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34 Cards in this Set
- Front
- Back
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non-pharm therapy of dental carries/decay (5)
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MAD POT
-multi-filament nylon yarn -avoidance of cariogenic foods (sugary, sticky, sugary, starchy foods/beverages) -dental floss BID -PO irrigating devices -toothbrushes & replacement q3-4mos |
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dental caries/decay ADA tooth brushing guidelines
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-use a gentle scrubbing motion with bristle tips at 45 degree angle against gumline so that the tips of brush do cleaning
-brush for at least 2 minutes, cleaning all tooth surfaces systematically |
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dental caries/decay ADA flossing guidelines
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-pull out apprx 18in of floss and wrap most around middle finger
-when gumline is reached, curve the floss into C-shape against one tooth and gently slide the floss into the space btwn gum and tooth until feel resistance |
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PE for fluoride rinses/gels for dental caries/decay
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-if use fluoride rinse: use 10mL swish vigorously for 1 min, spit out
-if use fluoride gel: brush fel on teeth and allow for gel to remain for 1min -Do not eat or drink for 30 mins |
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PE for mouth rinses for dental caries/decay
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-BID daily use after brushing w/ non-Fluoride rinses
-1-2 tbps of rinse should be used for abt 30 secs -refrain from smoking, eating, drinking for 30 minutes |
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most essential dentrifices and differing characteristics
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tooth paste.
-whitening, tartar protection, fluoride |
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most commonly used dentrifices and characteristics
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baking soda.
-contains an abrasive flavoring agent and surfactant |
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radioactive dentin abrasion and scale. **
-FDA Recommended ADA recommended idea abrasivity? |
measures of abrasiveness of toothpaste
FDA: 200 ADA:250 Ideal: medium abrasitivity |
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only toothpaste currently accepted by ADA for anti-plaque/anti-gingivitis dentrifices**
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colgate total containing triscolan
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inclusion for dental caries/decay self-tx
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-children >6yo
-decreased salivary flow -those at risk of dental root caries -physically,mentally disabled need adt'l help -orthodontia pt |
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exclusion criteria for dental caries/decay self-tx
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-children <6yo prior to contacting a dentist/MD
-fluoride in pt <6 mos/ old -pt at risk of endocarditis contraindicated to use PO irrigation devices |
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anti-gingivitis ingredients, goal
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.454 stannous fluoride, triscolan, cetylpyridinium Cl
-goal: prevent progression to periodontal disease |
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prevention of halitosis
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remove plaque and prevent calculus
-brushing teeth and tongue, can use tongue scraper |
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most effective ingredients in prevention of malodor
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zinc salt, chlorine dioxide
smart mouth has these two ingredeients |
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PE of hygiene-related denture probsL: polident
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-drop 1 tab into enough very warm water to cover denture or partial
-polident: soak overnight for 4-8hrs -after soaking overnight, rinse denture or partial with running water |
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tooth hypersensitivity
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short, sharp pain due to exposed dentin in response to thermal, chemical, physical stimulus.
-injury/infxn have gums recede or loss of enamel |
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differentiation etiology of tooth hypersensitivity vs toothache
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exposed and open dentin tubules in hypersensitivity vs bacterial invasion to the pulp with toothace
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densensitizing dentrifices and ingredients, MOA
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potassium nitrate: diffuses the dentinal tubules to dec excitability of intradental nerves and alts membrane potential
fluoride |
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minor RAS
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-Oval, flat, erythematous halo
-not on gingiva, hard palate, vermilion -85% incidence -usually 1 lesion leading to 5-7 days -no scaring, none-moderate pain |
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major RAS
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-oval, ragged, gray/yellow, crater form
-10% incidence - 1-10 several - none-moderate pain for >14 days -common scarring |
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herpetiform
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-small ulcers in any intraoral area.
-incidence of 5% -multiple lesions duration of 10-14days moderate - severe pain |
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tx of RAS with carbamide peroxide
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carbamide rinse: place drops on tongue then mix with saliva and swish in mouth for 1 min
-use up to 4x/day after meals for up to 7 days |
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tx of RAS with H2O2
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Concentrated should be mixed with equal parts water before rinse
-use up to 4x/day after meals for up to 7 days |
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products of topical PO anesthetics, PE
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benzocaine, camphor/menthol/phenol,
-don't use >7days -don't use >4x daily -avoid concomitant use of counterirritants: --menthol,phenol, camphor -don't use a toothpaste with SLS |
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Products for PO protectants
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carbomer 2.5mg /menthol (canker cover)
cyanoacrylate (orabase soothe-n-seal) |
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products for PO rinses for RAS
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-listerine
-salt water sinse with 4-8 oz of h2o with 5-15mL of salt. maybe used before topical application of medication |
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po debriding and wound cleansing agents may be used for up to ??
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7 days
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herpes simplex labialis (HSL) can be caused by?
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any kind of human herpes virus
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what is the only FDA approved OTC product for HSL**
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docosanol/abreva 10% AA at first sign of an outbreak, 5x/day until lesion is healed
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which part of tooth anatomy is affected in gingivitis pt?
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gingiva
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drugs causing dec salivary flow volume
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antihistamines
decongestants diuretics |
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PE to prevent onchoncryptosis**
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-trim nails straight across to prevent ingrown nails
-ensure proper shoe fit to eliminate pressure on toenails -dec pain and inflammation of ingrown toenail by taking NSAIDs -relieve impingement of nail by soaking feet in warm water to soften the nail and surrounding skin |
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3 medical conditions that are exclusions for self-tx in majoirty of foot conditions
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-diabetic mellitus
-rheumatoid arthritis of metatarsel heads or deviation of great toe -peripheral circulatory disease |
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name of a hydrocortisone .5% product
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cortizone-5 cream
lanacort-5 cream / ointment |
