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27 Cards in this Set

  • Front
  • Back
Mechanical measures include?
Toothbrushes
Auxiliary interdental measures
Toothbrushes can be broadly classified as?
manual
electric
special
Effectiveness of a manual toothbrush is dependent on?
Design
Ability of the individual using it
Frequency and duration of use
Is effectiveness of a manual toothbrush dependent cost?
No it is not dependent on cost
What are the recommendations for manual toothbrushes?
Conforms to individual patient requirements in size, shape and texture

Be easily and effectively manipulated

Be readily cleaned and aerated
Durable and inexpensive

Flexibility and softness of bristles, strength, rigidity and lightness of handle

Designed for utility, efficiency and cleanliness
What are the properties of an ideal toothbrush?
Effective in removing dental plaque without causing any damage to either hard of soft tissues.
What are the motions of an electric tooth brush?
Back and forth
Circular
Counter oscillation
A 2005 Cochrane review found ____ (brush motion) electrical toothbrushes to be better than manual toothbrushes at removing plaque and reducing gum disease by up to 17%.
Counter oscillation
Electrical toothbrushes are particularly useful for what situations?
Parental brushing of children’s teeth
Physically and mentally handicapped
The elderly
Individuals with poor dexterity
As an incentive for those who are poorly motivated.
What factor hinders people from using electrical toothbrush?
Cost
What are the types of special toothbrushes?
Orthdontic
Interdental
End-tuft
Denture brush
Sulcus brush
Gum stimulator brush
What is sulcus brush and gum stimulator brush?
Sulcus brush:Two rows of soft bristles to clean more effectively in the sulcus area
Gum stimulator:stimulating blood flow to enhance healing after surgery to the periodontal tissues
What are the auxillary interdental measures?
Dental floss
Dental tape
Interdental woodsticks?
Toothpicks
What is the most popular tooth brushing technique?
Bass and Modified Bass techniques
Describe Bass and Modified Bass techniques
Cleaning the cervical 1/3 of the tooth and gingival margin.
The brush angled apically at 45 with a vibratory motion and short back and forth strokes.
What are the short term indications for use of chemical plaque control agents?
Post surgery e.g. removal of wisdom teeth, multiple extractions, biopsies
Acute gingival conditions and infections e.g. ANUG, herpes, aphteous ulcers
Traumatic lesions
What are the long term indications for use of chemical plaque control agents?
Physical and mentally handicapped
Intermaxillary fixation
Fixed orthodontic treatment
High caries risk patients
Epileptic patients with gingival overgrowth
Patients receiving radiation of head and neck
What is a short term chemical plaque control agent?
Chlorhexidine gluconate
Chlorhexidine gluconate can be found in which products?
Savacol and Difflam-C
What is the gold standard in chemical plaque control agents?
Chlorhexidine gluconate
Describe the actions of chlorhexidine gluconate
Very effective in killing wide variety of bacteria.
Has anti viral and anti fungal effects
Affects the cell walls of the microbes
Penetrates thick layers of plaque
50-70% less plaque compared to other anti-plaque agents
Describe the advantages of chlorhexidine
long lasting action
safe
has an antifungal and antiviral activity
Describe the disadvantages of chlorhexidine
brown staining of teeth (reversible) when used longer than 2 weeks,
bitter taste,
oral numbness,
burning or stinging sensation,
affects taste when used for too long
irritation of mucosa when used too long.
What are long term chemical plaque control agents?
Essential oils (Listerine)
Cetylpyridinium chloride
Triclosan
Fluoride containing mouthrinses
What are some examples of essential oils?
thymol
menthol
eucalyptol
methyl salicylate
Plax contain which plaque controling agent?
Cetylpyridinium chloride
How long does Triclosan active once applied?
12 hours