fruit juices on meal times
Follow good snacks 
Diet sheets for hidden sugars 
Advise on sugar free medication
22
Q

Prevention periodontal disease

A

factors in patients life (Modify the contributory factors) Smoking,stress,hormonal imbalance affects the tissues,lip posture that allows gingival tissues to dry up,Radiotherpy, medicatical conditions that find it hard to fight off infections ginvial hyperplas meidcations cause-drugs for epilepsy drugs for cancer,drugs refuse transplant rejection, dry mouth antidepressent drugs TOOTH CROWDING-latrogenic factors dental problems like restorations poorly designed dentures or so

23
Q

Prevention of periodontal disease control the host response?

A

Genetic reasons, high level of support
Scaling and subgingival debridement
Advice on calculus
Gingival hyperplasia given gingivectmony procedure
Eradicate bacteria periodontal pockets may have an antibiotic gel
Periodontal infection may turn into a extraction
Best referee to a periodontal specialist

24
Q

Communication skills OHI

A 
Verbally and Non verbally 
Talking face to face or telephone 
Written explanation then give verbal 
Information leaflets or posters read and discussed
Body language friendly open
Eye contact 
Facial expressions 
Touching
25
Q

Communication ethnic groups

A

Hindus
Vegetarian fasting saturated fats

Sikhs
Dairy vegetarian avoid pork and beef

Muslims
Rich in fish
No alcohols or pork
2 years breastfeeding low nutritional value

26
Q

Adults motivation

A

Smoking alcohol oral cancer and periodontal disease

Stop smoking aids

Diet discuss

No jargon
Listen to differculties
Referral to another member if 
needed
Eye contact leaflets
27
Q

Young people motivation

A

Require evidence
Alcohol and smoking
Rely on parents

28
Q

Children motivation

A 
Parental support 
Early age 
Reinforced at home 
Suitable vocabulary friendly
Do not threaten 
Must be fun
Disclosing agents 
Develop relevance to games tv
29
Q

Elderly changes

A

Less fat elasticity
Soft tissue trauma and then bruising post op

Bone brittle jaw rail of fracture
Osteoporosis women nay have to go referral tooth extraction

Oral mucosa
Thinner less tolerate to dentures
Root caries risk gingival recession

Salivary glands
Dry mouth 
Certain drugs 
Increase caries 
Swallowing problems

Teeth
Darkening colour
Narrowing pulp chambers
Sensitivity

30
Q

Effects of general health on oral

A

Eating disorder bulimia
Diabetes poor wound oral infections
Smoking respiratory and heart
NME Sugars processed meals risk of obesity heart disease
Excessive alcohol consumption liver disease periodontal disease dental trauma falls
Saliva reducing flow- antihypertensives
Antidepressants
Gingival hyperplasia
Phenytoin epileptic
Nifedipine control heart
Ciclosporin organ rejection

Dental Nursing England UK (4 decks)

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