Dental Hygiene Ii--Oral Irrigation-Midterm

Front 1

Oral Rinses are divided into therapeutic and (what?) rinses

Back 1

Cosmetic

Front 2

Antimicrobial agents ideally should (what?) microbial colonization on the tooth surface.

Back 2

inhibit or reduce

Front 3

First generation agents have antibacterial properties with (what?) substantivity.

Back 3

Low or none

Front 4

It is ideal to have a drug with high (what?)

Back 4

Substantivity

Front 5

Chlorhexadine gluconate is poorly (What?) from the oral mucosa membranes.

Back 5

Absorbed

Front 6

Causes brown staining of the tooth

Back 6

Chlorhexadine

Front 7

Contains positively charged compounds

Back 7

Quaternary Ammonium Compound

Front 8

Ability of a drug to bind to surfaces

Back 8

Substantivity

Front 9

A water-pressure device

Back 9

Irrigator

Front 10

Oral rinse with highest percentage of alcohol

Back 10

Listerine

Front 11

True or False

Oral Rinses reach subgingivally

Back 11

False

Front 12

True or False

Oral irrigation can be used with out supplementation with brushing and flossing.

Back 12

False

Front 13

True or False

Chlorhexadine gluconate has high substantivity to the oral mucous membranes.

Back 13

True

Front 14

True or False

Chlorhexadine is considered to be a second generation agent

Back 14

True

Front 15

Listerine is considered to be a first genereation agent

Back 15

True

Front 16

It is acceptable and effective to use antimicrobial mouthrinses as the only oral hygiene method of self care.

Back 16

False

Front 17

Hydrogen Peroxide should be used undiluted as an oral rinse

Back 17

False

Front 18

Povidine iodine is antibacterial

Back 18

True

Front 19

What is the percentage of alchohol found in Peridex?

Back 19

12.0% (or 11.0%)

Front 20

All the following are first-generation EXCEPT one. Which on is the exception?
a. Listerine
b. Cepacol
c. PerioGard
d. Hydrogen peroxide
e. Viadent Advance Care

Back 20

c. Periogard

Front 21

Which classification does Listerine belong to?

Back 21

Phenolics

Front 22

Most oral rinses are indicated for periodontitis because these antimicrobial rinses are effective against subgingival anaerobic baceria.

a. both statement and reason are correct.
b. both statement and reason are incorrect.
c. the statement is correct, but the reason is incorrect.
d. the statement is incorrect, but the reason is correct.

Back 22

b. Both the statement and reason are INCORRECT

Front 23

What percentage of alcohol is found in Listerine?

Back 23

21.6-26.9

Front 24

It is best NOT to use chloehexadine immediately after toothbrushing because the positively-charged chlorhexadine binds to negatively-charged fluoride molecules in toothpastes.

a. both statement and reason are correct.
b. both statement and reason are incorrect.
c. the statement is correct, but the reason is incorrect.
d. the statement is incorrect, but the reason is correct.

Back 24

a. Both Statement and reason are CORRECT

Front 25

What adverse side effects are commonly seen with the use of chlorhexadine?

Back 25

Supragingival calculus formation and yellow staining of teeth and tongue

Front 26

Which fluoride is best indicated for the reduction of gingival infection?

Back 26

Stannous Fluoride

Front 27

Which mouth rinse is classified as quaternary ammonium compound?

Back 27

Scope

Front 28

It is advised to tell the patient to routinely rinse with undiluted 3% hydrogen peroxide because peroxide will kill all the bacteria.

a. both statement and reason are correct.
b. both statement and reason are incorrect.
c. the statement is correct, but the reason is incorrect.
d. the statement is incorrect, but the reason is correct.

Back 28

b. Both statement and reason are INCORRECT.

Front 29

What is the primary use of oral irrigation?

Back 29

To nonspecifically reduce bacteria and their byproducts.

Front 30

Which of the following statement is true about the use of oral irrigators?

a. It is recommended to reduce ulcerations of the buccal mucosa
b. Do not use for a periodontal abcess
c. It can be used in place of flossing.
d. AHA has established guidelines for patients requiring antibiotic prophylaxis.

Back 30

b. Do not use for periodontal abscesses.

Front 31

What type of delivery systems are oral rinses clasified?

Back 31

Topical

Front 32

What type of rinses is Scope considered?

Back 32

Cosmetic

Front 33

Chlorhexadine can be used as an irrigant but should be diluted because of the high incidence of tooth staining.

a. Both statement and reason are correct.
b. Both statement and reason are incorrect.
c. The statement is correct, but the reason is incorrect.
d. The statement is incorrect, but the reason is correct.

Back 33

a. Both statement and reason are CORRECT.

Front 34

True or False:
Toothbrush and floss are superior plaque removal from tooth surface BUT have limited access to subgingival space.

