CH 12 Self-care Adjuncts

Question 1

Reasons an adjunct to toothbrushing is needed

Answer 1

We need consistency cleaning of the proximal surfaces.

Question 2

Factors that influences choice of self-care techniques

Answer 2

Based on the individuals oral conditions, personal preferences, abilities, dexterity, and lifestyle
Make sure to educated the patient: observation, explanation, demonstration, guided practice

Question 3

Objectives accomplished with dental floss

Answer 3

Removing plaque and debris that adheres to proximal surfaces of the teeth and restorations, orthodontic appliances, undersurfaces of fixed prostheses and pontics
Helping to control bleeding
Controlling formation of calculus
Reducing malodor
Contributing to the arrest or prevention of interproximal various lesions

Question 4

Flossing methods

Answer 4

Spool method and loop method

Question 5

Spool method:

Answer 5

a piece fo floss approximately 18 inches long is used. The bulk of the floss is lightly wound around the middle finger. Finger can wind up or take up teh floss as it becomes soiled or frayed.

Question 6

Loop method

Answer 6

Ends of teh 18 inch piece of floss are tied in a knot to form a circle. All of the fingers but not the thumbs of the two hands are placed close to one another within the loop. The circle of floss is rotated to advance to clean floss.

Question 7

Floss through interproximal spaces

Answer 7

Gently eased between the teeth with a seesaw motion at the contact point. Avoiding trauma to interdental papilla. Then the floss is adapted to each interproximal surfaces by creating a c shape . It is then directed apically into the sulcus and back to the contact area

Question 8

Signs someone is flossing wrong

Answer 8

Gingival cutes, soft tissue clefting, and cervical wear on proximal tooth surfaces.

Question 9

Percent of population that flosses daily

Answer 9

8-9%

Question 10

Dental floss holder

Answer 10

Holds floss and eliminates the need for placing fingers in teh mouth. Recommended for individuals who lack the dexterity for handheld floss. Same technique used as for finger flossing. Need proper tension of floss within the holder.

Question 11

Dental floss threader

Answer 11

Plastic loop into which a length of floss is inserted, similar to threading a needle. Take care not to damage soft tissues with floss threader. Going in facial and comes back out facial.

Question 12

Power glosser

Answer 12

For patients who are unable and unwilling to floss. Useful in difficult to clean areas especially involving orthodontics. Easier to use than regular dental floss.

Question 13

Interdental brushes

Answer 13

Come in different shapes and sizes. Angled handle works better for hard to reach areas. Recommended for interproximal areas and other spaces that are large enough to easily receive it. The brush tip should be moistened and inserted at an angle that follows the form of the gingiva. Can improve periodontal health. Type 2 and 3 embrasure spaces

Question 14

End tuft brush

Answer 14

Small group of tufted bristles that are flat or tapered and are attached to a straight or angled handle. Type 2 embrasure, mandibular teeth, misaligned teeth, around orthodontic appliances. Used by placing brush into the embrasure space, furcation , or other appropriate area with gentle pressure, a combination of rotary motion and sulcular strokes with moderate pressure will result in effective cleaning.

Question 15

Toothpick

Answer 15

• removing biofilm along gingival margin, cleaning small concave proximal surfaces, cleaning exposed furcation areas that are still in contact with underlying bone

Question 16

Technique for a toothpick

Answer 16

Premoisten the toothpick with saliva to soften wood
Place the blunt tip of the toothpick at a right angle to the buccal and lingual surfaces
Place it at less than a 45 degree angle to extend just below the gingival margin
Pull or push it across teh buccal or lingual surfaces from one interproximal space to teh next
As the tip becomes frayed us it as a small cleaning brush
Use with care not to stab your gingiva

Question 17

Rubber tip stimulator

Answer 17

Consist of a conical, flexible rubber tip attached to a handle. Used primarily for gingival massage and recontouring of gingival papilla after periodontal therapy. Increased gingival circulation, keratinization, and epithelial thickening has been proposed. Used in type 2 and type 3 embrasure spaces. Small circular or rolling motion against the proximal surfaces is applied. Be careful not to damage or traumatize the soft tissues.

Question 18

White knitting yarn

Answer 18

Open interproximal spaces, on the distal surface of the most posterior teeth, in exposed durations, and around malpositioned teeth or separated teeth.

Question 19

Pipe cleaner

Answer 19

Use in class 3 embrasure and class 4 furcation. Use with caution. Clean in a shoeshine motion.

Question 20

Rinsing

Answer 20

Vigorous rinsing of the mouth can aid in the removal of food debris and material alba. Forcefully pushing the water back and forth through the interproximal areas of clenched teeth, using the muscles of the tongue, lip, and cheeks. Antimicrobial are recommended but should never be used to take the place of brushing.

Question 21

Irrigation

Answer 21

Means of irrigating specific areas of the mouth whereas rinsing is a means of flushing the entire mouth. Advantages reaches interdental areas.

Question 22

Classic jet tip

Answer 22

Clean deep interproximal lay and supragingivally also reaching slightly subgingivally

Question 23

Plaque seeker

Answer 23

To clean around implants, crowns, bridges and other restorations

Question 24

Pick pocket

Answer 24

To clean and deliver chemotherapeutic rinses in periodontal pockets and furcation with low pressure.