DH II Module 5 Interdental Care

  1. Type I Gingival Embrasures
    Interdental papilla fills the gingival embrasure
  2. Type II Gingival Embrasures
    Slight to moderate recession of the interdental papilla
  3. Type III Gingival Embrasures
    Extensive recession or complete loss of the interdental papilla
  4. Dental floss is most effective when
    interdental papillae are present and there has not been loss of attachment with root surface exposure
  5. What are the three types of floss materials
    • Silk. Historically, floss was made of twisted silk fibers and waxed for proximal surface cleaning.
    • Nylon. Nylon multifilaments, waxed or unwaxed, have been used in circular (floss) or flat (tape) form.
    • Expanded PTFE. Plastic monofilament polytetrafluoroethylene with wax –Also known as gore-tex (e.g. Glide).
  6. What are the two flossing methods
    • The circle or loop method
    • The spool method
  7. When is the circle floss method preferred and describe it
    • children or any patient with low manual dexterity
    • A piece of floss approximately 18 inches long is tied at the ends to form a loop or circle
    • The patient uses the thumb and index finger of each hand in various combinations to guide the floss interproximally through the contacts
  8. When flossing NEVER use a sawing motion once
    the floss is through the contact!
  9. Describe the spool floss method
    This method utilizes a piece of floss approximately 18 inches long where the majority of the floss is loosely wound around the middle finger of one hand and a small amount of floss around the middle finger of the opposite hand
  10. What is a floss cut
    A floss cut is an incision at the gingival margin, at the mesial or distal line angle of a tooth, due to an incorrect flossing technique
  11. The cause of both the floss cut and cleft is the same, the difference is a floss cut appears ______ while a floss cleft appears   ________
    • “new”
    • “healed”
  12. A floss threader is specifically designed to help people with
    bridges or braces
  13. What are the two types of tufted floss and describe them
    • A.“Super Floss” is a floss/yarn combination  Comes in a precut length with a tufted portion and a 3-inch stiffened end for insertion under a fixed   prosthesis
    • B.“NUFloss” has tufted portions alternated with plain floss  Supplied in a roll
  14. Describe the use of a gauze strip
    • A 6 to 8-inch length of 1-inch bandage gauze is folded in thirds and placed around a tooth adjacent to an edentulous area, a tooth with interdental spacing, or the distal surface of the most posterior tooth
    • A shoe-shine stroke is used to clean the dental biofilm from the surface
  15. The most common interdental brushes are _______ shaped. One of the most common interdental brushes with a replaceable head is the _________ brand name _____
    • conical or tapered
    • Proxabrush
    • GUM
  16. A Single-Tuft Brush also known as an ________  is used for
    • End-Tuft or Unituft brush
    • –Open Interproximal Areas
    • –Fixed Dental Prostheses
    • –Difficult-to-Reach Areas
  17. A round toothpick is inserted into a plastic handle also called a _______ and is placed
    • “Perio-Aid”
    • at and just under the gingival margin and is moved along (or slightly beneath) the gingival margin
  18. A pipe cleaner can be used on
    –exposed furcation areas and open interdental areas
  19. A wooden cleaner is _________ in shape and made of _____, ______, and  ______ Brand name _________. Application is on the _______ surface of a tooth with a Type ___ embrasure
    • triangular
    • basswood, balsa wood or birch wood (a softer wood than a toothpick)
    • Stim-u-dent
    • proximal
    • III
  20. In selecting interdental aids Type I embrasures should use _________ Type II embrasures should use ______ and Type III embrasures should use _______
    • A. dental floss/tape
    • B. interdental brush
    • C. unitufted (also known as end-tuft) brush
  21. For patients with braces stainless steel bands are usually ________ on _______ teeth
    • cemented
    • first molar
  22. Brackets which can be _______ or _______ are connected to _______ or ________. It is the brackets that hold the ________ in place
    • stainless steel/ceramic
    • the bands
    • directly bonded to the teeth
    • archwire
  23. An archwire creates _________ and is tied into the brackets via a ________
    • force to move teeth into proper alignment
    • ligature
  24. Ligatures can be either a
    twisted wire or a tiny elastic
  25. The power chain or ___ chain is a
    • C
    • continuous elastic chain used to close space
  26. Springs may be placed on the _________ between brackets to
    • arch wires
    • push, pull, open or close the spaces between teeth
  27. Separators, also known as spacers, are _________ that fit between teeth to create a small space prior to _________
    • elastic rings or metal springs
    • placement of orthodontic bands
  28. Patients that wear braces that do not practice appropriate oral hygiene tend to develop
    “white spots” (demineralized areas)
  29. One type of removable retainer is the ________ which is a removable _________
    • Hawley appliance
    • acrylic retainer with facial retaining wire and clasps
  30. What toothbrush method may be helpful for cleaning the gingival surface under the pontic with a fixed bridge
  31. Acidulated phosphate fluoride (APF) is contraindicated for what kind of restorations
    porcelain and composite restorations
  32. A _______ brush is not used on a removable prosthesis
  33. A _________ is an excellent brush for cleaning all the surfaces and the metal bars of the partial removable denture
    denture brush
  34. Denture-bearing should be
    brushed with a soft toothbrush
  35. A ________ may be substituted if an immersion solution is not available
    dish detergent soap
  36. Denture powders are ________ than pastes unless mixed with water and the active ingredient is _________
    • slightly more abrasive
    • calcium carbonate
  37. Household agents that can be used as denture cleansers are
    • –Dish/hand washing detergent (not particularly abrasive)
    • –Salt and bicarbonate of soda (mildly abrasive)
  38. Never place a denture with a soft lining in the
    stain removal solution used for the ultrasonic
  39. A common condition that can occur due to the constant wearing of a partial or full denture is
    denture stomatitis associated with Candida albicans
  40. What is this a picture of?
    Image Upload 1
    Implant-retained overdenture
  41. Toothbrush filaments for patients with dental implants should be
    soft and end-rounded
  42. What kind of floss is highly recommended for patients with dental implants
    Unwaxed tape or implant-specific floss
  43. For patient with dental implants the floss is inserted and _________ and move in a ______ motion
    • crisscrossed in front
    • “shoe-shine”
  44. After the first year of dental implants maintenance is usually a _____ recall
  45. Maintenance appointments with dental implants during the first year may be at _______ month intervals
    1 or 2
  46. __________ is suitable for polishing agents for dental implants
    Tin oxide or nonabrasive toothpaste
Card Set
DH II Module 5 Interdental Care
DH II Module 5 Interdental Care