Back 34

True

Front 35

How far into the subgingival space does a TOOTHBRUSH reach?

Back 35

1.5-3mm

Front 36

How far into the subgingival space does FLOSS reach?

Back 36

2-3mm

Front 37

What are the four types of plaque?

Back 37

--Supragingival Attached Plaque
--Suprag. Loosely Attached Plaque
--Subgingival Attached Plaque
--Subgin. Loosely Attached Plaque

Front 38

What does Supragingival Attached Plaque consist of and responsible for?

Back 38

--Gram+ facultative Micros
--Responsible for Caries and Calculus formation

Front 39

What does Supragingival LOOSELY Attached Plaque consist of?

Back 39

--Early=Gram+ Facultative Micros
--Mature=Gram+/- Micros

Front 40

What does Subgingival Attached Plaque consist of and responsible for?

Back 40

--Gram+/- Facultative/Anaerobic
--Responsible for Root Caries and Calculus

Front 41

What does Subgingival LOOSELY Attached Plaque consist of?

Back 41

--Gram- Anaerobic &Facultative and spirochetes
--Adjacent to Sulcular and Junctional Epithelium
--More pathogenic than Attached plaque

Front 42

What is the most pathogenic and toxic form of plaque?

Back 42

Its the SUBGINGIVAL LOOSELY Attached Plaque

Front 43

What are the targets of oral irrigation?

Back 43

--Loosely attached subgingival plaque
--Brushing & Flossing have minimal effect on established Subgingival LAP
--Does NOT replace flossing
--Supplements toothbrushing to reduce plaque and gingivitis
--Use lower concentration of antimicrobial agent than when rinsing

Front 44

Who is Oral Irrigation good for?

Back 44

-Gingivitis
-Gingivitis & Coexisting Periodontitis
-Poor Oral Hygiene
-Malpositioned Teeth
-Orthodontics
-Prosthodontics
-Implants
-Orthognathic Surgery
-Crowns
-Physically challenged patients

Front 45

What are the three types of irrigation tips?

Back 45

Jet Tip; Pik Pocket Tip; and Perio Pik Tip (Also called Cannula.

Front 46

A syringe with a blunted needle on the end used in oral irrigation

Back 46

Cannula

Front 47

What is the depth of delivery for the Jet tip?

Back 47

up to 75% of the pocket depth

Front 48

What is the depth of delivery for the Pik Pocket tip?

Back 48

up to 90% of the pocket depth

Front 49

-Jet tip is applied supragingivally at 90 degree angle
--direct impact of spray aids in removal of plaque and debris
--deflection of spray from tooth surface results in:
---flushing action & sulcular access
---safe delivery of solution

Back 49

Mechanics of Oral Irrigation

Front 50

This tip has greater interproximal distribution than rinsing

Back 50

Jet Tip

Front 51

What are the specifics for the Pik Pocket Subgingival Irrigation Tip.

Back 51

-Site-specific tip
-Good for furcations, deep pockets, hard-to-access areas
-low pressure delivery
-latex-free
-fits most units

Front 52

1-2mm subgingival irrigation of this tip for 5 seconds results in penetration of 90% in <6 mm PD and 64% in > 7mm PD, what tip is it?

Back 52

Pik Pocket

Front 53

What solution would you use in oral irrigation with inflammation?

Back 53

Medicaments

Front 54

What solution would you use in oral irrigation with NO inflammation

Back 54

Water

Front 55

What are some of the Medicaments used with oral irrigation?

Back 55

-Chlorhexadine Digluconate
-Stannous Fluoride (Gel 0.3%-0.6%)
-Phenoli Compounds (Listerine)
-Povidine Iodine (Betadine)
-Antibiotics

Front 56

What is the Chlorhexadine solution for Supragingival?

Back 56

1 1/4 glass of water and 4 capfuls of Chlorhexadine

Front 57

What is the Chlorhexadine solution for Subgingival?

Back 57

1/4 glass water and 2 capfuls of Chlorhexadine

Front 58

List some of the subgingival irrigation devices.

Back 58

-Squeeze containers
-Push syringes
-Ultrasonic devices
-Non-electic: Max-i-Probe
-Powered devices: Viajet; Water-Pik; Braun Oral B

Front 59

What is the objective of Supragingival Oral Irrigation?

Back 59

-Flush away bacteria coronal to gingiva
-Prevent initiation of gingivitis
-Decrease existing gingivitis
-Deliver chemotherapeutic agents
-Reduce Cytokine IL-1B

Front 60

What does oral irrigation do with cytokines?

Back 60

It aids in the reduction of cytokine (IL-1B) and prostoglandin E2 which = modulation
-"pro-inflamatories in GCF
-mediator of inflammatory response to tissue destruction and bone loss
-Increases "anti-inflammatory" cytokines (iL-10)