Week 10 Flashcards
What is oral irrigation
Direct and targeted application of a pulsated/steady stream of water for cleansing
Rinsing with water does not
Remove attached plaque
Rinsing may help return the mouth to a
Neutral pH following acid production
Irrigation helps with reaching
Periodontal lesions
Irrigation with antimicrobials is recommended as an adjunct for Trx of gingivitis and perio. What could you use?
Chlorhexidine
Listerine
Hydrogen peroxide
Example of a powered self irrigation device
Waterpik
Standard jet tip for waterpik reaches what % in 4-6mm pockets and what % for 7mm or greater
90%; 64%
What produces compression and decompression action to allow the solution to go Subgingivally
Hydro kinetic activity
A non powered irrigator attaches to
Water faucet or shower head (only delivers a steady flow not pulsating)
Benefits of oral irrigation
-Positive effect on clients with systemic diseases (diabetes)
-improvement of inflammation
-can reduce gingivitis, bleeding, pocket depth and MO’s
Irrigation does not improve
Attachment loss of the Junctional epithelium
Contraindications for oral irrigation
Not meant to treat active periodontitis
What are the objectives of tooth brushing
-To remove plaque &disturb reformation of plaque
-clean tooth of food debris and extrinsic stain
- stimulate ging tissues
-apply tp that delivers necessary ingredients
An effective toothbrush conforms to ?
individual patient requirements in size shape and texture
Effective toothbrush has what kind of filaments
Round ended
In regard to moisture and effective toothbrush is
Impervious to moisture
How often should you replace toothbrush
2-3 months or when filaments look worn or splayed
Are angled or vertical bristle tuft arrangements more efficient in plaque removal
Angled
We should use what because they are less traumatic to tissues
Soft nylon brushes
Texture is defined as a bristles resistance to pressure and is also referred to as
Firmness
Stiffness
Hardness
Factors influencing stiffness of bristles
Thinner filaments are softer
Shorter filaments are stiffer
Increasing number of tufts increases stiffness
Advantages of a soft nylon brush
-More effective in cleaning cervical areas (proximal and marginal)
-Less traumatic to gingival tissue
-Can be directed into sulcus and IP
-Prevention of tooth and gingival abrasion
soft nylon brush is more effective use for sensitive gingival conditions such as
Necrotizing ulcerative gingivitis or severe gingivitis
-healing stages following scaling and debridement or perio surgery
Influencing factors on toothbrush selection
Client
Gingiva
Position of teeth
Shape of teeth
Personal preference
Method of brushing
