Interdental Care Ch 26 Wilkins

Front 1

What is a col?

Back 1

the depression in the gingival tissue under a contact area between the lingual papilla and the facial papilla

Front 2

What is an embrassure?

Back 2

v-shaped spillway space next to the contact area of adjacent teeth, narrowest at the contact and widening toward the facial, lingual, and occlusal contacts.

Front 3

What is floss cleft?

Back 3

a cleft in the gingival margin usually at the mesial or distal line angle of a tooth where dental floss was repeatedly applied incorrectly. the lining of the cleft can be completely lined with epithelium.

Front 4

What is floss cut?

Back 4

unintentional incision at the gingival margin due to incorrect positioning and placement of dental floss.

Front 5

What is interproximal space?

Back 5

the triangular region bounded by the proximal surfaces of contacting teeth and the alveolar bone between the teeth, which forms the base of the triangle; the space is normally filled with the interdental papilla.

Front 6

What is keratinized epithelium?

Back 6

outer, protective surface of stratified squamous epithelium; covers the masticatory mucosa; interdental col area is not normally keratinized.

Front 7

What is a proxabrush?

Back 7

another name for an interdental brush.

Front 8

True or False: Toothbrushing cannot accomplish biofilm removal for proximal tooth surfaces and adjacent gingival.

Back 8

True

Front 9

What is the interdental area of posterior teeth?

Back 9

Has 2 papillae, one facial one lingual, and it's connected by a col.

Front 10

What is the interdental area of anterior teeth?

Back 10

Has a single papillae with a pyramidal shape. May form a small col under contact area.

Front 11

What is the epithelium like in the interdental area?

Back 11

Thin, not keratinized, less resistant to infection. What papilla becomes inflamed col becomes deeper.

Front 12

Where do most gingival diseases start?

Back 12

In the col area.

Front 13

What happens when bacterial infections occur on the proximal surfaces?

Back 13

Papillae reduce in height, proximal tooth surfaces become exposed, dental biofilm accumulates, harder to remove deposists, concavities and grooves are predisposed to bacteria, with advanced perio the furcation areas of max. premolars and molars open onto proximal surface

Front 14

What do you include in patient assessment?

Back 14

History of personal oral care, dental and gingival anatomy, extent and location of dental biofilm, and other personal factors.

Front 15

Type of toothbrush, dental floss and interdental devices, frequency and priorities of dental care fall into what category?
personal factors or history of personal care

Back 15

History of Personal Care

Front 16

What do you include in the patient assessment under dental and gingival anatomy?

Back 16

Position of teeth, types and shapes of embrasures, probing depths, protheses, areas where toothbrush cannot reach.

Front 17

True of False: Being handicap or disabled affects the personal factors of patient assessment.

Back 17

True

Front 18

What are the objectives of dental hygiene care planning?

Back 18

Select appropriate interdental aids to help patient, teach patient correct system, motivate the patient.

Front 19

What is the first step in the initial care plan?

Back 19

The simplest procedure so that the patient can easily lean and gain knowledge of oral habits.

Front 20

A patient working to control or arrest disease may NEED or NOT NEED more frequent self-care than a patient practicing prevention?

Back 20

NEED

Front 21

What is the purpose of dental floss?

Back 21

It contributes to the removing of dental biofilm and reduces interproximal bleeding. It is most effect what papillae are present and there is no loss of attachment.

Front 22

What are the 3 materials floss is normally made of?

Back 22

Silk, Nylon, and Expanded PTFE (polytetrafluoroethylene)

Front 23

What are the features of waxed or PTFE floss?

Back 23

It provides a smooth surface so that no trauma is caused to soft tissue, it slides with ease, the monofilaments resists breakage or shredding, and wax gives strength and durability.

Front 24

What are the features of unwaxed floss?

Back 24

Thinner and may be helpful in tight contact areas (but may break if forced), pressure spreads the nylon fibers and gives a wider surface for biofilm removal, may provide motivation due to squeaking sound, frays when rubbed over irregularities, may hurt if too tightly wound around fingers.

Front 25

What are the enhancements of dental floss?

Back 25

Color, flavor, some have fluoride and whitening agents.

Front 26

When do you floss?

Back 26

Before brushing your teeth

Front 27

How do you hold the floss?

Back 27

12-15 inch piece held with the thumb and index finger, remainder of floss can be held in the palm or wrapped around middle fingers.

Front 28

Application of the maxillary teeth

Back 28

Direct floss up and rest a side of a finger on teeth of the opposite side of the max. arch to provide balance and fulcrum.

Front 29

Application of mandibular teeth

Back 29

Direct floss down, hold one side on the facial aspect the other on the lingual. The side of finger on lingual side is held on the teeth of the opposite side of the mouth to serve as a fulcrum or rest.

Front 30

How do you insert floss?

Back 30

Hold floss firmly in a diagonal or oblique position and guide floss past each contact are with a gentle sawing motion. Control the floss to prevent snapping into gingiva.

Front 31

What is the stroke called used for flossing? you pass floss below gigival margin, curve, press, and slide up and down, repeat

Back 31

Cleaning Stroke

Front 32

T or F: You cannot double the floss to provide a wider rubbing surface

Back 32

False...you can double it.

Front 33

What precautions should you take when flossing?

Back 33

Watch the pressure in the col area, try to prevent floss cuts and floss clefts, and if necessary (child or disable) use and aid for flossing.