which patients are good candidates for a power toothbrush? 6
ortho patient
physical disability
geriatric
prostho (implants, bridge)
agressive brushers
patient/caregiver
what are 5 patient instructions about a power toothbrush?
use first before recommending to a patient (evidence--based research)
patient dexterity
timer/pressure sensor (low end do not have this)
demonstrate in office if possible
advise need for practice (need to use it!)
t/f baking soda on its own as a toothpaste is very abrasive
true
what would cause scuffed epithelial surface?
brushing too hard (abrasion on gums)
what does a punctate lesion from?
pinpoint lesion (brushing to hard or hard bristles)
what are 3 ACUTE alterations needed from toothbrush trauma?
scuffed epithelial surface
punctate lesion
diffuse/reddness/denuded attached gingiva
what is diffuse redness/denuded attached gingiva?
gingiva that has been worn down
what are 3 causes of toothbrush trauma from horizontal or vertical scrubbing?
excess pressure
abrasive dentrifice (baking soda)
frayed toothbrush
brushing too hard all the time is a ________ alteration
CHRONIC
rolled, bulbous, hard marginal gingiva
gingival cleft -brushing too hard
facial gingiva-brush the front more than lingual
R/L handed brusher- more trauma on one side
these are all ________ ________ or toothbrush trauma
CHRONIC ALTERATIONS
when the margin has moved apically and the root surface is exposed = _______ _______
gingival recession
what is a remedy of old toothbrushing habits using one toothbrush all the time?
switch to a soft toothbrush
use correct technique
mechanical habits
abrasive dentrifice
horizontal brushing
tooth prominence
filament ends not rounded are causes of ______ _____
dental abrasion
what are the remedies of dental abrasion? 3
discuss and educate patient on change
change tb/method
milder dentrifice/smaller amount
pt assessment includes what four things?
personal history of care
dental and gingival anatomy
dental biofilm
personal factors
what are 2 personal factors to consider for a patient?
handicap or disability
knowledge and appreciation about interdental
what are the objective of the dental hygiene care plan? 3
appropriate aids
teach pt
modivate pt
what is the initial plan of the dental hygiene care plan?