Oral Hygeine Advice Flashcards
(33 cards)
Biggest challenge with oral advice
- tailoring advice to patient needs
- including type of disease, patients ability/motivation
What diseases can we treat when giving advice?
- gingivitis
- periodontitis
- caries
How does caries develop?
- plaque and sugar and time
- makes plaque acid
- caries
Main principles of OHI
- regular plaque removal and plaque delivery
- think about major sites (occlusal, interproximal, tooth surfaces)
- different tools for different sites
Methods of plaque control
- mechanical control - tooth brushing, interdental aids, professional cleaning
- chemical control - mouth rinses
Patients can only remove …, we need professional cleaning to remove …
- plaque
- calculus
Things to consider with toothbrushes
- size
- bristle hardness
- price
- smart tech
- manual or electric (indication electrical is better but depends what patients do with it)
Which toothbrushing technique is most recommended for focusing on gingival sulcus?
- bass
- or modified bass
What is the bass technique of tooth brushing?
- toothbrush at level of gingival margin
- bristles angled at 45 degrees to long axis of tooth pointing apically
- short back and forth strokes
- bristles work subgingivally and interproximally
How is the modified bass technique different to the bass tehcnique?
- same as bass
- added vertical sweep in occlusal direction
Charter’s method of brushing
- toothbrush on tooth
- bristles 45 degrees to logn axis of tooth pointing coronally
- short back and forth vibratory motion so side of bristles goes against gingival margins
What is Stillman’s/Modified Stillman’s method of brushing?
- fairly similar to bass/modified bass
- difference is slight movement in occlusal direction during horizontal strokes
Explain the scrub brushing method
- bristles pointed horizontal at gingival margin
- horizontal motions to scrub gingival crevice
Essentials of brushing
- at least twice a day for 2 mins
- systematic method of cleaning all surfaces/areas
- tailor technique to patient
Where do interproximal cleaning aids target?
- contact points
- narrow interproximal spaces
Instructions for flossing
- take 1/2 metre of floss
- wrap around middle finger of each hand
- 3-4 cm to stretch between forefingers of each hand
- pass through contact point and subgingivally into both gingival crevices
What is superfloss used for?
- for braces
- bridges
- wider spaces
Clean implants with … part of floss
spongy
What to use single tufted toothbrushes on?
- furcations
- distal to 8s
- spaces due to missing teeth
- crowding
- braces
- restorative work e/g implants
- periodontal patients e.g slimline interspace brush
What is an airflosser?
- uses compressed air and microdroplets of water to clean interdentally
What’s a waterflosser or Waterpik?
- hand held device which removes plaque by streams of water
The best anti-plaque agent chemically is …
chlorhexidine
Why is chlorhexidine so effective?
- binds to bacterial cell walls and kills bacteria
- significantly decreases oral microorganisms
Other anti-plaque agents
- essential oils and methyl salicylate
- triclosan
- sanguinarine
- hydrogen peroxide
- hexetidine
