Interdental Care Dentalelle Tutoring - PowerPoint Presentation

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Uploaded On 2018-03-09

Interdental Care Dentalelle Tutoring - PPT Presentation

Copyright Dentalelle Tutoring wwwdentalellecom 1 Types of Gingival Embrasures This is the most important Depending on the size of that space will depend on what interdental aids you will recommend ID: 644788

tutoring dentalelle www copyright dentalelle tutoring copyright www reduce floss interdental gingivitis agent teeth tip area citrate fluoride spaces

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Slide1

Interdental Care

Dentalelle Tutoring

1Slide2

Types of Gingival Embrasures

This is the most important!

Depending on the size of that ‘space’ will depend on what interdental aids you will recommend

2Slide3

What is the col?

Under the contact area between the lingual papilla and facial papilla

DIFFERENT from the embrasureThe epithelium covering the col is thin and non keratinized

3Slide4

Gingivitis

STARTS in the interdental area (or at least has a greater chance of happening) because the col isn’t protected very well

If bacteria from the plaque is left to sit there, it causes inflammation which is gingivitisConcavities and grooves allow that plaque to hide in those areas a lot easier

4Slide5

5Slide6

Assessment

What type of anatomy does the patient have? What do the teeth look like and what does the gingiva look like?

Does the patient have any crowns? Bridges? Implants?Do some plaque assessments – plaque free score for example, or using disclosing tabsIs the patient handicapped? A child? Do they need additional brushing instruction?

**Keep it simple – suggest aids that are easy to use, help them increase their oral hygiene steps but don’t go overboard,

etc

6Slide7

Review of Toothbrushing

Charters

FonesStillmansBass

Let’s talk

, which is which?

7Slide8

Floss

Waxed – stronger, easier to get through contacts

Thinner floss – helpful in very tight contacts. Special attention must be given to avoid trauma to tissue due to the thin natureUnwaxed – can be hard for the patient to use and can fray

BEST TO USE FLOSS BEFORE BRUSHING

GINGIVITIS AND PERIO BEGINS IN THE COL AREA WHICH IS WHY FLOSSING IS SO IMPORTANT!

8Slide9

When would a floss holder be used?

For someone who cant lift their arms

Someone in a wheelchairSomeone who has difficulty wrapping the floss around their fingersA teenager with braces

9Slide10

When would a floss holder be used?

For someone who cant lift their arms

Someone in a wheelchairSomeone who has difficulty wrapping the floss around their fingersA teenager with braces

10Slide11

What is Superfloss used for?

To aid in flossingFor those who don’t like the string floss

For elderly patients, it’s a thicker flossUnder appliances

11Slide12

What is Superfloss used for?

To aid in flossing

For those who don’t like the string flossFor elderly patients, it’s a thicker floss

Under appliances

12Slide13

What can knitting yarn be used for?

Small spacesClass I embrasures

Larger spacesFor implants only

13Slide14

What can knitting yarn be used for?

Small spacesClass I embrasures

Larger spaces – often used with a floss threader to get under bridges and appliancesFor implants only

14Slide15

What is a gauze strip used for?

For wide spacesTeeth next to edentulous areas

Next to abutment teethAll of the above

15Slide16

What is a gauze strip used for?

For wide spacesTeeth next to edentulous areas

Next to abutment teethAll of the above

16Slide17

What are interdental brushes used for?

When spaces are in between the teeth

When the teeth have no spacesWhen papilla is missingFor cleaning dentures

17Slide18

What are interdental brushes used for?

When spaces are in between the teeth *can also be used to apply agents to the area (fluorides, desensitizing, antibacterial,

etc

)

When the teeth have no spaces

When papilla is missing

For cleaning dentures

18Slide19

What is an end-tufted brush used for?

Any hard to reach area, space, and orthodontics

Implants onlyChildren’s teeth with the charters methodIn conjunction with an electric toothbrush

19Slide20

What is an end-tufted brush used for?

Any hard to reach area, space, and orthodontics = also bridges, partial dentures, implant abutments, etc.

Implants onlyChildren’s teeth with the charters method

In conjunction with an electric toothbrush

20Slide21

Interdental tip, what is this?

Smaller bristles attached to the end of a handle

Attachment on an electric toothbrushA flexible rubber tip attached to a handleNone of the above

21Slide22

Interdental tip, what is this?

Smaller bristles attached to the end of a handle

Attachment on an electric toothbrushA flexible rubber tip attached to a

handle

None of the above

22Slide23

What can a toothpick in a holder be used for?

