oral hygiene instructions Flashcards
(69 cards)
_______ patient first, then sit ______ and give them a hand _______.
Show them areas of _____- correlate these to areas of _______.
2 tone disclosing solution:
Red/pink=____ plaque
Blue= ____ plaque
DISCLOSE patient first, then sit UPRIGHT and give them a hand MIRROR.
Show them areas of BIOFILM- correlate these to areas of DISEASE.
2 tone disclosing solution:
Red/pink= NEW plaque
Blue= OLD plaque
Evaluate and compare the __________ and the _______ of the patient at _____ appointment
review current and previous _____
evaluate whether there is ______, if not, review again or ________
Evaluate and compare the ORAL HEALTH STATUS and the HOME CARE ROUTINE of the patient at EVERY appointment
review current and previous TECHNIQUES
evaluate whether there is IMPROVEMENT, if not, review again or CHANGE PLAN
seat patient _______
(how they do it at home)
UP RIGHT
identify the reason for poor oral health status: (4)
every patients needs AND OHI are _______
lack of knowledge, ineffective technique, lack of motivation, or physical disability
DIFFERENT
Provide ______ information according to the patient’s needs and goals in ________ terms. Present relevant and sufficient ____________.
OHI should be related to _______ goals
review _________ with the patient during OHI and they relate to the patient’s goal(s).
Understandable terms- do not use dental jargon such as p_____, a_____, b____, L_____. Instead, use terms such as “_____ teeth”, “____ teeth”
______ can be incorporated into OHI
Provide FACTUAL information according to the patient’s needs and goals in UNDERSTANDABLE terms. Present relevant and sufficient SCIENTIFIC THEORY.
OHI should be related to PATIENT CENTERED goals
review ORAL HYGIENE AIDS with the patient during OHI and relate to the patient’s goal(s).
Understandable terms- do not use dental jargon such as POSTERIOR, ANTERIOR, BUCCAL, LINGUAL. Instead, use terms such as “front teeth”, “back teeth”
EBDM can be incorporated into OHI
examples of oral hygiene aids (6)
*retrieve from clinic assistant
Floss holder
Floss threader
Proxabrush
Rubber tip stimulator
End tuft brush
Denture brush
Utilize _________ charting and _______ points to emphasize that
bleeding is an indicator of active ______.
Drag perio chart to other _______ so the patient can see.
Explain _______ and bleeding.
_____ to these areas in the patient’s
mouth
Utilize PERIODONTAL charting and BLEEDING points to emphasize that
bleeding is an indicator of active DISEASE.
Drag perio chart to other MONITOR so the patient can see.
Explain PROBE DEPTHS and bleeding.
POINT to these areas in the patient’s mouth
utilize ________ deficits and goals for _________
use ______ questions and ______ counseling techniques
use _____ more than ______ and ________ more than _______
OHI is a _____ not telling someone what to do
utilize HUMAN NEEDS deficits and goals for PATIENT EDUCATION
use OPEN ENDED questions and NONDIRECTIVE counseling techniques
use LISTENING more than TALKING and PROBLEM SOLVING more than INSTRUCTING
OHI is a DISCUSSION not telling what to do
utilize the patients ______ to demonstrate effects of the _____
process and effective home care techniques on oral ______.
OHI ALWAYS has a _______ component in patient’s mouth
utilize the patients MOUTH to demonstrate the effects of the DISEASE process and effective home care techniques on oral STRUCTURE.
OHI ALWAYS has a HANDS-ON component in patient’s mouth; failure of hands on activity needs improvement in OHI
WHY HANDS ON
Disruption and removal of ______ must be a _____ activity
Biofilm forms ____ and becomes _______ the longer present
*telling is not active learning
*seeing the patient remove the biofilm makes you confident they can remove it at home
*BONUS: If the patient removes the biofilm during OHI, you don’t have to!
