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63 Cards in this Set
- Front
- Back
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Dentifrice Abrasives
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Dentifrice composition—20%
Description—particles smaller than 20 mm Agents—Calcium carbonate (chalk) Calcium pyrophosphate Silicon oxide-most common Aluminum oxide |
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Dentifrice Polishing Agents
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Dentifrice composition—20%
Description— 1 mm particles Agents—Aluminum Calcium Tin Zirconium |
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Dentifrice Water
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Dentifrice composition—20-40%
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Dentifrice Humectants
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Dentifrice composition—20-40%
Description—retain moisture, prevent hardening Agents—Sorbitol Mannitol Glycerol Propylene glycol |
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Dentifrice Detergents (Foaming Agents)
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Dentifrice composition—1-2%
Description—lower surface tension loosen stains and debris create nice foaming Agents—Sodium Lauryl Sulfate |
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Dentifrice Binding Agents
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Dentifrice composition—less than 2%
Description—prevent separation of solids Agents—synthetic celluloses (gelling) |
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Dentifrice Flavoring Agents
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Dentifrice composition—2%
Description—mask taste of other ingredients Agents— Essential oils (peppermint, cinnamon, wintergreen) Vanilla |
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Dentifrice Coloring Agents
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Dentifrice composition—1%
Description—attractiveness Agents—vegetable dyes |
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Dentifrice Sweetening Agents
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Dentifrice composition—2%
Description—Noncariogenic sugar alcohols Agents— Saccharin Sorbitol Mannitol Xylitol |
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Dentifrice Preservatives
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Dentifrice composition—1%
Description—Prevent bacterial growth/mold from humectant effects Agents—Sodium Benzoate |
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Dentifrice Therapeutic Agents
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Dentifrice composition—5%
Description—reduce a pathogenic process in oral cavity Agents—fluoride most common NaF-1,100 ppm MFP-1,000ppm Snf-1,000ppm Triclosan-broad spectrum antibacterial agent Pyrophosphate- anticalculus |
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Dentifrice Antihypersensitivity Products
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Description—hypersensitivity
Agents—Potassium nitrate (KNO3) Strontium chloride Sodium citrate |
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Dentifrice Whitening Agents
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Description—control stains with abrasives or chemical mechanisms
Agents—Hydrogen peroxide Carbamide peroxide |
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Mouthrinse uses (in office)
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-reduce intraoral microorganisms
-reduce contamination from aerosols |
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Mouthrinse uses (at home)
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-biofilm control
-remineralization of incipient lesions -gingivitis -halitosis -xerostomia -post treatment therapy |
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Prescription Mouthrinse
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Chlorhexidine Gluconate
-prescription 0.12% -30 seconds 2x a day for periodontal disease -60 seconds 1x a day for early caries -binds to hydroxyapatite, inhibits biofilm -slow release over 12-24 hours -stops S mutans for 12-26 weeks -30 min interval from brushing |
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OTC Mouthrinse (Listerine)
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Essential oils-Thymol, Menthol, Eucalyptol, Methyl salicylate
-20-27% alcohol -first antiplaque and antigingivitis mouthrinse approved by ADA -30 seconds 2x daily |
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Quaternary Ammonium Compounds Mouthrinse
(Crest Pro-Health) |
0.07% Cetylpyridinium chloride
-alcohol free! -30 seconds 2x daily -antigingivitis, antiplaque |
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Moisturizing Mouthrinses (Biotene, Oasis)
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Xanthum gum
Glucose oxidase -alcohol free! -OTC -helps with drymouth |
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Primary Prevention
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prevents, arrests, reverses onset of desease
-prophy paste -brushing -scaling -mouthrinses |
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Secondary Prevention
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Treats early disease
-Fillings -RCT -Surgery -Scaling and root planing -Crowns |
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Tertiary Prevention
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Restores LOST function
-bridges -dentures -implants |
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Name the periodontal microorganisms
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1. Porphyromonas gingivalis
2. Prevotella intermedia 3. Actinobacillus actinomycetemcomitans (Aa) 4. Bacteroides forsythus 5. Fusobacterium nucleatum |
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Describe the bacterial colonization phases
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1. health- gram positive, aerobic cocci and rods
2. early gingivitis- gram- anaerobic cocci and rods 3. chronic gingivitis and periodontitis- anaerobic gram-, filamentous organisms, fusobacteria, spirochetes, MOTILE |
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Differentiate between the states of periodontitis
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Early- 1-2mm CAL
Moderate- 3-4 mm CAL Advanced- 5+mm CAL and more than 30% bone loss |
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Name the parts of the periodontium
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1. cementum
2. PDL 3. alveolar bone 4. free gingival margin 5. dentogingival junction 6. CEJ |
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Behavior health model
Patients act based on? |
1. Perceived susceptibility
2.Perceived severity 3. Perceived benefits 4. perceived barriers 5. Cues to action 6. self-efficacy |
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Maslow's hierarchy of needs
Patients act upon? |
1. Physiological needs (base of pyramid)
2. safety 3. love 4. self-esteem 5. self-fulfillment (tip of pyramid) |
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Human Needs Theory
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1. Protection from health risks
2. Freedom from fear and stress 3. Freedom from pain 4. Wholesome facial image 5. Skin and mucous integrity of head and neck 6. Biologically sound and functional dentition 7. Conceptualization and problem solving 8. Responsibility for oral health |
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Trans-theoretical or Stages of Change Model
Stages of behavior change? |
1. precontemplation
2. contemplation 3. Preparation 4. Action 5. Maintenance |
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Theory of Planned Behavior
Largest determinant o behavior? |
Intention is the most important
Associated with Theory of Reasoned Action Explores the relationship between behavior, beliefs, attitudes and intentions |
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Social Learning Theory
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Change takes place bidirectionally, not along a predictable continuum
As individuals learn more, behaviors and environment can change Knowledge reinforces behavior and a healthy environment |
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Social Cognitive Theory
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Cognitive factors
knowledge, attitude, expectations Behavioral factors skills, practice, efficacy Environmental factors social norms, community, influence |
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Describe Charter's tooth brushing method?
