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Prevention and Nutrition

Terms

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Components of preventative dentistry
Patient education, use of fluorides, application of dental sealants, proper nutrition, plaque control program
Patient Education
Listen carefully, instruct the patient on how to remove plaque, assess the patients motivations and needs, select the home care aids, keep the instructions simple, comment positively on the patients effort, reinforce home care in a positive manner.
Pontic
Artificial tooth that replaces a missing natural tooth.
End tuft brushes
made from soft nylon filaments formed into narrow cone shape. Useful to clean areas that are hard to reach with regular toothbrush such as orthodontic appliances, fixed bridges, space maintainers, and proximal tooth surfaces next to open embrasure.
Goal of preventative dentistry
to help people have maximum oral health throughout their lives.
Rolling stroke
Bristles placed against attached gingiva at 45 degree angle to the tooth. Brush is rolled slowly by flexing wrist to drag bristles against tooth with gentle firm motion, brush is rolled at least five times for each area. Used for removing plaque at gingival margin and clinical crown, limited plaque removal at gingival margin.
Modified Stillman's
Bristles are placed onto the attached gingiva at a 45 degree angle, bristles are pressed (enough to cause slight gingival blanching) and vibrated to promote circulation, a "rolling stroke" is added to cleanse the tooth, the action is repeated sequentially throughout the mouth, in the anterior lingual area, place the heel or toe of the brush on the gingivae, rotating and sweeping toward incisal edge. Good gingival stimulation, Good (clinical crown) coronal and interproximal cleaning, limited sulcular cleaning, dexterity required.
Systemic fluoride
foods and beverages as well as prescribed dietary supplements.
Fones'
With teeth closed, brush is placed against the cheek with bristles directed to the posterior teeth, circular strokes are used in a quick sweeping motion, anterior teeth are placed end to end and cleansed in the same manner, in and out strokes are used to cleanse the palatal and lingual areas. Easy to learn first technique for children, possibly detrimental for vigorous adult brushers.
Use of fluorides
Slows demineralization and enhances remineralization.
Patient education
helps patients develop and maintain sound dental habits throughout their lives.
Horizontal scrub
Bristles are placed at a 90 degree angle to the tooth, and brush is moved back and forth or in a large circular motion. Removes plaque successfully from facial and lingual surfaces, if a hard brush is sued, there is the potential for damage to the tooth structure and to the soft tissues, inability to access interproximal areas.
Dental Sealants
Plastic material that is applied of the grooves of the teeth to protect them from bacteria that causes decay.
Systemic fluoride
Fluoride that is ingested and then circulated throughout the body.
Topical fluoride
Fluoride that is applied directly to the tooth.
Charters
Side of brush is placed against tooth with bristles facing occlusally, brush is slid to a 45 degree angle at the gingival margin, bristles are then pressed into the margin and proximal areas and vibrated for at least 10 strokes for each area of the mouth, a "rolling stroke" is recommended before use of this technique to cleanse the coronal surface. Good interproximal cleaning, limited sulcular cleaning, useful around orthodontic bands fixed prostheses.
Perio aid
handle with holes in the end designed to hold toothpicks.
Preventive dentistry
Program of patient education, use of fluorides, application of dental sealants, proper nutrition, and plaque control.
Bass
Bristles placed directly into sulcus at 45degree angle, gentle short strokes in sulcus, followed by "rolling stroke" method since this method only cleans sulcus. good plaque removal from gingival margin to sulcus, limited cleaning on remaining tooth, easy to learn.
Bridge threaders
used to pass dental floss under the pontic of a fixed bridge.
Dental Sealant
Coating that covers the occlusal pits and fissures of teeth.
Disclosing agent
Coloring agent that makes plaque visible when applied to teeth.

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