Disruption and removal of BIOFILM must be a DAILY activity
Biofilm forms QUICK and becomes PATHOGENIC the longer present
DO
- _______ the patient
- have patient ______ technique
TELL
- explain ___ and _____ to patient
SHOW
- show the ____ in the patients ___
- hand them the ____ to watch
DO
- have patient ______ it back
- provide ________ feedback/tips
DO
- disclose the patient
- have patient demonstrate their technique
TELL
- explain the technique and rationale to your patient
SHOW
- show the technique in the patients mouth
- hand them the mirror to watch
DO
- have patient demonstrate it back
- provide immediate feedback/tips
incorporate supplementary media to emphasize concepts
show them:
videos, pictures, or handouts
Demonstrate the use of appropriate oral ___________ aid to meet the needs of the patient.
Could be an aid we _______, one that will be covered in OHI aid presentations, or even adapting
something the patient is already using
Demonstrate the use of appropriate oral PHYSIOTHERAPEUTIC aid to meet the needs of the patient.
Could be an aid we DISCUSSED, one that will be covered in OHI aid presentations, or even adapting
something the patient is already using
what are the characteristics of good instructions (5)
- present in small increments
- patient actively participates
- self paced by the patient
- immediate feedback
- positive reinforcement provided
DOCUMENTATION IN SERVICES RENDERED
Services rendered: HH, AB rinse, EOE/IOE, Dental charting, Perio assmt, 4 HBW, OHI (c-shape flossing, caries process, importance of fluoride)
Services rendered: HH, AB rinse, RA, OHI (Stillman’s brushing, interproximal brush), Hand scale UR.
OHI GRADING
DNTH 306 Error margin= __
allowable errors
Critical errors: (3)
Grade for OHI given at ____
appointment that OHI
given/reviewed (except ________)
DNTH 306 Error margin= 2
allowable errors
Critical errors: not disclosing, not using a hands-on intraoral activity, not documenting OHI given and patients compliance with previous OHI
Grade for OHI given at EVERY
appointment that OHI
given/reviewed (except evaluation of DH treatment)
what are the parts of a manual toothbrush (6)
- handle
- shank
- head
- heel
- toe
- brushing plane
HANDLE AND SHANK PREFERRED CHARACTERISTICS
- ___ to grasp
- does not ____ or _____ during use
- no _____ corners
- ________
- variations:
*______, _____, ______, or _____ in the shank with or without a thumb rest can help with adaptation.
*______ diameter for patients with limited _________
- EASY to grasp
- does not SLIP or ROTATE during use
- no SHARP corners
- LIGHTWEIGHT
- variations:
*A TWIST, CURVE, OFFSET, or ANGLE in the shank with or without a thumb rest can help with adaptation.
*A LARGER diameter for patients with limited DEXTERITY
BRUSH HEAD
size
- select based on _____ not ____
- _____ enough to reach all areas
- _____ enough to remove ________
ADA recommends ____ toothbrush
SIZE
- select based on SIZE OF THE MOUTH NOT AGE
- SMALL enough to reach all areas
- LARGE enough to remove plaque efficiently
ADA recommends SOFT
types of brush heads (6)
- flat
- rippled
- tapered filament
- multilevel
- angled
- Bilevel-orthodontic
BRUSH HEAD FILAMENTS
- typically ____
- which brushing planes are more effective at removing plaque
- the end of bristles should be _____
- typically NYLON
- ANGLED AND MULTILEVEL
- the end of bristles should be ROUNDED
what factors influence toothbrush selection (8)
- ability to use the TB to remove biofilm and not damage tissues
- manual dexterity of the pt
- age
- status of gingival/periodontal health
- anatomic configurations of the gingiva
- position of the teeth
- patient preference
- ADA seal of acceptance
what factors influence TB efficacy (5)
- duration
- frequency
- pressure
- systematic approach
- method
DURATION AND FREQUENCY
- what is the recommended minimum to brush a day
- how many minutes is recommended vs what most do
- brushing twice a day has been shown to reduce ________ and _______
- failure to disturb ___ allows for continued ______ and pathogenic potential of the biofilm
two times a day
2 min recommended; most brush less than 1 min
brushing twice a day has been shown to reduce CARIES and SEVERITY OF PERIODONTAL DISEASE
Failure to disturb BIOFILM allows for continued MATURATION and pathogenic potential of the biofilm