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bristled pointed toward occlusal for appliances, surgical wounds.
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When is Fone's method indicated?
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children
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Class I Furcations
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The furcation can be probed to a depth of 3 mm. Using the probe, you can feel the anatomic fluting between the roots, but cannot engage the roof of the furcation.
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Class II Furcations
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The furcation can be probed to a depth greater than 3 mm, but not through and through.
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Class III Furcations
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The furcation can be completely probed through and through subgingivally.
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Class IV Furcations
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The probe goes completely through the furcation and is supragingival.
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Floss Indications
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Type I Embrasures
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Superfloss Indications
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Type I Embrasures
appliances, open contacts |
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Easy Glide Indications
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Type I Embrasures
shredding, tight contacts |
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Floss Holder Indications
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Type I Embrasures
dexterity problems |
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Floss Threader Indications
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Type I Embrasures
fixed appliances |
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Rubber Tip Stimulator Indications
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Gingival recontouring following periodontal surgery or
nonsurgical periodontal therapy Edematous or cyanotic tissue |
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Stimudent Indications
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Type II or III embrasuresonly
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Perioaid Indications
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Type II or III embrasures
Furcations Pocket depths (4 mm or less) |
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Proxybrush Indications
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Type II or III embrasures
Type III and IV furcations Carrier for chemotherapeutic agents |
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Yarn Indications
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Type II or III embrasures
Cost! |
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Tongue Cleaners Indications
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• Removes coating
• Clean deep fissures • Halitosis • Xerostomia |
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Oral Irrigation Indications
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• Orthodontic appliances
• Fixed prostheses • Gingivitis |
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In office APF
concentration? |
1.23% concentration 12,000 ppm
Pros: stable, taste Cons: can etch ceramics, cost, gum recession |
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NaF
concentration? |
2% concentration 9,000 ppm
Pros: taste, bactericidal, no fasting, low cost Cons: forms mostly calcium flouride |
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NaF fluoride varnish
concentration? |
5% concentration 22,600 ppm
indications for use- desensitizing |
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Stannour FLouride
concentration? |
8% concentration 19,000 ppm
pros: prevents phosphate loss cons: unstable, metallic, taste, staining, tissue irritation |
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For what length of time is an In-office fluoride gel/foam in a tray applied?
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4 mins
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If less than 5 mg of fluoride per kg of patient body weight were ingested...
Treatment? |
milk
milk of magnesia watch patient |
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If 5-15 mg of fluoride per kg of patient body weight were ingested...
Treatment? |
induced vomiting (Ipecac)
Calcium (milk) hospitalization |
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If more than 15 mg of fluoride per kg of patient body weight were ingested...
Treatment? |
hospitalization asap
induced vomiting calcium intravenously diuretics treatment for shock |
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Low risk patients (many protective factors, few risk factors)
Fluoride? |
• OTC dentifrice
• Varnish optional for sensitivity for root exposure |
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Moderate risk (no cavitated lesions, some risk factors)
Fluoride? |
• OTC dentifrice
• 0.05% NaF mouth rinse • Fluoride varnish |
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High risk (cavitated lesion in last three years)
Fluoride? |
• Prescription 1.1% NaF dentifrice
• 0.2% NaF mouth rinse • Fluoride varnish |
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Extreme risk (cavitated lesion and dry mouth)
Fluoride? |
• Prescription 1.1% NaF dentifrice
• 0.2% NaF mouth rinse • Fluoride varnish • 0.5% mouth rinse when patient gets dry mouth after snacking, breakfast, and lunch |