Furcation areas

RecessionsDenture cleaningTight spaces

23Slide24

What can a toothpick in a holder be used for?

Furcation areas

RecessionsDenture cleaningTight spaces

24Slide25

What can be used if the interdental papilla is missing?

Floss

Small interproximal brushRubber tip brushWooden interdental cleaner

25Slide26

What can be used if the interdental papilla is missing?

Floss

Small interproximal brushRubber tip brushWooden interdental cleaner

26Slide27

Saliva + Dentifrices

27Slide28

Toothpastes

Reduce biofilm formationReduce gingivitis

Prevention of cariesRemineralization of early cariesReduction of dentin hypersensitivity

Reduction of

supragingival

calculus

28Slide29

Toothpastes cannot:

Reduce subgingival calculusPromote remineralization

Prevent cariesReduce gingivitis

29Slide30

Toothpastes cannot:

Reduce subgingival calculus

Promote remineralizationPrevent cariesReduce gingivitis

30Slide31

What are the two agents that reduce biofilm formation?

Triclosan and zinc citrate

Irrigation and triclosanHumectant and astringentZinc citrate and humectant

31Slide32

What are the two agents that reduce biofilm formation?

Triclosan and zinc citrate (triclosan is the primary agent shown to reduce gingivitis)

Irrigation and triclosanHumectant and astringentZinc citrate and humectant

32Slide33

What is the most common agent used to reduce dentin hypersensitivity?

Zinc citrate

TriclosanSodium hexametaphosphatePotassium nitrate

33Slide34

What is the most common agent used to reduce dentin hypersensitivity?

Zinc citrate

TriclosanSodium hexametaphosphatePotassium nitrate

34Slide35

What is NOT an agent found in toothpaste to reduce supracalculus formation?

Pyrophosphate salts

Zinc saltsHydroxideTriclosan

35Slide36

What is NOT an agent found in toothpaste to reduce supracalculus formation?

Pyrophosphate salts

Zinc saltsHydroxideTriclosan

..and sodium hexametaphosphate is also shown to reduce supracalculus formation

36Slide37

In toothpastes:

Detergent (foaming agent) – 1-2%Binder (thickener) 102%

Cleaning and polishing agent (abrasive) – 20-40%Humectant – 20-40%Preservative – 2-3%

Flavouring (sweetener) – 1-1.5%

Water – 20-40%

Therapeutic agent – 1-2%

37Slide38

Joe has come to you for his regular 6 month cleaning and he wants to try a new toothpaste. Which one do you recommend?

Selection depends on what the client needs

Anything approved by the dental associationAnything with fluorideAnything that inhibits inflammation

38Slide39

Joe has come to you for his regular 6 month cleaning and he wants to try a new toothpaste. Which one do you recommend?

Selection depends on what the client needs – is caries a concern (fluoride), dentin hypersensitivity, inflammation, calculus, etc.

Anything approved by the dental association

Anything with fluoride

Anything that inhibits inflammation

39Slide40

Mouth rinses are used to:

Inhibit intraoral microorganisms

Reduce intraoral microorganismsTo increase aerosol production of the ultrasonic scalerTo increase aerosol production of the high speed handpiece

40Slide41

Mouth rinses are used to:

Inhibit intraoral microorganisms

Reduce intraoral microorganismsTo increase aerosol production of the ultrasonic scalerTo increase aerosol production of the high speed

handpiece

41Slide42

What does an astringent do in chemotherapeutic agents?

Neutralizes odor

Alleviates painShrinks tissuesReduction of gingivitis

42Slide43

What does an astringent do in chemotherapeutic agents?

Neutralizes odor - deodorizing

Alleviates pain - anodyneShrinks tissues - astringentReduction of gingivitis – gingival health

43Slide44

What is cariostatic?

Inhibits demineralizationDeposits fluoride ions on enamel

Deposits fluoride ions in carious lesionsInterferes with cell metabolism

44Slide45

What is cariostatic?

Inhibits demineralization AND enhances remineralization

Deposits fluoride ions on enamelDeposits fluoride ions in carious lesionsInterferes with cell metabolism

45Slide46

Chlorhexidine

Broad antibacterial activityBinds to oral and soft tissues

Attaches to the bacterial cell membrane, thereby damaging the cytoplasm causing lysisBinds to pellicle preventing biofilm accumulation

Bactericidal (kills) AND bacteriostatic (interferes)

Lasts 8-12 hours!!

Antimicrobial and anti gingivitis agent

Interdental Care Dentalelle Tutoring - PowerPoint Presentation

Interdental Care Dentalelle Tutoring - PPT Presentation

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